Substance Use Worksheets


Latest Substance Use Worksheets For Therapists

Daily Mood Journal Worksheet

Daily Mood Journal Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A person’s mood can fluctuate when they are struggling with mental health issues. Some days are easier than others, and patterns of dealing with harder days can affect a person’s progress in therapy.  Clients often have a pattern of how their mood affects them. Throughout the day there are certain triggers based on responsibilities, encounters, […]

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Challenging Cognitive Distortions Automatic Thought Record Worksheet

Challenging Cognitive Distortions Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

After learning what cognitive behavioral therapy is, how it works, and how components like cognitive distortions, automatic negative thoughts, core beliefs, emotions, and behavior all contribute to our perceptions, it is important to learn how to challenge negative thoughts and cognitive distortions. A great tool to learn how to challenge cognitive distortions is the automatic […]

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Cognitive Distortions Worksheet

Cognitive Distortions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

In cognitive behavioral therapy, a therapist will often work with their client to identify their cognitive distortions. Cognitive distortions are patterns in thinking that typically make someone think in the negative and have negative expectations. This can be detrimental to the client for many reasons, the biggest being it holds them back from growing mentally […]

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Healthy Vs. Unhealthy Coping Strategies Worksheet

Healthy Vs. Unhealthy Coping Strategies Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Having coping strategies is an important part of maintaining good mental health, but sometimes a person can develop unhealthy coping strategies without realizing the impact they have on their quality of life. Unhealthy coping strategies may be effective, but that does not necessarily mean that they should be used to cope with life stressors. There […]

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What Is Trauma? Worksheet

What Is Trauma? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Trauma can affect a person in different and unexpected ways. People can suffer from different symptoms without realizing that they are from the traumatic event they experienced. Helping a person get in touch with their trauma can help them understand how they are feeling and learn what to expect from the experience. Going through trauma […]

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Substance Use Motivation Ruler Worksheet

Substance Use Motivation Ruler Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Treatment for substance use can be challenging. The experience is different for everyone, and people enter treatment with different levels of motivation for recovery. Knowing how motivated someone is in treatment for substance use is an important part of treatment planning. In order to set someone up for success, it is important to understand their […]

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Stages Of Change Worksheet

Stages Of Change Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Change takes time. Change can be challenging for people to accomplish, and it is often something that people resist. Change is scary, but can also be exciting, healthy, and liberating. Some changes cause pain while others cause relief. Whatever the need is for change, it can be difficult for a client to facilitate change in […]

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Social Support Worksheet

Social Support Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A strong social support network is an important component of maintaining mental health. Whether suffering from a mental health condition, recovering from addiction, or just managing daily stressors, social support can be a huge resource for managing mental wellness. Sometimes it can be hard to reach out for support, but helping a client know who […]

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Anger Iceberg Worksheet

Anger Iceberg Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When people are angry, they are not only angry. Their anger is a reaction to a trigger. A trigger occurs in a person’s environment, but it is fueled by much more. Feelings, thoughts, insecurities, fears and memories all contribute to a person’s anger. It is important for a client to understand this fact. Clients rarely […]

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ABC Model For REBT Worksheet

ABC Model For REBT Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Rational emotive behavioral therapy (REBT) is a form of therapy that can be very effective in helping clients. It offers a means to gain perspective on challenging situations. REBT suggests that the way people understand situations causes them to be reactive. The concept of REBT implies that a situation is neither positive nor negative. A […]

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Triggers And Coping Skills Worksheet

Triggers And Coping Skills Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Everyone has stressors in their lives. When people are in therapy, different stressors can serve as triggers for different conditions. Most people in therapy will have significant triggers that can cause them to think, act and feel in ways that are not healthy for them. An important part of therapy is helping clients identify their […]

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When I Am Tempted To Use Worksheet

When I Am Tempted To Use Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When working with clients in recovery from substance use it is important for both the counselor and the client to understand where their temptations stem from. Everyone will have different moments of temptation, and it is not uncommon for a client to be confronted with temptation when they least expect it. Temptations are very difficult […]

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Relaxation Techniques Worksheet

Relaxation Techniques Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A major part of learning how to cope with stress, anxiety and other mental health disorders is to learn effective relaxation techniques. Relaxation techniques are a critical part of maintaining good mental health. They are needed for different areas of your body, and without them you cannot properly cope with stress, anger and other upsetting […]

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Simple CBT Model Worksheet

Simple CBT Model Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When used properly, cognitive behavioral therapy (CBT) is a very effective form of therapy. CBT helps people work on their problem behavior by providing a means to understand their thoughts and feelings. People often react to stressors quickly, and that can prevent them from thinking things through. CBT teaches a person how to slow down […]

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Cognitive Distortions: The "Shoulds" Worksheet

Cognitive Distortions: The “Shoulds” Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive distortions (thinking errors) are a huge contributing factor to many people’s mental health issues. Cognitive distortions are erroneous patterns in thinking that lead to negative thoughts, bad feelings and poor behavior. When someone suffers from a cognitive distortion, they are not able to perceive tough situations in a healthy way. That is why it […]

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Cognitive Distortions: Blaming Worksheet

Cognitive Distortions: Blaming Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A huge part of using Cognitive Behavioral Therapy to help clients cope with their triggers is teaching them about cognitive distortions. Cognitive distortions are patterns of thinking errors, and they affect a person’s thoughts, feelings, and reactions to upsetting situations. It is not uncommon for a person in therapy to turn to cognitive distortions like […]

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Past Vs. Present Worksheet

Past Vs. Present Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Throughout the course of therapy, it is important for both the therapist and the client to have a concrete understanding of how the client is growing and developing their coping skills. Therapy is more than just talking about feelings. It is about personal growth and learning how to manage thoughts, feelings, coping skills, behaviors and […]

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Reflections: Communication Skills For Confrontation Template

Reflections: Communication Skills For Confrontation Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Having healthy communication skills are important, but also challenging to develop. Some people may struggle with articulating their feelings and needs. It is common for a client to struggle with being assertive or understanding what it means to be assertive with your needs. Learning how to reflect on a situation before confronting another person can […]

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Thinking Errors Worksheet

Thinking Errors Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When teaching your clients cognitive behavioral therapy(CBT) skills, it is important to help them gain an understanding of common thinking errors and how they affect thoughts, feelings and behaviors. When a person has a pattern of negative thinking, it will skew the way they see and understand how they fit into a situation. This will […]

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Protective Factors Worksheet

Protective Factors Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When dealing with a client who is struggling with self-confidence and low self-esteem, it is important to ensure that they are aware of their protective factors. Knowing your own protective factors is important. Protective factors serve as a source of strength, hope and comfort when dealing with a challenge. Sometimes a client is not aware […]

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Triggers Worksheet

Triggers Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Being aware of a client’s triggers is a critical component of learning how to cope with symptoms of mental health challenges. Triggers are situations that can cause a person to react in an unwanted or unhealthy way.  Triggers can cause a person to struggle with unwanted thoughts, feelings, and impulses. They are especially challenging when […]

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Countering Anxiety Thought Log Worksheet

Countering Anxiety Thought Log Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is not uncommon for a client to feel like a victim of their own anxiety. Anxiety is a difficult feeling to live with, and it is often chronic for people who seek counseling. Anxiety brings ruminating negative thoughts that can have a major impact on a client’s ability to get through their day. When […]

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Symptoms Of Stress Worksheet

Symptoms Of Stress Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Stress is a natural part of life. It is a part of life that everyone must face and learn how to cope with. Some people are able to manage stress well, while others tend to really struggle to cope. Stress can lead to other issues, like anxiety, depression, motivation issues and relationship issues, so it […]

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Recognizing Stress Worksheet

Recognizing Stress Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

The first step to managing stress is learning how to recognize stress. Most people who experience symptoms of stress do not realize that it is a physiological reaction. They also do not realize how often daily occurrences can be triggers for stress. When working with a client who is struggling with stress-related issues, it is […]

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Distress Tolerance Skills: ACCEPTS Worksheet

Distress Tolerance Skills: ACCEPTS Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Dialectical behavioral therapy is particularly useful when it comes to teaching a client how to handle distressing or upsetting situations. DBT teaches coping skills for stress tolerance, emotional regulation, and the reduction of mood swings and panic attacks. DBT provides several different tools that help a person learn how to cope with upsetting emotions like […]

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Cognitive-Behavioral Model Worksheet

Cognitive-Behavioral Model Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

The Cognitive-Behavioral model is used in cognitive-behavioral therapy (CBT). It is a model used to explain the process of how CBT works and how it is helpful to utilize while in counseling. Often clients struggle to understand the meaning behind concepts in CBT, so it is helpful to have a visual aid that explains the […]

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Relapse Prevention Plan Worksheet

Relapse Prevention Plan Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

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 […]

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My Needs Pyramid Worksheet

My Needs Pyramid Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

At some point in a client’s journey, he or she will need to take a step back to evaluate how he or she is managing self-care. It is important for a client to be well-aware of what he or she needs to be able to maintain self-care, and to understand a hierarchy in which the […]

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Therapy Goals Worksheet

Therapy Goals Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is important to have a list of goals and objectives for the client and therapist to work toward when beginning a new therapeutic relationship. Setting goals creates a foundation that helps the client and therapist stay on track when helping a client feel better. Setting goals also empowers a client to stay on track […]

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Positive Steps To Wellbeing Worksheet

Positive Steps To Wellbeing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

In successful therapeutic processes, there will come a point in which a client needs to learn how to maintain a healthy, positive lifestyle that promotes mental health and wellness. Clients learn a great deal while in therapy, and making sure that the skills they learn is important to ensuring the client’s successful completion. It is […]

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Steps To Challenge Automatic Negative Thoughts Worksheet

Steps To Challenge Automatic Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

The way we think is a huge component that contributes to the way we feel, behave and react to situations. People develop habits in thinking. Sometimes those habits are healthy, but often people can develop erroneous patterns of thought that affect the way they perceive the world and their place in it. These thoughts are […]

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Meditate To De-Stress Worksheet

Meditate To De-Stress Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It can be easy to get wrapped up in the moment of a stressful situation and instantly feel overwhelmed and without direction or hopes of finding resolution. When dealing with stress it is important to keep in mind that it will trigger anxiety, and each person reacts to anxiety in different ways. It is important […]

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List Of Emotions Worksheet

List Of Emotions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Sometimes it can be tough for our clients to know what words to use to express what they are feeling. Feelings and emotions are complex, and can sometimes be uncomfortable and overwhelming. When our clients struggle to articulate their feelings it can be helpful to provide a guide to help navigate them through the words […]

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Values Clarification Worksheet

Values Clarification Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

As therapists, we know that most issues and concerns our clients face are more dynamic and intricate than the client may realize. Many components contribute to presenting issues with our clients, and often there is more than meets the eye. When working with clients on issues like emotional regulation, mood disorders, anxiety, and self-esteem, it […]

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Building Happiness Worksheet

Building Happiness Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Sometimes clients struggle with learning how to feel happy and fulfilled in their lives. Whether it is due to depression, low self-esteem, or motivation issues, it is not uncommon for clients in therapy to struggle to find traction toward happiness or contentment. These clients will ultimately feel lost and sometimes hopeless in their efforts to […]

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Combat Cravings Action Plan Worksheet

Combat Cravings Action Plan Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cravings to engage in dangerous or indulgent behaviors like drinking, using drugs, overeating, or sex are a difficult thing for a patient to work through. Each time a patient experiences a craving or a trigger to engage in something they know is not good for them they are confronted with the conflict between doing what […]

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My Fears And Strengths Worksheet

My Fears And Strengths Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Children find it hard to cope with things they do not understand. There are many people, places and things in the world that scare children, and when children are afraid they feel lost, alone and vulnerable. Children who are fearful have a hard time developing the confidence they need to face their fears, but if […]

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Safety Plan Worksheet

Safety Plan Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

One of the most important things we do as therapists are screen our patients for indicators that their safety may be compromised. As professionals, we do this to make sure our patients stay safe between sessions.  While not every patient will require safety planning, therapists must be mindful of safety issues and know how to […]

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People, Places And Things Worksheet

People, Places And Things Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When starting with recovery from substance use it is so important that the patient be able to identify and understand the people, places and things to avoid. The more a patient learns about sobriety and themselves the more they realize the patterns that people, places and things cause and how detrimental it is to their […]

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Substance Use Assessment Worksheet

Substance Use Assessment Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When a substance user first starts therapy it is important for both the therapist and patient to have a full understanding of the history and progression of the substance use. Such details as reasons behind first use, point in time where use increased, and difficulty with stopping use can be very telling when trying to […]

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Daily Mood Chart Worksheet

Daily Mood Chart Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When we are struggling with understanding our mood and emotions it helps a great deal to use a mood journal to keep track of daily activities, triggers from the day, and how we managed out feelings. Sometimes we get caught up in the day and forget to focus on what we are feeling, which causes […]

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Goal Sheet Worksheet

Goal Sheet Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Patients who are suffering from a mental illness can often feel discouraged from being able to achieve their goals. Sometimes their ambitions and efforts are cut off by thoughts like “why bother?”, “it’s too much, I won’t be able to do it” or “I will start tomorrow”. It helps a great deal to draft a […]

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Weekly Mood Chart Worksheet

Weekly Mood Chart Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Many clients seek therapy because they struggle to regulate their mood. They go through mood swings, and feel stressed easily. People who struggle with managing their mood can feel overwhelmed often, and the feeling makes it hard to understand and manage their moods throughout the week. A weekly mood chart is a great tool to […]

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Pocket Support Worksheet

Pocket Support Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

In therapy, a client learns a lot about their emotions and issues that create challenges in their lives. Through their own self-exploration, they begin to learn different ways to cope with different challenges. Therapy teaches coping skills that help clients relieve their symptoms in real life situations. They learn valuable life skills in therapy. It […]

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