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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Relapse Prevention Over Time, G. Alan Marlatt demonstrates his approach to helping clients with substance addictions prevent or cope with relapses during efforts to change addictive behavior. Relapse prevention is a cognitive–behavioral, "maintenance stage" approach taken only after a client commits to either abstinence or moderation, and it is usually used in conjunction with or following clients' participation in another treatment program.
In this series of six sessions, Dr. Marlatt works with a man in his 30s who is striving to overcome a cocaine addiction. During these six sessions, Dr. Marlatt helps the client determine high-risk situations and potential triggers for relapse and teaches skills for getting through these situations. Together they work to restructure the guilt and shame that arise after lapses in abstinence. This compassionate intervention effectively reframes relapse as a mistake to learn from—and avoid—as the client moves toward recovery.
Relapse prevention (RP) is a cognitive–behavioral treatment (CBT) intervention designed to prevent or cope with relapse for clients who are committed to changing their addictive behavior, either by pursuing abstinence or moderation as a treatment goal. In terms of the "Stages of Change" model of behavior change, RP is often described as a maintenance stage approach once the client's initial commitment to change has been established. RP has two main goals:
- To help clients prevent the occurrence of relapse.
- To help clients who have experienced relapse to get "back on track" on the road to recovery.
Read more about the approach
is a professor of psychology and director of the Addictive Behaviors Research Center at the University of Washington, Seattle. He received his doctorate in clinical psychology from Indiana University in 1968. After serving on the faculties of the University of British Columbia (1968–1969) and the University of Wisconsin (1969–1972), he joined the University of Washington faculty in the fall of 1972.
Read more about Dr. Marlatt
- Daley, D. C., & Marlatt, G. A. (2006). Overcoming your alcohol or drug problem: Therapist guide (2nd ed). New York: Oxford Press.
- Daley, D. C., & Marlatt, G. A. (2006). Overcoming your alcohol or drug problem: Client workbook (2nd ed.). New York: Oxford Press.
- Daley, D. C., & Marlatt, G. A. (2004). Relapse prevention. In J. H. Lowinson, P. Ruiz, R. B. Millman, J. G. Langrod (Eds.). Substance abuse: A comprehensive textbook (4th ed.). New York: Lippincott Williams & Wilkins.
- Dimeff, L. A., Baer, J. S., Kivlahan, D. R., & Marlatt, G. A. (1999). Brief alcohol screening and intervention for college students (BASICS): A harm reduction approach. New York: The Guilford Press.
- Donovan, D. M., & Marlatt, G. A. (Eds.). (2005). Assessment of addictive behaviors (2nd ed.). New York: Guilford Press.
- Laws, D. R., Hudson, S. M., & Ward, T. (2000). Remaking relapse prevention with sex offenders: A sourcebook. Newbury Park, CA: Sage Publications.
- Larimer, M. E., Palmer, R. S., & Marlatt, G. A. (1999). Relapse prevention: Overview of Marlatt's cognitive–behavioral model. Alcohol Research and Health, 23(2), 151–160.
- Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed.). New York: Guilford Press.
- Marlatt, G. A., & Witkiewitz, K. (2005). Relapse prevention for alcohol and drug problems. In G. A. Marlatt & D. M. Donovan (Eds.), Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.
- Parks, G. A., & Marlatt, G. A. (1999). Keeping "what works" working: Cognitive–behavioral relapse prevention therapy with substance abusing offenders. In E. J. Latessa (Ed.), Strategic solutions: The International Community Corrections Association examines substance abuse. Lanham, MD: American Correctional Association.
- Parks, G. A., Anderson, B. K., & Marlatt, G. A. (2004). Relapse prevention therapy. In N. Heather & T. Stockwell (Eds.), The essential handbook of treatment and prevention of alcohol problems. West Sussex, England: John Wiley & Sons, Ltd.
- Witkiewitz, K., & Marlatt, G. A. (2007). Therapist's guide to evidence-based relapse prevention. New York: Elsevier.
- Witkiewitz, K., Marlatt, G. A., & Walker, D. D. (2005). Mindfulness-based relapse prevention for alcohol use disorders: The meditative tortoise wins the race. Journal of Cognitive Psychotherapy, 19 (3), 221–228.
- Witkiewitz, K., & Marlatt, G. A. (2004). Relapse prevention for alcohol and drug problems: That was Zen, this is Tao. American Psychologist, 59 (4), 224–235.
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