Common signs of Relapse

relapse preventionBy Deborah Etienne-Ward

Relapse does not equal a fail

Relapse is a normal part of the recovery process of eating disorders. It can occur due to increased stress, moving out of home, getting a new  job, change of routine, looking at magazines, people around you talking about dieting, and a variety of other situations. It is important to understand that a relapse is not a failure. Furthermore, relapses never take you back to where you first stared, some improvement is always retained.

Relapse is very common and there are many things that we can learn from a relapse that help with preventing and/or managing future relapse. It is important to know the signs of a relapse so that you can seek support from your therapist, doctor, and trusted family and friends.

What are some common early warning signs of relapse?

  • Increased thoughts about food, dieting, and/or weight
  • You are keeping secrets about your eating/dieting/exercise from your treatment team, family, or friends
  • You want to be in control all the time
  • You are having thoughts that happiness comes from being thin
  • You see yourself as overweight or obese despite friends and family expressing that your views are inaccurate
  • Frequently weighing yourself
  • Frequently looking in the mirror
  • Begin skipping meals
  • Increased exercise
  • Feelings of guilt after eating
  • You avoid going out with friends or family if food is involved
  • You are becoming socially isolated

What to do if you notice signs that you might be relapsing?

  • Book a session with your psychologist. If you are no longer connected with one, you can reconnect with a previous psychologist or see your GP to arrange a new referral
  • Remind yourself that relapse is not a failure and that you can get through this

How to prevent future relapse from occurring?

  • Utilise your relapse/prevention or wellbeing plan developed by you and your therapist
  • Practice the skills that you learnt during therapy such as mindfulness, challenging unhelpful thoughts, distress tolerance, distraction techniques, and acting in accordance with your values
  • Know your triggers and early warning signs, and seek help from a professional when you notice your early warning signs. Along different stages of your journey to recovery it can be helpful to complete a relapse prevention plan (we have written about these previously here)
  • Be kind to yourself
  • Eat healthily and be in touch with, and follow your body’s hunger and fullness signals
  • Participate in therapy for any co-occurring disorders such as anxiety
  • Get adequate sleep- approximately 8 hours per night
  • Frequently schedule pleasant activities such as having a bath, watching a movie, gardening, laying in the sun, lighting a scented candle, getting a massage, playing with your pet

If you would like further information please contact us.

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