According to the opponent process theory, the individual's self-efficacy to cope with high-risk situations determines whether or not they will relapse.

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The opponent process theory focuses on the idea that over time, drug use elicits not only the desired effects, but also an opponent process that creates an aversive response. This aversive response is hypothesized to contribute to addiction and relapse. Self-efficacy is an important factor in relapse prevention, but it is not the primary focus of the opponent process theory.

According to the Opponent Process Theory, the Individual's Self-Efficacy to Cope