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Exercise No. 5: Summary of Relapse History

Purpose. In this exercise, you will see if the same reasons caused you to return to using alcohol or drugs.

Instructions. Reread the Alcohol/Drug/Legal Calendar (Exercise No. 3) and the worksheets from Exercise No. 4 and answer the questions below. Remember that you do not have to fill in every line.

1. I first attempted recovery in __________________ (fill in month and year).

2. Since that time, I have tried to quit using ____________ times.

3. The longest I have been able to be completely free of alcohol and drugs (including methadone) was ___________________ (days, months, or years).

4. The problems that appeared more than once before I started using alcohol or drugs again are:
   1. Problems with people:

      1. ---

      2. ---

      3. ---

      4. ---

   2. Problems with situations:

      1. ---

      2. ---

      3. ---

      4. ---

   3. Problems with thoughts and feelings:

      1. ---

      2. ---

      3. ---

      4. ---

      D. Problems with pain and sickness:

      1. ---

      2. ---

      3. ---

      4. ---

5. These problems usually happen in the following order:

   1. ---

   2. ---

   3. ---

   4. ---

   5. ---

   6. ---

   7. ---

   8. ---

   9. ---

   10. ---

6. I started to use alcohol or drugs again when:
   1. I started to think

      ---

   2. I started to feel

      ---

   3. I wanted to

      ---

7. The first drug I used was (include alcohol): _____________________

   Then I used

   ---

   Then I used

   ---

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Last Updated 11-7-02