“The problem with stigma around mental health is really about the stories that we tell ourselves as a society” ~ Matthew Quick
When talking about the journey of recovery from substance use disorder, we often use the term “relapse” to describe someone who has returned to using a substance after a period of attempted recovery.
Typically, people who return to use after an attempt of recovery experience a sense of inadequacy, fear, shame and confusion. They and their loved ones often feel like they have failed. Some members of the recovery community, unfortunately, even shame people who have returned to use.
The stigma that centers on a reoccurrence of use (also known as relapse) serves no one and is actually counterproductive to ongoing recovery. It creates a barrier to hope that recovery is possible and achievable.
The rates of “relapse“ for substance use disorders and other chronic illnesses with a behavioral component are actually quite similar. So, when science tells us that a return to use is common in the journey of recovery, why do we respond with such judgment? That’s a complex question but a few reasons may be:
Viewing recovery only as a success or failure disregards the fact that, medically, we know this is a chronic disease. Recovery and a person’s readiness to change are on a continuum. So how can we respond to someone’s reoccurrence of use in a productive and supportive way? Below are some examples:
When we try to put a complex disease in a black-and-white framework, we set ourselves and our loved ones up for failure. Let us respect the science around this disease, and respect ourselves and others in recovery, by lessening the stigma and shame around a reoccurrence of use. Let’s foster hope and resilience. Recovery is always possible!
William R. Miller (2015) Retire the Concept of “Relapse”, Substance Use & Misuse, 50:8-9, 976-977, DOI: 10.3109/10826084.2015.1042333