Chronic Relapse

Chronic Relapses in Lexington, Richmond & Frankfort KY

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What is Chronic Relapse?

Chronic relapse is a repeated cycle in which a person tries to overcome an addiction, but falls victim to substance abuse again. Chronic relapsers are those who have undergone multiple treatments, who have had long periods of recovery, who know the lingo, tools, and guidelines, but still cannot remain clean and sober. Overcoming addiction is a long-term process for everyone who has abused substances, especially for those addicted to cocaine, alcohol and other certain drugs.

Signs & Symptoms

These are a few of the common symptoms associated with chronic relapse:
  • Numerous failed attempts at sobriety – Many addicts have a lifetime of drug and alcohol abuse but have never actually attempted to get sober. What makes chronic relapsers distinct is that they have tried to get sober and failed.
  • Unable to maintain sobriety despite having a wealth of knowledge about addiction and recovery – Typically, chronic relapsers know about the disease, the treatment options, and the relapse triggers, however, they have no experience applying this knowledge to their lives in order to create lasting sobriety. 
  • Feelings of hopelessness - Chronic relapsers, experience intense hopelessness and a cynical outlook on the possibility of permanent sobriety. 
  • Multiple treatment options tried – Chronic relapsers have often tried a variety of treatments, including psychiatric treatment, detox, residential, outpatient and halfway houses, and support groups, such as 12-Step programs. 
  • Various personality traits are exaggerated – Most chronic relapsers can have varied personality traits, including charm, intelligence, manipulation, deceit, or passion. In some cases, chronic relapsers can suffer from borderline personality disorder, anti-social personality disorder and narcissistic personality disorder. 

Diagnosis & Treatment Options

Psychiatrists can help chronic relapsers receive treatment plans or group therapy designed specifically for the relapse prone client. Other helpful tools for treating chronic relapse include:
  • Appropriate medical management. Whether from a mental health professional, an addiction specialist or a family physician, the person’s chances of successful addiction recovery are boosted by having a health care professional monitor their progress.  
  • Remove outside distractions. It is essential for chronic relapsers to remove all things distracting themselves and others from seeing the truth about them. 
  • Emphasize the mental and spiritual nature of the disease. Chronic relapsers usually think they know what is wrong with them, but it is essential that chronic relapsers understand they have a disease of the mind, body and spirit.
  • Intervene on the family. With chronic relapsers, the pathology of the family is typically worse than that of the client. In most cases, the family has participated in the progression of the illness through intense enabling behaviors. Treatment for the family is crucial.
  • Use all leverage available. Using leverage from the family, chronic relapsers must recognize that they will not receive any emotional or financial support from their family if they do not complete long-term treatment or remain sober.
  • Attend group therapy. Group therapy, such as Narcotics Anonymous, provide an understanding environment with others who can share how they successfully overcame addiction. These groups promote the 12 Steps, which must be worked through in their entirety with the help of a sponsor to maintain accountability. 
  • Relentless accountability. Treatment for the chronic relapser should include a constant emphasis on accountability, responsibility and consistency. 

There Is Hope!

Working with the chronic relapse population by nature entails dealing with individuals who display significant resistance to treatment. While treatment requires constantly challenging this resistance, noncompliant behavior that persists beyond a reasonable amount of time or begins to interfere with others' treatment cannot be tolerated. Properly identifying chronic relapsers and getting them into a long-term program that is designed specifically for this population is critical to breaking the cycle of addiction.

If you or someone you know suffers from chronic relapse, do not hesitate to call our 
office for more information or visit these sites.

New Client Info
Lexington, KY

Darby Creek Location
501 Darby Creek Road
Suite 11
Lexington KY, 40509
Phone: 859-338-0466
Fax: 859-294-0802

Recent Posts
By Paul Dalton 05 Feb, 2016
So you live in Kentucky and only a few more weeks until spring. Everyone should be happy and feel better about that, right? I think most of us get a sense of relief and hope, and that cognitive energy to bust out of the winter season and get moving. For some, the spring can be a rough time. Depression, anxiety, bi-polar disorder, and relationship issues prevent the spring season from being all that it could be. Following are some reasons that these and other conditions may worsen in the spring, a few resources for you, and some concrete strategies you can implement to help yourself. 

So why do people struggle some in the spring when it should be all flowers and sunshine? 

1. Sleep
Many times the spring season causes a change in our circadian rhythm . The sun wakes you up in the am, it is difficult to keep a routine, and restlessness all contribute to the sleep problem. Our eating in the winter and spring can affect how much we sleep. Caffeine, napping, undereating, and how much we are moving, all contribute to how much we sleep. Spring likely has an effect on melatonin in the body, which aids in sleep. 

Strategies that help are EXERCISE and EATING RIGHT! If you keep moving with the help of  a tool like a Fitbit or utilize regular exercise of 45 minutes or more 4-5 times per week, you are far less likely to have sleep problems. Exercise helps you sleep. Exercise helps you eat better. Eating and sleeping adequately can reduce your stress and fight any symptoms you may have. Eating healthy keeps your mind, body, and spirit in a positive place. When your body is well, your mind has a great chance of being well too. Sounds too simple? Give it a try!

The sleep foundation can help here :  Sleep Foundation Healthy Sleep Tips
Eating Right For Spring
Here is a good link to read on symptoms getting worse in the spring: Spring Makes Symptoms Worse

2. Spring Fever is Real
Our office has existed for over 15 years now. I can tell you that March to May is our busiest time of the year, always. Bipolar disorder, marital infidelity, depression, and anxiety are the main reasons people call us in the spring. The real causes of spring fever include longer days that produce more sunshine and increased energy, changes in hormone production, sleep cycles, nutrition and diet changes, body needs, and possibly, a lack of self care. When we bust of out winter here in Kentucky we sometimes forget that it takes a little time to get our minds and bodies in shape for yard work, spring cleaning, and for many, an increased workload all the way around. Here are some links to let you know spring fever is real. 

Spring Fever
WEB MD-You Give Me Spring Fever
Wiki Spring Fever
Spring Time Bad for Depression

3. Expectations Are High

Sometimes in spring we have been thinking about all the things we should of, could of, would of done if we had lived in San Diego or Florida during our winter days. The reality of being human can set in when we find out that spring has sprung, it is time to get moving, and we don't have the energy or drive to complete our list of high expectations. Many people are disappointed in themselves and these outcomes. Don't worry about it. 

Strategies you can use include setting small attainable goals you can feel good about. Work on your list a little at a time. Make goals that regular people can reach with time built in for you to EXERCISE AND SLEEP. Do a mix of things that you enjoy and are healthy for you while completing your responsibilities. If you deny yourself from pleasure too long, that strategy is likely to backfire. Have a good balanced approach. Use a checklist that has 3 sections. One section is for today. One section is for the week. Reserve one part of the list for things your are really wanting to do. Put a vacation or planned fun activities on a calendar. Look up things you might want to do during that time online. Planning, thinking and dreaming are fine. They keep us hopeful. 

Tiny Buddha Expectations and Disappointment
Expectations at The Silent Blog
Three Ways Expectations Can Hurt You

4. Allergies

If you live in Kentucky, you know about allergies. Kentucky is known to be one of the worst states when it comes to spring and fall allergies.  Louisville is ranked as one of the worst cities in the entire country to live in due to allergies.   Many times people are unaware they are being affected. Sometimes the symptoms are less obvious than a runny nose, cough, and cold like symptoms. Many times people are lethargic, grouchy, have headaches, and have cognitive deficits. The allergic affect we have in Kentucky can quickly turn into a sinus infection, bronchitis, ear infections, and other maladies that make us mentally and physically drained. That flower below can cause us some issues! 

Get to a doctor. Take a seasonal allergy medication. Some are mild, like Allegra (please get your physician's approval before taking allergy medications) and can be taken everyday. Prescription nose sprays may help, but may also have some cognitive or mood altering side effects. Be careful, but don't suffer! Get help from an allergist if you need it. 

Allergy Resources
Pollen Map
How to Beat Spring Allergies by WEB MD
By creekmoremarketing 21 Sep, 2015

Welcome to our website!

Therapy is a great choice. It works, and I hope you make a commitment today to start. Most people find the idea of attending therapy with a therapist or counselor far more scary than the actual process itself. Here is a link that describes how the process works at our locations.

Our therapists are located in Lexington, Frankfort and Richmond, KY. See individual profiles of our therapy providers here . I hire our professionals personally and attempt to provide you with someone that will care about your outcome and treat you well. These are experts at counseling and therapy and provide services you will want to tell others about.

Our clinicians care, and you will know they are different in that respect. Providing therapy in Central Kentucky is much more than a job to our therapists. It is a profession, and a way of life.

Please let us help you today!   Contact us here   or at 859.338.0466 now.


Paul D. Dalton, MS, LPCC, CADC

More Posts
What is therapy?

Therapy is more long-term than counseling and focuses on a broader range of issues. The underlying principle is that a person's patterns of thinking and unconscious awareness affect the way that person interacts with the world. The goal is to uncover those patterns and become aware of their effect and then learn new, healthier ways to think and interact.
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