In relapse prevention, what is a recommended strategy for a patient who experiences a lapse?

• A. Develop a new quit plan with more support and possible therapy adjustments
• B. End attempts to quit
• C. Rely solely on willpower
• D. Defer therapy indefinitely

Answer: (D)

In relapse prevention, a lapse is treated as a signal to bolster support and adjust the plan, not as a failure or a reason to quit trying. When a lapse occurs, the recommended approach is to re-engage with the quit plan by adding more support and reviewing or modifying therapy as needed. This could involve reaching out to a clinician or support group, refining coping skills to manage triggers, and optimizing medications or behavioral strategies to fit the current situation. The goal is to strengthen the plan to prevent a full relapse, using the lapse as a learning moment rather than letting it derail progress. Ending attempts, relying on willpower alone, or deferring therapy indefinitely undermine the evidence-based approach that helps people sustain abstinence over time.