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Substance Use Antecedents Recall Worksheet with CBSM Example

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Substance Use Antecedents Recall Worksheet Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. Substance Abuse Relapse Prevention for Older Adults: A Group Treatment Approach 2005 Client's Name Date Situations/Thoughts: List situations or thoughts that affect your substance use. 1. 2. 3. 4. 5. Feelings: List feelings that affect your substance use. 1. 2. 3. 4. 5. Cues: List cues that affect your substance use. 1. 2. 3. 4. 5. Urges: List urges/self-talk that affect your substance use. 1. 2. 3. 4. 5.

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