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1. Changing on the Inside:
I start to feel bad, but I can't figure out what's going wrong.
2. Lying to Myself:
I feel bad. I try to make the bad feeling go away by telling myself that everything's OK, when I know it really isn't. Sometimes I believe My own lies and feel better for a little while. At other times, I know I'm lying, and I feel guilty about it. At still other times I'm confused and I can't tell whether I'm lying to myself or telling the truth.
3. Looking Good to Others:
I want to look good to others, so I hold back on what I'm really thinking or feeling. I start lying and covering up, instead of telling the truth and taking a chance on looking bad. I start playing a role that I think other people will like and accept.
4. Feeling Like No One Wants to Be My Friend:
I want to fit in and have an exciting social life and a lot of good friends, but being clean and sober starts to get in the way.
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I want to have exciting romantic relationships but I start to feel like this will never happen because I can't drink or use drugs. I start holding back when I'm around people I'm attracted to.
n style="color: #cc33cc;">6. Convincing Myself That Adults Can't Help Me
I convince myself that my parents, counselors, and teachers don't really understand me. I stop paying attention to what they're telling me. I start to believe that I'm smarter than they are.
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8. Hanging Out With Old Friends Who Can't Help
I feel like being witha my old friends who are drinking and drugging. I convince myself that I can have a good time with them and get my mind off things. They seem to understand and support me. It seems like nobody else does.
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10. Getting Complusive
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I start using complusive behaviors to keep my mind off how uncomfortable I am. Maybe I watch too much TV, I eat too much, gain weight, and then starve myself to try and lose it. Maybe I drink too much coffee or too many soft drinks with caffeine in them. Maybe I smoke too many cigarettes. If I'm into sports, I practice too hard and train too much. If I'm into music, I practice my instrument to lose myself and my problems in my music
11. Acting Out:
I start doing some things that I'm not supposed to be doing but I cover it up and get away with it. This gives me the courage to break bigger rules and to take bigger risks.
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12. Crisis Building
Things keep going wrong, I overreact to or mismanage each problem
13. Getting Defensive
When people point out problems that don't want to see, I get defensive, scared, and angry. I blame them for making me feel bad. 14. Avoiding Family Members:
I stop doing things with my family members. I make excuses to stay away from my mother, father, brothers, sisters and other family members. I stop eating meals with my family. I refuse to go to family gatherings. I don't want to get involved in family parties.
15. Getting Lonely:
I start spending more time alone. I usually have good reasons and excuses for staying away from other people.
16. Getting Depressed:
I get so depressed that I can't do the things I normally do. I feel life isn't worth living, and sometimes I think about killing myself or relapsing as a way to end the depression. I stop eating right. I can't get started or get anything done.
17. Getting Immobilized:
I can't seem to get started or make myself do what I know I need to do. I stop following a daily routine.
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18. Losing Control
I start doing things that violate my values, hurt me, and hurt those I love. As a result, I start losing respect for myself. I find excuses to miss counseling and self-help group meetings. I cut classes and push other people away by ignoring them, getting angry with them, criticizing them, or putting them down. I get so isolated that it seems like there's no one I can turn to for help. I start to feel sorry for myself and use self-pity to get attention. I feel ashamed and guilty. I know that I'm out of control, but I keep lying, using denial, and making excuses for my behavior. I feel trapped by the pain and start to believe that I'll never be able to manage my life. I see only three possible ways out-insanity, suicide or relapse.
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I want to escape, I start to think that having a relapse will help me solve my problems and feel better. Things seem so bad that I start to think I might as well relapse because things couldn't get worse. I try to convince myself that I can use alcohol and drugs socially without losing control or having serious problems
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20. Relapse
I try to solve my problems and feel better by using alcohol or drugs. Although I rationalize my behavior, deep inside I know that alcohol and drugs won't work and will hurt me in the long run. I start using and try to control my behavior. I feel myself losing control and get disappointed because the alcohol and drugs aren't doing for me what I thought they would. My relapse spirals out of control, creating serious problems with my life and health. The problems keep getting worse until I realize that I need help and decide to try recovery one more time.
Developed by Terence T.Gorski: The Adolescent Relapse Warning Sign List