Purpose: The aim of this study is to analyze the key driving forces contributing to relapse into the trap and cycle of addiction in rural regions. Methodology: This research is applied in nature and employs a descriptive–analytical approach. Data were collected through both library-based studies and fieldwork. The geographical scope encompasses rural areas of West Azerbaijan Province, which, according to the 2016 national census, consists of 304,853 households and a population of 1,129,016 individuals. To conduct an in-depth analysis of prevailing perceptions, the Q-methodology alongside exploratory factor analysis (Stenfsson’s method) was utilized. The study's discourse community included 26 individuals comprising experts from Welfare Organization and Imam Khomeini Relief Foundation, Narcotics Anonymous (NA) coordinators, village chiefs, social harm specialists from the governor’s office, university academics, rural affairs professionals, sociologists, and managers of addiction rehabilitation centers. Findings: The primary driving forces influencing relapse into the cycle of addiction were identified as follows: 1. Empowerment deficits, financial incapacity, coercive human environments, and psychological stressors; 2. Therapeutic drug use, familial issues, poverty, and separation from family due to seasonal employment; 3. Influence of delinquent peers, exhibitionism, curiosity, and absence of comprehensive social policies for effective prevention; 4. Marital difficulties, neglect of children, and recreational substance use; 5. Familial dynamics, intensifying economic pressures, and the proliferation of misguided beliefs regarding drug use in rural communities. Conclusion: In rural areas of West Azerbaijan Province, empowerment, financial capability, environmental constraints, and the presence of psychological pressures alongside therapeutic use, family problems and distance from it, poverty, etc., are among the most important driving forces affecting the relapse of individuals into the cycle of addiction.