therapy worksheets, tools, and handouts for mental health counselors.

Therapy worksheets related to Substance Use for Adults

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Relapse Prevention Plan (Version 2)
Relapse Prevention Plan (Version 2)
This worksheet provides a template for clients to list coping skills, social support, and consequences of relapse. The goals of this worksheet are to help clients maintain their motivation for sobriety, and to make sure they always have an accessible list of skills during times of need.
Building Discrepancy
Building Discrepancy
One goal of Motivational Interviewing is to build discrepancy between the client's current behavior and their desired behavior. Use this Motivational Interviewing worksheet to help clients understand how their current drug and alcohol use affects various areas of their life.
Daily Mood Chart
Daily Mood Chart
Use this worksheet with CBT by asking clients to keep notes of the situations and thoughts that coincide with their feelings. Other ideas include tracking emotional triggers for substance use or the ups and downs of bipolar disorder.
Related tools: Weekly Mood Chart
Weekly Mood Chart
Weekly Mood Chart
Encourage clients to learn how their moods change over the course of a week. Because this worksheet spans an entire week, use it to look for larger patterns in mood changes. Try our daily mood chart for more precise recordings.
Related tools: Daily Mood Chart
The Human Brain (Diagram)
The Human Brain (Diagram)
This simple brain diagram can be used to educate clients about how substances affect the brain, how the brain changes during development, or what parts of the brain are involved with different processes. Get creative and let children draw on this worksheet to help them learn the brain's functions.
People, Places, and Things
People, Places, and Things
This worksheet gives a brief description of relapse triggers. Clients are given a template to begin identifying their personal people, places, and things that could put them at risk of relapse.

Copy reads: "People, places, and things that remind us of our past drug use can trigger relapse. Driving past an old bar, hanging out with certain friends, or listening to an old song can bring back memories of using. List the people, places, and things you should avoid to reduce your risk of relapse."
Triggers and Coping Skills
Triggers and Coping Skills
People, places, and things can remind clients of their past drug use. Avoiding these triggers can be an effective way to reduce the chance of relapse. Clients identify their personal triggers, and then develop strategies to avoid relapse when confronted with them.
Stages of Change
Stages of Change
Use this worksheet to educate clients about the stages of change (precontemplation, contemplation, preparation, action, maintenance, and relapse) in addiction or any other problem behavior.

A sample of the copy reads: "During contemplation there is ambivalence about change. The individual recognizes reasons to change their behavior, but still has hesitations. The problem behavior continues."
Relapse Prevention Plan
Relapse Prevention Plan
Ask clients to identify the warning signs that they are headed toward relapse and the people and activities they can use to help them stay sober.
When I am Tempted to Use
When I am Tempted to Use
Clients identify times in which they are most tempted to use drugs and alcohol. A list of common situations is given and clients are also asked to identify other sources of temptation that might be unique to them.
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