Substance Use Antecedents Recall Worksheet

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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.
Feelings: List feelings that affect your substance use.
Cues: List cues that affect your substance use.
Urges: List urges/self-talk that affect your substance use.