Skip to main content

What Are the Early Signs of a Relapse?

Anyone in recovery from drugs or alcohol dreads the thought of relapsing. Relapse occurs in different stages, each marked by its early warning signs of relapse. 

Warning Signs of a Relapse

In the initial emotional stage, individuals in recovery may experience heightened stress, anxiety, or depression. They might begin to isolate themselves from their support networks, neglect self-care, or engage in negative thought patterns that rationalize a return to substance use. 

The second stage involves mental relapse, where the person begins to contemplate using substances again. This stage is marked by the desire to use and the commitment to stay sober.   

Early warning signs of relapse include romanticizing past substance use, spending time with old-using friends, or even planning relapse episodes. Understanding the stages of relapse and recognizing the warning signs at each stage is vital for maintaining long-term recovery and preventing a return to drug and alcohol use.

Why Do Relapses Occur?

There are many reasons why relapse occurs. The main one that is often identified is depression. Mental health conditions such as depression and anxiety, if left untreated, can lead a person back to using substances as a means of coping and alleviating the symptoms. On the flip side of that, using substances can often lead someone to experience mental health conditions such as depression and anxiety. This opens the door for a continuous cycle of drug and alcohol addiction and mental health struggles. 

Stages of Relapse

There are three main stages of relapse, and identifying the early signs of relapse can help prevent someone from picking up a drink or a drug and returning to the struggle they fought to get out of.

Emotional

Often the first stage of relapse, emotional relapse happens way before a person even entertains the thought of using a substance again. Emotional relapse is when someone begins to allow negative thoughts and behaviors to be persistent in their life. This can include anger, moodiness, and anxiety.

Mental

Mental relapse is the second stage of relapse. There is often an internal struggle within a person where they grapple with the desire and thought of using substances, knowing that this can lead to severely adverse reactions. Part of them wants to maintain their recovery, while the other part of them wants to pick up and begin using drugs or alcohol again.

Physical

The final stage of relapse is a physical relapse. This is when someone physically picks up a drink or drug after abstaining from use for any amount of time. At this stage, once someone physically picks up a drink or a drug, the effects of using the substance again can be quick-acting. It can lead to a person returning to their previous struggles rather quickly.

Depression

Depression is one of the major signs of relapse in people who are trying to recover from drug and alcohol addiction. Symptoms of depression can include feelings of hopelessness, low energy, anxiousness, lack of interest, irritability, and changes in sleep patterns. Watching for these symptoms can help loved ones to identify potential signs of relapse. 

Anxiety

Struggling with anxiety and leaving it untreated can be a potential risk factor for relapse. The symptoms of anxiety can make daily life uncomfortable and difficult. Going out to work or school can be hard for someone with anxiety. Often, the symptoms associated with anxiety lead people to use drugs and alcohol again as a means of coping.

Social Isolation/Reconnecting with Friends Who Abuse Drugs

Part of recovery is gaining new friendships and nurturing and maintaining them. If a loved one has begun to neglect these new, healthy relationships and returned to connections with old friends who are known to abuse drugs, this could be indicative of a potential relapse. Changing people, places, and things is a major component of life in recovery. When someone reverts back to nurturing toxic friendships, it can be a matter of time before they physically pick up a substance, leading to chaos and toxicity in their life. 

Talking About Drug Use

The process of recovery nurtures change. Part of the change is not glorifying drugs and drug use any longer. When someone begins talking about their past use in a positive light, glorifying their using days, it can potentially be one of the early signs of relapse. Missing drugs, talking about using them again or glorifying their past use can be a sign that something is lacking within them, and they could return to using drugs to cope with whatever it is. 

Relapse Triggers

The triggers for relapse can be vast. They can include things like depression, anxiety, loss of job, sudden loss of a loved one, stress, and exhaustion. All of these things can lead a person to pick up drugs again, causing chaos and havoc in their life. Having positive coping skills for these situations can help someone to find and maintain recovery long-term and not feel the need to use drugs as a means of coping.

Recover With Louisville Addiction Center

Relapse happens. The statistics on addiction say that relapse is more common than not in those seeking recovery from addiction to drugs and alcohol. When relapse happens, the substances often take over quickly, leading to severe impacts on a person’s overall well-being. If you or a loved one are struggling with a relapse, Louisville Addiction Center can help. We have trained professionals who can help along in the process of healing and finding recovery, as well as relapse prevention, a crucial portion of addiction recovery.

Contact us today and begin your journey to healing.

→ Sources
  1. Alcohol Rehab Help. (2022). Alcohol statistics in Kentucky. Alcohol Rehab Help. https://alcoholrehabhelp.org/kentucky/alcohol-statistics/
  2. Healthy KY. (n.d.). Drug and alcohol statistics in Kentucky. Healthy Kentucky. https://www.healthyky.org/drug-and-alcohol-statistics-in-kentucky.html
  3. Kentucky Office of Drug Control Policy. (n.d.). An assessment of Kentucky’s substance use disorder crisis. Commonwealth of Kentucky. https://odcp.ky.gov/
  4. Kong, J. (2022). An assessment of alcohol use disorder and treatment [Research brief]. University of Louisville. https://louisville.edu/sphis/departments/cik/docs-and-pdfs-1/Kong_AUD_ResearchBrief_FINALADA.pdf
  5. Substance Abuse and Mental Health Services Administration. (2019). State profile: Kentucky—N-SSATS report. SAMHSA. https://www.samhsa.gov/data/sites/default/files/quick_statistics/state_profiles/NSSATS-KY19.pdf
  6. Substance Abuse and Mental Health Services Administration. (2024). Underage drinking prevention programs in Kentucky. SAMHSA. https://library.samhsa.gov/sites/default/files/kentucky-iccpud-state-report-2024.pdf
  7. Wikipedia. (2025). Casey’s Law (Matthew Casey Wethington Act). In Wikipedia. https://en.wikipedia.org/wiki/Casey%27s_Law
→ Contributors
Portrait of Dr. Vahid Osman, Board-Certified Psychiatrist and Addictionologist
Medically Reviewed By
Dr. Vahid Osman, M.D.
Board-Certified Psychiatrist & Addictionologist
Dr. Vahid Osman is a Board-Certified Psychiatrist and Addictionologist with extensive experience treating mental illness, chemical dependency, and developmental disorders. Dr. Osman trained in Psychiatry in France and in Austin, Texas. Read more.
Portrait of Josh Sprung, L.C.S.W.
Clinically Reviewed By
Josh Sprung, L.C.S.W.
Board-Certified Clinical Social Worker
Joshua Sprung serves as a Clinical Reviewer at Louisville Addiction Center, bringing a wealth of expertise to ensure exceptional patient care. Read more.
→ Accreditations & Licenses

Addiction Treatment

Drug and Alcohol Rehab | Louisville Addiction Center

Treatment Programs

Treatment Programs | Louisville Addiction Center

Mental Health Services

Primary Mental Health | Louisville Addiction Center

Areas We Serve

  • Fayette
  • Bowling Green
  • Owensboro
  • Covington
  • Georgetown
  • Richmond
  • Florence
  • Elizabethtown
  • Nicholasville
  • Hopkinsville
  • Jeffersontown
  • Independence
  • Frankfort
  • Henderson
  • Paducah
  • Radcliff
  • Ashland
  • Erlanger
  • Madisonville
  • Winchester
  • Burlington
  • Mount Washington
  • St. Matthews
  • Murray
  • Fort Thomas
  • Shelbyville
  • Danville
  • Shively
  • Berea

What Our Patients Say: Stories of Hope and Recovery

Real Testimonials

Hear directly from those who have walked the path to recovery. Our patients’ stories highlight the compassionate care, effective programs, and life-changing support they’ve experienced. Let their journeys inspire you as you take your first steps toward healing.

Austin B. profile pictureAustin B.
18:15 16 Mar 25
LAC was great. I participated in the evening groups through zoom, which I originally had reservations about. Even though the meetings were online, they were still very engaging, informative, and personal. The therapist and case manager were incredible. They were both very authentic and supportive, and they were easily available when we needed them. I am very appreciative and grateful for this program.
Coley W. profile pictureColey W.
15:47 02 Feb 25
I’ve had great success with the individuals i’ve sent to LAC. I’ve been impressed with the smooth Admissions process in the stressful situations. The compassion they receive after arriving and the level of care is as good as anywhere out there. Most definitely will continue to use LAC
Kyle T. profile pictureKyle T.
18:50 08 Aug 24
I have nothing but positive things to say about LAC. I went there not expecting too much and I left there with what feels like a family. Everyone is so nice and extremely down to earth. You will be in good hands at LAC
William S. profile pictureWilliam S.
02:56 18 Jul 24
This is 5 star facility. The staff is one of a kind, the program is exactly what you are looking for. Call these people today if you or someone you know is struggling!
Aaron A. profile pictureAaron A.
13:58 13 Jun 24
Great place with great staff that care!
Jacob W. profile pictureJacob W.
00:34 16 Apr 24
Would highly recommend LAC to anyone struggling with addiction. They offer a supportive environment that allows you to focus on your recovery and becoming a productive member of society.
Brad F. profile pictureBrad F.
19:37 24 Oct 23
LAC is an amazing treatment facility. Truly a 5 * place for treatment. From ownership, leadership to general staff this place is incredible. The therapist, Techs and speakers are all first class. The housing, if doing PHP like I participated in was also perfect. I met so many incredible people. It’s unreal to be honest. I today this day still stay in contact with most residents who I attended with. Thank you LAC for not only all of your help but also continued support!!!
Brad Franzman
Matt H. profile pictureMatt H.
13:36 20 Jul 23
Louisville addiction center is a wonderful facility for anyone struggling with substance use disorders. The staff is wonderful and client care is most important. If you or a loved one are struggling I would highly recommend this place.
Kathryn T. profile pictureKathryn T.
01:49 21 Mar 23
This is an awesome place for anyone struggling with a substance use disorder. It is a beautiful facility, conveniently located to all Louisville has to offer. The staff members are kind and helpful, it is easy to tell they truly want to help you recover. 10/10 recommend this programming if you are ready to make a change.
David W. profile pictureDavid W.
15:00 04 Mar 23
I had the opportunity to tour and attend the open house for Louisville Addiction Center on 2/22/23. As and individual in recovery and also working for SUD, I couldn’t be more impressed with the facility and approach that LAC is taking and offering those affected by substance abuse. If you or a loved one is struggling, this facility would provide the treatment, love and comfort your family member deserves.

Get Directions to Louisville Addiction Center