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Return to Use

Understanding

return to use

RETURN TO USE IS A CHALLENGE, NOT A FAILURE

If you are working on recovering from substance use disorder, you might experience a return to use. This does not mean you have stopped making progress.

Between

0 %

&

0 %

of those with a substance use disorder may return to use.

Source: NIH
Recovery is a journey with ups and downs. Return to use does not define who you are; in fact, 40-60% of people in recovery face a return to using substances at some point during their recovery journey. It is important to be kind to yourself during these times.

WHAT CAN LEAD TO RETURN TO USE

Returning to use can happen for many reasons, such as emotional struggles, physical changes, or social situations. Understanding these factors can help you manage them better.

Psychological

Opioids affect the brain’s reward system, creating strong substance cravings. Even after stopping use, your brain might still want the substance. Dealing with these cravings can be tough, making recovery challenging.

PHYSIOLOGICAL

Using opioids for a long time changes how the body makes certain chemicals that help with pain and mood. When opioids are stopped, it takes time for the body to get back to normal. This can cause withdrawal symptoms like physical discomfort, anxiety, and sadness, which might make some people return to use to feel better.

Social

Recovering often means changing habits and avoiding people, places, or situations linked to substance use. Being around these triggers can increase cravings and the chance of returning to use. Lack of support from friends or dealing with stress can also make it harder to stay on track.

PREVENTING RETURN TO USE

Staying on the right path can be tough, but there are helpful ways to prevent a return to use. Here are some tips:

Build a Support System

Get support from people who care about your recovery, such as friends, family, support groups, or a counselor. A strong support system helps you stay positive on track during tough times.

Find Healthy Ways to Cope

Find ways to handle stress and tough feelings without using substances. Try activities that make you happy, like exercising, enjoying hobbies, meditating, or spending time with loved ones. Healthy coping skills can help you manage challenges.

Make a Plan

Work with a healthcare professional or counselor to create a personalized return to use prevention plan. This plan should help you identify and handle situations that might lead to substance use. Set clear goals, build healthy habits, and check your progress often.

Work on Pain Management

If you have chronic pain, work with your healthcare provider to find safe ways to manage it without opioids. Options might include physical therapy, acupuncture, chiropractic care, or other non-opioid medicines. Proper pain management can help you avoid needing opioids.

Be Kind to Yourself

Taking care of yourself is important. Focus on eating healthy, exercising, getting enough sleep, and managing stress. Do things that make you feel good, like practicing relaxation exercises, journaling, or enjoying hobbies.

Know What to Watch Out For

Learn to recognize and avoid situations or places that might trigger cravings. This might mean staying away from people who use substances, avoiding certain places, or changing your routine.

Stick with Treatment

Regular counseling, support group meetings, or other treatments help you stay on track. Keep following your treatment plan and talk openly with your healthcare provider or counselor about any challenges or worries.