Managing Relapse Risks in Alcohol Recovery: A Guide for Families

Issues related to alcohol cessation?

I would like to inquire about a situation involving an elderly family member who had a long history of alcohol abuse.
They managed to quit drinking with the help of a doctor and medication about one to two years ago, but now they have developed a habit of occasional drinking.
Although they do not drink to the point of intoxication, I am concerned that they might relapse into heavier drinking.
Additionally, they are taking Ativan, which was previously prescribed by their doctor.
What steps should I take to address this situation?

wenbi, 10~19 year old female. Ask Date: 2015/10/11

Dr. Ding Shuyan reply Psychiatry

Hello, I'm not sure what your relationship is with this elder, but you are only 17 years old.
Regarding issues like alcohol addiction, he may have had many unpleasant experiences with close family members in the past.
Unless you have a very good relationship with him, be prepared for the possibility that he may not appreciate your attempts to intervene in his life.
If he is willing to accept your help, you can approach him with a caring attitude and discuss the circumstances under which he tends to drink.
Most of the time, it is related to feeling down, having someone around who offers the opportunity to drink, or needing to relieve stress.
When these drinking situations arise, encourage him to engage in other activities and try different coping strategies.
If he experiences withdrawal symptoms such as insomnia, tremors, anxiety, or gastrointestinal discomfort when not drinking, it is important to encourage him to see a doctor and consider medication.
It can be much more difficult to get through this situation on his own.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2015/10/11

More Info

Managing relapse risks in alcohol recovery is a critical concern for families supporting loved ones who have struggled with alcohol addiction. It is commendable that you are seeking guidance on how to help your family member maintain their sobriety, especially after a history of long-term alcohol use. Here are some strategies and insights that can assist you in this journey.

Understanding Relapse
Relapse is often viewed as a part of the recovery process rather than a failure. It can occur for various reasons, including stress, environmental triggers, or even the normalization of drinking in social situations. Recognizing the signs of potential relapse is crucial. These may include increased cravings, changes in mood, or a return to old drinking patterns, such as the "small drink" you mentioned.

Communication is Key
Open and honest communication is vital. Approach your loved one with empathy and concern rather than judgment. Discuss their current drinking habits and express your worries about the potential for relapse. It’s important to create a safe space where they feel comfortable sharing their feelings and experiences without fear of criticism.

Identify Triggers
Help your loved one identify specific triggers that may lead to drinking. These could be emotional triggers, such as stress or anxiety, or situational triggers, like being around friends who drink. Once identified, work together to develop coping strategies to manage these triggers. This might include engaging in alternative activities, practicing mindfulness, or seeking support from a therapist or support group.

Encourage Professional Support
If your loved one has a history of alcohol dependence, it may be beneficial for them to engage with a healthcare professional. This could be a therapist specializing in addiction, a counselor, or a support group like Alcoholics Anonymous (AA). Professional guidance can provide them with tools to navigate their recovery journey and manage cravings effectively.

Monitor Medication Use
You mentioned that your loved one is taking Ativan, which is a benzodiazepine. Combining alcohol with benzodiazepines can be extremely dangerous and may lead to increased sedation, respiratory depression, or even overdose. It’s crucial to encourage them to discuss their medication use with their healthcare provider, especially if they are considering drinking alcohol again. A healthcare professional can help assess their medication needs and make necessary adjustments.

Promote Healthy Coping Mechanisms
Encourage your loved one to adopt healthier coping mechanisms to deal with stress and anxiety. This could include physical activities like walking, yoga, or engaging in hobbies that they enjoy. Additionally, promoting a balanced diet and adequate sleep can significantly impact their overall well-being and reduce the urge to drink.

Family Support
As a family member, your support is invaluable. Attend family therapy sessions if available, and educate yourself about addiction and recovery. Understanding the complexities of alcohol dependence can help you provide better support and reduce feelings of frustration or helplessness.

Set Boundaries
While it’s important to support your loved one, it’s equally crucial to set boundaries. If their drinking behavior escalates or if they refuse to seek help, you may need to consider how this affects your own well-being. Establishing clear boundaries can protect your mental health while still showing that you care.

Conclusion
Managing relapse risks in alcohol recovery is a multifaceted process that requires patience, understanding, and proactive engagement. By fostering open communication, identifying triggers, encouraging professional help, and promoting healthy coping strategies, you can play a significant role in supporting your loved one’s recovery journey. Remember, recovery is a process, and setbacks can occur, but with the right support and resources, lasting change is possible.

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