18 September 2026

You Are Not Starting Over: What To Do After A Relapse

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Key topicsI thought I had healed until my past came looking for meAfter more than 17 years of sobriety and decades working as a trauma therapist, Lisa experienced a cocaine relapse that nearly cost her life and left her waking in a Manhattan hospital unable to remember how she got there. That experience forced her to confront something professional knowledge alone could not protect her from: survival patterns can remain quietly active long after we believe we have healed. In her forthcoming teachable memoir Fall Risk, Lisa explores the uncomfortable space where resilience and fragility coexist, and how recognising the patterns beneath our behaviour may allow us to intervene before a relationship, addiction or crisis becomes our wake-up call.Off Duty: What Life Opens Up Once the Nervous System Stands DownLisa Arrigo asks the question most trauma conversations never reach: what happens after the danger passes and nobody tells the body. A New York Licensed Clinical Social Worker with 26 years in private psychotherapy practice, certified in EMDR and trained in Sensorimotor Psychotherapy Levels I and II, she works with people who have done the insight work and still run every day on permanent watch. She sits with clients who can name every pattern in their history and still cannot get through a quiet evening without scanning for the next thing to manage. In her forthcoming teachable memoir Fall Risk, she traces how survival strategies that began before language keep setting the schedule long after the threat is gone, and what returns when attention is no longer spent on guarding. Listeners get the signs that vigilance is loosening, and a clear picture of what fills the space it leaves.Your body remembers what your mind has learned to forgetTrauma has become part of everyday language, yet Lisa believes much of the conversation still leaves people confused about why they react the way they do and risks pathologising normal adaptations to difficult experiences. Drawing together the neurobiology of trauma, human development, attachment, generational patterns and the story of her own life, Fall Risk explores how experiences beginning before we can consciously remember them can shape the way we attach, protect ourselves, manage emotion and move through relationships decades later. Lisa gives listeners a framework for becoming curious about those patterns rather than simply labelling them, and for asking a more useful question than “What is wrong with me?” - what did my mind and body learn to do in order to survive?View all topics →

About Lisa Arrigo

Lisa Arrigo, podcast guest

Psychotherapist and Clinical Social Worker Specializing in Trauma, Attachment, and Addiction

25+ years Experience serving LGBTQ clients2 University degrees: BS & MSW4 Specialist certifications & training milestonesLicensed Clinical Social Worker New York

Lisa Arrigo has spent more than three decades helping people understand what trauma leaves behind long after the original danger has passed. A New York Licensed Clinical Social Worker and psychotherapist, her work sits at the intersection of trauma, attachment, addiction, neurobiology, shame, and the deeply human ways people learn to survive.

Her perspective is powerful because it comes from both sides of the therapeutic relationship. Lisa has devoted her career to helping others heal, while also confronting the impact of trauma, addiction, relapse, and recovery in her own life. After more than 17 years of sobriety, she experienced a cocaine relapse that nearly cost her life and left her waking in a Manhattan hospital unable to remember how she had arrived there. That experience challenged everything she thought she understood about healing and forced her to confront a difficult truth: we can have insight, language, and years of recovery behind us and still carry survival patterns that remain active beneath the surface.

That lived experience now sits alongside decades of clinical training. Lisa earned her BS from Trinity University and her MSW from Fordham University School of Social Work, followed by post-graduate study at the Westchester Institute for Psychoanalysis and Psychotherapy.

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