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Strategies to Enhance Recovery and Reduce Relapse Risk with Substance Use Disorders, Part 2: Goals and Clinical Issues

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Relapse prevention therapy and counseling approaches for substance use disorders (SUDs) prioritize the development of cognitive and behavioral coping strategies to manage challenges that may arise during recovery. The goals of this approach include: 1) identifying and managing high-risk relapse factors; 2) identifying and managing early signs of potential relapse; 3) making lifestyle changes to decrease the need for substances and increase healthy activities and pleasures; and 4) preparing to intervene early in a lapse or relapse (Center for Substance Abuse Treatment [CSAT], 2007; Daley & Douaihy, 2015; Marlatt & Donovan, 2004; Substance Abuse and Mental Health Services Administration [SAMHSA], 2008).

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Dennis C. Daley, PhD, served many roles at the University of Pittsburgh School of Medicine. He is the author of many articles, treatment manuals, books, and guides for families and children affected by addiction. He helped facilitate B2H programs at two hospitals.

Antoine Douaihy, MD, is professor of psychiatry and medicine at the University of Pittsburgh School of Medicine and senior academic director of Addiction Medicine Services of Western Psychiatric Hospital of the University of Pittsburgh Medical Center.