Relapse Prevention Plan Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Worksheet updated on June 24th, 2019

Relapse Prevention Plan Worksheet

When in recovery, it is important to have a safety plan. Patients who are in recovery will face many challenges, and most of them will be unexpected.

This is why helping our patients be prepared for triggers, cravings and obstacles is critical for recovery.

About This Worksheet

This is the Relapse Prevention Plan worksheet. This worksheet helps the patient in recovery by giving an aid to support him or her while going through the day.

The worksheet is in the form of a coping card, and outlines the important reminders to maintain sobriety and good health when confronted by a trigger.


This worksheet is great for individual and group sessions.

On this worksheet, your patient is asked to identify the following:

  • High-risk situations
  • Triggers
  • Protective factors
  • Sober coping strategies for stress
  • Emergency contacts
  • Action plan

After your patient has completed the worksheet review the results with him or her. Instruct the patient to cut out the perforation and place the relapse prevention plan in his or her wallet, or somewhere it will be readily accessible for reference in high-risk situations.

Download Relapse Prevention Plan Worksheet

Link To This Worksheet

2 Comments On Relapse Prevention Plan Worksheet

  1. Patrick Osmonson

    Good stuff. Thank you.

  2. Nicole Criswell

    Very Helpful and Great Selection! Thank You

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