Stay Ahead of the Curve: Recognizing Relapse Warning Signs

Relapse is rarely a single event; it is a gradual process that usually starts mentally and behaviorally – long before the first drink or use. Recognizing these early "red flags" allows for intervention before the relapse occurs.

Remember: A loved one, a colleague, or a sponsor will likely notice these signs first. Be open to their concerns and remember they love you and want what is best for you.

🧠 Mental & Emotional Alerts

• Thinking about drinking/using more often
• Minimizing past consequences (“It wasn’t that bad”)
• Romanticizing the high, the escape, or the “good times”
• Increased stress, anger, anxiety, boredom, or emotional numbness
• Thoughts like “I deserve it” or “I can control it this time”

🗣️ Behavioral Red Flags

• Skipping recovery meetings, therapy, or check-ins with sponsor or others
• Isolating from sober supports
• Being dishonest or secretive
• Hanging around people, places, or situations tied to past use
• Testing boundaries (going to bars, liquor aisles, parties “just to see”)

⚠️ Physical & Lifestyle Changes

• Changes in sleep, appetite, or energy
• Neglecting routines, hygiene, or responsibilities
• Increased restlessness or agitation
• Overconfidence – doubting the effectiveness of the recovery process: “I’ve got this—I don’t need support anymore”

🚑 High-Risk Warning Signs

• Strong or more frequent cravings
• Planning or fantasizing about drinking/using
• Carrying cash, contacting old dealers, or “just in case” thinking
• Keeping alcohol/drugs nearby or not removing access

🛑 Take Action Immediately – Re-Engage

• Tell someone in recovery or a trusted support person - today
• Go to a meeting or reach out to a sponsor/therapist or sober friend
• Change your environment—remove triggers and access
• Use coping tools (grounding, distraction)
• Seek professional help if urges feel out of control
• Contact the NE LAP to reestablish recovery if a relapse occurs

Reminder: Relapse is a process -not an event or a failure. Noticing the signs early can stop it in its tracks.

If you or someone you know is a licensed healthcare professional experiencing a substance use disorder, please reach out to the NE LAP at (800) 851-2336 or (402) 354-8055 to begin the path to recovery.