Substance Use Worksheets


Latest Substance Use Worksheets For Therapists

Adult Children Of Alcoholics Discussion Questions

Adult Children Of Alcoholics Discussion Questions Worksheet

It is a unique experience to grow up with an alcoholic parent. Many adult children of alcoholics struggle with issues that others cannot always relate to, which can make the experience lonely and isolating. Adult children of alcoholics can feel triggered by their parents, so a support network can help them cope with the challenges […]

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What Is Addiction? Worksheet

What Is Addiction? Worksheet

Struggling with addiction is a long-term challenge. It takes a great deal of courage and motivation to start treatment for an addiction, and commitment and patience to succeed in recovery. Addiction can be complex, as it is not only about using drugs. Addiction can manifest in a person in different ways and cause many unwanted […]

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Tips For Avoiding Relapse Worksheet

Tips For Avoiding Relapse Worksheet

Avoiding relapse is an important part of recovery. A relapse is difficult for a person to cope with, but when they are equipped with the proper tools, they can avoid relapse and stay on a path that promotes a healthy life. People in recovery work hard to achieve their goals- whether for sobriety, abstinence, anger […]

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My Fears And Strengths Worksheet

My Fears And Strengths Worksheet

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. A fearful child will have a hard time developing the confidence they need to face their fears, but helping […]

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Safety Plan Worksheet

Safety Plan Worksheet

One of the most important responsibilities a therapist has is knowing how and when to screen clients for indicators that their safety may be compromised. As professionals, therapists do this to make sure their clients stay safe between sessions and have a plan in place when needed.  While not every client will require safety planning, […]

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People, Places And Things Worksheet

People, Places And Things Worksheet

When starting with recovery from substance use, it is important for the client to know the people, places, and things to avoid. The more a client learns about themselves and their sobriety, the more they realize the how certain people, places, and things influence them and how detrimental they are to their recovery. The client […]

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Substance Use Assessment Worksheet

Substance Use Assessment Worksheet

When a substance user first starts therapy it is important for both the therapist and client to have a full understanding of the history and progression of their substance use. Details about the client’s history of substance use can help with understanding the purpose the substance use behaviors serves for the client and the difficulties […]

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Daily Mood Chart Worksheet

Daily Mood Chart Worksheet

Sometimes we get caught up in the day and forget to focus on what we are feeling. This can cause us to miss important signs of our changing mood, which can affect our ability to use healthy coping skills. When we are struggling with understanding our mood patterns it helps a great deal to have […]

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Goal Sheet Worksheet

Goal Sheet Worksheet

People who are suffering from mental health challenges can often feel discouraged from being able to achieve their goals. Sometimes their ambitions and efforts to make progress toward their goals are overshadowed by defeating thoughts, like “why bother?”, “it’s too much, I won’t be able to do it” or “I will start tomorrow”. Having an […]

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Weekly Mood Chart Worksheet

Weekly Mood Chart Worksheet

Many clients seek therapy because they struggle with regulating their moods. They go through mood swings that may cause them to easily feel stressed. People who struggle with managing their moods can often feel overwhelmed, which makes it difficult for them to understand and manage what they are feeling throughout the week. A weekly mood […]

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Pocket Support Worksheet

Pocket Support Worksheet

In therapy, a client learns a lot about their emotions and gain perspective on their life challenges. Through self-exploration, they learn different ways to cope with the challenges they face. Therapy teaches coping skills that help clients relieve their symptoms in real-life situations. They learn valuable life skills in sessions, but sometimes it can be […]

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Daily Mood Journal Worksheet

Daily Mood Journal Worksheet

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The first step to managing stress is learning how to recognize stress. People who are stressed often ignore their symptoms. Some do not even know they are experiencing symptoms of stress until they are taught how to identify symptoms in therapy. Stress is a normal part of life, but ignoring its symptoms can cause long-term […]

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Distress Tolerance Skills: ACCEPTS Worksheet

Distress Tolerance Skills: ACCEPTS Worksheet

Dialectical behavioral therapy (DBT) offers useful tools for teaching clients in therapy how to handle distressing or upsetting situations. DBT teaches healthy coping skills for distress tolerance, emotional regulation, and the reduction of mood swings and panic attacks. It provides tools that help a client learn how to cope with upsetting emotions like stress, anxiety, […]

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Cognitive-Behavioral Model Worksheet

Cognitive-Behavioral Model Worksheet

Cognitive behavioral therapy (CBT) has become a leading form of treatment that mental health professionals use when working with their clients. Part of the process of CBT is focusing on interaction between a client’s thoughts, feelings, and behaviors. A tool that is used to help explain how these three components affect a person’s mental health […]

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Relapse Prevention Plan Worksheet

Relapse Prevention Plan Worksheet

Clients in addiction recovery face different obstacles that are challenging to overcome. Recovery is a long process that requires patience and commitment to sobriety. Clients must be prepared to overcome many unexpected challenges that may compromise their recovery. It is important to have a relapse prevention plan when in recovery. Clients must be prepared for […]

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My Needs Pyramid Worksheet

My Needs Pyramid Worksheet

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

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

Teaching a client in therapy how to maintain healthy habits for mental health is an important part of the therapeutic process. Clients learn a great deal while in therapy, and making sure that they learn skills to cope with life challenges helps ensure the client’s success. It is also important to guide the client in […]

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Steps To Challenge Automatic Negative Thoughts Worksheet

Steps To Challenge Automatic Negative Thoughts Worksheet

Negative thoughts can be powerful and have a big impact on a client’s mental health, especially when they are dealing with issues like anxiety, grief, and depression. Without proper tools for managing negative thoughts, a client’s process for healing may be challenging. When a client is struggling with negative thoughts, they are seeing the world […]

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Meditate To De-Stress Worksheet

Meditate To De-Stress Worksheet

It can be easy to get wrapped up in the moment of a stressful situation and instantly feel overwhelmed. Without direction or hopes of finding a resolution, that overwhelmed feeling can turn into helplessness or hopelessness, and make you lose touch with your authority over how the situation affects you. Each person reacts to stress […]

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List Of Emotions Worksheet

List Of Emotions Worksheet

It can sometimes be tough for clients to know what words to use to express what they are feeling. Emotions are complex and can be uncomfortable and overwhelming to talk about without proper guidance and support. When a client struggles to articulate their feelings, it can be helpful to provide a tool to help them […]

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Values Clarification Worksheet

Values Clarification Worksheet

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

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

Cravings to engage in dangerous, impulsive, or indulgent behaviors, like drinking, using drugs, or overeating, are difficult things for a client to work through. Each time a client 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 they […]

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