An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach.[40] Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy refers to one's ability to deal competently and effectively with high-risk, relapse-provoking situations. Outcome expectancy refer to an individual's expectations about the psychoactive effects of an addictive substance. Attributions of causality refer to an individual's pattern of beliefs that relapse to drug use is a result of internal, or rather external, transient causes (e.g., allowing oneself to make exceptions when faced with what are judged to be unusual circumstances). Finally, decision-making processes are implicated in the relapse process as well. Substance use is the result of multiple decisions whose collective effects result in a consumption of the intoxicant. Furthermore, Marlatt stresses some decisions—referred to as apparently irrelevant decisions—may seem inconsequential to relapse, but may actually have downstream implications that place the user in a high-risk situation.[41]
To begin this process and to find these treatment options, a person dealing with drug or alcohol addiction can get in touch with their state or local mental/behavioral health or substance abuse services. These are often part of larger public or community health agency networks within the government. SAMHSA maintains a Directory of Single State Agencies (SSA) for Substance Abuse Services to make it easier for people to find out whom to contact. The state’s government websites can also provide information on these services and how to apply for them.
Drug addiction is a chronic disease, and relapse is one of its major symptoms. It’s important for a recovering addict to realize that relapse is the rule rather than the exception. Relapse prevention therapy can help addicts learn how to avoid lapses, or how to minimize the severity of a relapse if they do slip. The sooner you seek help after a relapse, the sooner you’ll get back on track with your recovery program.

3. The meat of the program (psychotherapy and behavioral treatments) – This is one of the most important phases of rehabilitation, as it begins to give you a base for future sobriety. During this phase, you work with an alcohol counselor to address your current mental and emotional condition and understand where it’s coming from.  Then, you can start to make behavioral and attitudinal changes to remain sober, prevent relapse, and start living a happy life. If you are dedicated – the chances for your alcohol rehab program to work are increases and you have made significant steps towards becoming sober long-term.
There are many factors that contribute to drug addiction: genetic makeup, family background, social influences, neurological factors, and environmental issues. Having a close family member who is addicted to drugs, or growing up in an environment where drug use is widely accepted, can increase your chances of dependence and drug addiction. A co-occurring mental illness makes you vulnerable to addictive drug use.
Cocaine is a stimulant drug that causes dangerous physical effects such as rapid heart rate and increased blood pressure. Cocaine is extremely addictive due to its short half-life and method of action. It keeps a steady stream of dopamine in the brain while users are high, preventing further dopamine production and closing down dopamine receptors. When withdrawal sets in, the brain starts to crave the lost dopamine the drug once provided, making it extremely hard to recover from.10
Die Suchtselbsthilfegruppen ergänzen seit mehr als 40 Jahren im Deutschen Roten Kreuz (DRK) das professionelle Suchthilfeangebot. Die Betroffenen finden dort aus eigener Kraft zu einem Leben in zufriedener Abstinenz und stärken gegenseitig ihre Ressourcen. Die Gruppenmitglieder arbeiten teilweise anonym und fangen Hilfesuchende in schwierigen Situationen unterschiedslos auf.
Research the history of the Treatment Center or facility.  What is their success rate?  Can you find any medical recommendations for them online from members of the established rehab or medical community?  How long has the Center been in operation?  Is their leadership on solid ground?  Are there any signs of financial corruption associated with the Center that is readily visible on the Internet?  It is your responsibility to dig for this information.  If you cannot find any information about a given Treatment Center online or at your local library, move on to the next Center on your list! 3 Stages of Drug Alcohol Rehab-How It Works
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