
HALT Acronym: What Does It Mean?
Key Points
- In the context of recovery and rehabilitation, the acronym HALT stands for Hungry, Angry, Lonely, Tired.
- The acronym HALT describes physical and emotional states that may make those in recovery vulnerable to slips and relapse.
- HALT serves as a reminder to check in on these feelings routinely to manage triggers for substance use.
- Ways to cope with hunger as a possible trigger include: meal prepping, setting alarms for meal and snack times, and keeping nutritious food at home.
- Coping strategies for anger include stress management, relaxation techniques, and adopting a spiritual practice.
- Loneliness can be managed by becoming involved in recovery-related activities, taking up a new hobby, or focusing on relationships that support your goals for sobriety.
- Managing fatigue so that you’re less tired during the day (which could lead to poor decision-making) includes going to bed at the same time each night; avoiding caffeine, screens, and exercise before bed; and keeping your room cool and dark when sleeping.
- Effective treatment programs for substance use disorder include evidence-based relapse prevention and aftercare services.
What Does the HALT Acronym Mean?
In the U.S., HALT stands for: Hungry, Angry, Lonely, and Tired. This acronym from the organization known as Alcoholics Anonymous serves as a reminder to routinely check for these emotions or physical states during recovery to manage triggers for substance use relapse.
When read as a word and not an acronym, “HALT” is an order to stop and take inventory of your feelings and emotions to avoid succumbing to a trigger. HALT can be used to prevent any type of substance abuse, not just alcohol abuse.
In other parts of the world, the HALT acronym has been adapted. For instance, in Australia, the acronym HALTS serves the same basic purpose but with the addition of the letter “S” that stands for four additional relapse triggers: Sick, Stressed, Sensitive, and Sensory.[1]
Why HALT?
The HALT acronym is used to remind those in recovery to perform regular self-checks in order to ward off uncomfortable feelings that could trigger a relapse. This acronym can be divided into two categories: emotions (anger and loneliness) and physical feelings (tired and hungry).[2] The idea behind the HALT technique is to recognize these emotional and physical triggers so you can address them properly while resisting the temptation to use substances for relief.
Hunger
Hunger is a reflection of our body’s basic need for nutrition. It serves as a call to action, urging the person to eat something to relieve the uncomfortable feeling. Physical hunger is essential to survival.
Many times, a substance use disorder can mask symptoms of hunger, causing poor eating habits or nutritional deficits. After recovery, an individual may not be used to experiencing feelings of hunger. As a result, they may not know how to respond appropriately, or they could misinterpret hunger as cravings for another substance, such as illicit drugs or alcohol.
The “H” in the acronym HALT reminds us to take care of our physical needs by eating something healthy. Many individuals in recovery eat small meals or healthy snacks throughout the day to keep hunger at bay. Other techniques to address hunger may include:
- Setting alarms for meal times or snack times
- Keeping nutrient-dense food at home
- Meal prepping for ready-to-eat snacks and meals
- Taking a daily multivitamin to address any nutritional deficiencies
Angry
Anger is a normal human emotion, but many struggle to manage it, especially when faced with new stressors. Anger could be a common emotion experienced during recovery. You might be angry at the world, other people, or yourself. In some cases, anger is present with no apparent source or target.
Individuals in recovery may be used to self-medicating when they feel angry. During recovery, it can be tempting to fall back on this unhealthy coping strategy, especially if you don’t have healthier coping mechanisms to use in its place.
Some things you can do to respond to anger in a more helpful way that supports your sobriety could include:
- Learn stress management and relaxation techniques, including deep breathing exercises.
- Try meditation.
- Adopt mindfulness practices, including grounding techniques.
- Practice a spiritual ritual like praying or reciting scripture.
If anger is left unaddressed, it could result in deficits in decision-making, possibly increasing the chances of a relapse. [3]
Lonely
Loneliness is common among people with substance use disorders, including those in recovery. [4] Often, those who ae devoted to their sobriety must give up many aspects of their social lives, including friends and family members who drink or use drugs. This alienating, yet necessary part of recovery might be particularly challenging. In many cases, people in the early stages of recovery must build a new support system from the ground up.
Feelings of loneliness could be a powerful trigger for those who thrive in social settings and might lead to poor decisions during the early stages of recovery. We all crave a sense of belonging, and some in recovery may be robbed of this familial feeling when working towards their new, sober life.
Effective strategies to address feelings of isolation or loneliness during recovery may include:
- Focus on relationships with friends and family members who support your sobriety.
- Join a support group such as AA and attend regular meetings.
- Get a sponsor whom you can talk to when temptation or cravings strike.
- Volunteer your time to a community organization.
- Take up a new hobby and connect with others who share this interest.
- Consider getting a pet.
- Attend regular therapy sessions with a mental health professional.
Tired
Feelings of fatigue or sleep deprivation can also be triggers for relapse, so it’s essential to check in on your energy levels throughout the day while in recovery. According to the National Sleep Foundation, adults need between seven and eight hours of sleep each night. [5] Those who struggle with substance use disorders may have unpredictable sleep schedules, or they might experience sleep disturbances as side effects of the substances they use. Here are some strategies that could help you feel more energized and on track to meet your recovery goals:
- Go to bed and get up at roughly the same time each day, even on weekends.
- Avoid caffeine in the late afternoon and evenings.
- Try a relaxation technique or meditation prior to bedtime.
- Keep your room dark and cool for restful sleep.
- Avoid screens right before bed.
- Don’t exercise at night; wait until the next morning.
Addiction Treatment and Relapse Prevention
If you or a loved one is experiencing symptoms of a substance use disorder or has recently experienced a relapse, know that you’re not alone. Recovery is rarely a straight line towards long-term sobriety, and help is available for those struggling with triggers for substance abuse in their daily lives. Compassionate and experienced substance use and rehabilitation counselors can work with you to develop an individualized treatment plan that considers your unique needs and circumstances. This includes robust aftercare support to help you stay on track towards your goals.
Frequently Asked Questions About the HALT Acronym
How can the HALT method help with decision-making in recovery?
HALT is a reminder to stop and check in on your physical and emotional states throughout the day during recovery. It prompts individuals to self-reflect on their levels of hunger, anger, loneliness, and tiredness. This can allow those in recovery to take care of their basic needs and reduce triggers for relapse. HALT provides an avenue towards better decision-making by asking the person to consider other solutions to uncomfortable feelings other than substance use.
What are the HALT risk states?
HALT is an acronym often used in substance abuse and addiction recovery to describe certain physical and emotional states of being, namely Hunger, Anger, Lonely, and Tired. These are considered risk states because they may make it more likely for a person to relapse in a moment of uncomfortable physical or emotional sensations.
When is the HALT method most useful?
HALT can be used at any time and is often encouraged during the early stages of recovery and rehabilitation. HALT may be most useful when used as part of a daily routine rather than a reaction to a crisis situation.
What other techniques can help with relapse prevention?
There are many other techniques that can be used for effective relapse prevention. It could be helpful to try several of these and decide which ones feel right. Examples include:
- Creating a support system to lean on
- Having a sponsor
- Practicing self-care
- Using grounding techniques
- Adopting mindfulness practices
- Practicing stress management and relaxation exercises
- Journaling for processing emotions
- Learning and avoiding triggers
- Adopting new hobbies and interests that don’t involve drugs or alcohol
- Attend regular therapy sessions with a mental health professional
- Attend meetings of support groups like Alcoholics Anonymous or Narcotics Anonymous
Sources
[1] Resources. NADA. (n.d.). https://nada.org.au/resources/halts-worksheet/
[2] [3] Cleveland Clinic. (2022, May 24). Halt: Pay attention to these four stressors. https://health.clevelandclinic.org/halt-hungry-angry-lonely-tired
[4] Ingram I;Kelly PJ;Deane FP;Baker AL;Goh MCW;Raftery DK;Dingle GA; (n.d.). Loneliness among people with substance use problems: A narrative systematic review. Drug and alcohol review. https://pubmed.ncbi.nlm.nih.gov/32314504/
[5] National Sleep Foundation’s updated Sleep duration recommendations: Final report – sleep health: Journal of the national sleep foundation. (n.d.-x). https://www.sleephealthjournal.org/article/S2352-7218(15)00160-6/abstract