Monday, October 20, 2014

Tips for Preventing Lapses and Relapses

Tips for Preventing Lapses and Relapses


TIP #1: Practice, practice, practice!
The best way to prevent a lapse is to keep practicing your CBT skills! If you are regularly practicing, you will be in good shape to handle whatever situations you are faced with.
How do you fit in practice?
Make a schedule for yourself of what skills you are going to work on every week. This might include exposure, or practicing some calm breathing and relaxation. Get friends and family to help!

TIP #2: Knowing Your Red Flags
You are less likely to have a lapse if you know when you are more vulnerable to having one. For example, most lapses occur during times of stress or change.
o    Make a list of warning signs that tell you your anxiety might be increasing. This list might include:
o    More feelings of anxiety
o    Increased responsibilities at home or at work
o    More anxious thoughts
o    Arguments with loved ones
o    Major life changes (e.g., wedding, childbirth, death in the family)
o    Avoiding more activities
o    Make a plan of action. When you know what your “red flags” or “danger signs” are, you can make a plan for how to cope with them. This might involve:
o    Practising your CBT skills more often
o    Taking some time for yourself
o    Relaxing (reading a book, going shopping, talking to a friend)

TIP #3: Coming Up with New Challenges
Like everyone else on this earth, you are a work in progress. That is, there are always ways that you can improve yourself and make your life more enjoyable and fulfilling. A good way to prevent future lapses is to continue working on new challenges and new feared situations. You can make a list of situations that are still scary or cause you anxiety, and work on them in time. You are less likely to slide back into old habits if you are continually working on new and different ways of overcoming your anxiety.

TIP #4: Learn From Your Lapses
Remember that it is normal to occasionally have lapses. In our daily lives, everyone has times of greater stress, and if you are coping with anxiety, this can make you even more vulnerable to a lapse. The good news is that you can learn a lot from these lapses. Try to figure out what the situation was that led to you having a lapse by asking yourself:
o    Were you having upsetting or anxious thoughts?
o    Was your anxiety very high?
o    Did you do something different?
o    Did you know that the situation was going to be difficult or did it take you by surprise?
Knowing why a situation was more difficult for you can help you to prepare for the next time. You can make a plan to help you better cope with difficult situations in the future.

TIP #5: Knowing the Facts!
We know that what you say to yourself after you have a lapse has a huge impact on your later behavior. If you think that you are a failure who has undone all your good work, you are more likely to just give up, stop trying, and end up relapsing.
But here are a few facts:
o    It is impossible to go back to square one: you cannot unlearn all the skills and techniques that CBT teaches you. Being back at square one means having anxiety and not knowing how to handle it. But once you have started using CBT, you DO KNOW how to handle your anxiety!
o    If you relapse, you CAN get back on track. It might have taken you months of practice to reduce your anxiety symptoms, but it won’t take you that long to get back to where you were before the relapse. If you get back to practicing your CBT skills, before you know it you will be mastering your anxiety again in no time.
Like riding a bike…
Think of your CBT skills as being like learning to ride a bike… it can take time to learn, but once you know how, you don’t forget how to bike. If you stop biking for a while, you might be a bit rusty, but it won’t be long until you are as good as before.

TIP #6: Being Kind to Yourself
It is very important to remember that lapses are normal. Don’t beat yourself up or call yourself names like “idiot” or “loser”, because this doesn’t help. It is much more helpful to realize that we all make mistakes sometimes. We don’t speak to other people in such a mean way, so it is certainly not a good idea to speak to ourselves in this way. In fact, it can actually be helpful to have a lapse, because it gives you a chance to learn that lapses are normal and that lapses can be overcome if you get back to practising your skills.
Remember to try to be patient with yourself, learn from your lapses, and move forward.

TIP #7: Rewarding Yourself
Make sure to always take the time to reward yourself for all the hard work you are doing. It is very motivating to give yourself a treat once in a while. A reward might be going out for a nice meal, buying yourself something new, going out with friends, or just taking some time to relax, enjoy yourself, or pamper yourself. Remember that managing anxiety is hard work, and any progress you make is due to your own efforts. Doesn’t that deserve a reward?


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