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RELAPSE CYCLE WORKSHEET . Transient Guilt & Rationalizations. Low Risk Situations. I was only scratching myself I didn’t intend anyone to see me She exaggerated her story, she lied about honking horn . Bills Dog stress Son not listening Co-worker stress Wife organizing my things .

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RELAPSE CYCLE

WORKSHEET

Transient Guilt &

Rationalizations

Low Risk Situations

  • I was only scratching myself

  • I didn’t intend anyone to see me

  • She exaggerated her story, she lied about honking horn

  • Bills

  • Dog stress

  • Son not listening

  • Co-worker stress

  • Wife organizing my things

Risky Emotional States

ACTING OUT

STABLE

Relapse

  • Anger

  • Hopelessness

  • Depression

  • Exposing Self

DANGER

WARNING

High Risk Situations

Medium Risk Situations

  • Urinating in Public

  • Walking around naked upstairs

  • Not wearing underwear

  • Speeding

  • Drinking

  • Not talking about feelings

  • Yelling at family/others

  • Withdrawing

  • Whacking dog – Deisel

  • Scratching self in public

Planning/Grooming

  • No one will see me

  • Should be okay

  • Nervous about being seen-

  • I can’t wait to itch myself


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RELAPSE PREVENTION PLAN

Low Risk Situations

Interventions

InternalExternal

Acting Out Interventions

Risky Emotional States

Interventions

InternalExternal

ACTING OUT

STABLE

High Risk Situations

Interventions

InternalExternal

WARNING

DANGER

Moderate Risk Situations

Interventions

InternalExternal

Planning and Grooming

InternalExternal


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