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Figure 1: Relapse Prevention Protocol



 

Name:

Date:

RELAPSE SIGNATURE

‘I’m feeling down’

  • Increased feelings of inadequacy
  • Pre-occupied about self-improvement inc.
  • Constantly monitoring yourself for faults
  • Increased feelings of anxiety, restlessness

‘I’m overactive’

  • Racing thoughts/intrusive thoughts
  • Feelings of elation/spirituality
  • Do not need to sleep (1 night or more)
  • Suspicious of people close to you
  • Not wanting to eat

‘I’m a terrible person’

  • Beliefs of being punished by God
  • Repossessed by the Devil
  • Horrific thoughts of being persecuted

Key Worker:

Co Worker:

Present Medication:

Carer Contacts:

Triggers:







RELAPSE DRILL

Step 1 — stray calm — Yoga, medication

  • Contact Key Worker/services to go out and discuss feelings
  • Make time for yourself, use partner and relatives for support
  • Coping with thought problems

Step 2 — Distraction Techniques (PTC)

  • Take tablet from emergency supply
  • Daily contact with services if necessary (discuss feelings, reality testing)
  • Contact Doctor re. Recommencing or increasing medication


Step 3 —Admission to hospital or respite care

Hours of Contact:

Mon — Fri (9.00 — 5.00)

Tel:

Sat — Sun (10.00 — 5.00)

Tel:

Out of Hours Contact:


A) Coping with automatic thoughts

  • What is the thought? — write it down
  • What is the evidence?
  • Are there any other explanations/way of viewing the thought? (evidence to disconfirm this — use others to support) e.g.: “burning up” or “ex­tremely anxious”


B) Distraction Techniques

  • Count backwards from 100 in 13’s
  • Concentrate on positive images —nature, greenery


C) Coping with problems/stressors

  • State problem — write it down
  • Write down all possible strategies
  • Pros and Cons of each strategy
  • Select the best solution


Additional Techniques:





 

 


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