Addictions Worksheets, Dual Diagnosis, And Relapse Prevention

Misuse of alcohol and other drugs frequently co-occurs with other mental health conditions. For example, rates of PTSD among some groups misusing substances have been reported to be as high as 50% (Reynolds et al., 2005). Mental health professionals working with substance misuse use a variety of psychological approaches. These include cognitive behavioral techniques, relapse prevention, motivational interviewing, and solution-focused brief therapy. Read more

See recommended resources

Recent releases

Filter

Sort by

Links to external resources

Psychology Tools makes every effort to check external links and review their content. However, we are not responsible for the quality or content of external links and cannot guarantee that these links will work all of the time.

Assessment

Drinking motives questionnaire – adolescent | Cooper | 1994
Primary Link Archived Link
- Cooper, M.L. (1994). Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment, 6,117-128.
- Scale
  Primary Link Archived Link
Leeds Dependence Questionnaire | Raistrick, Bradshaw, Tober, Weiner, Allison, Healey | 1994
Primary Link Archived Link
- Raistrick, D.S., Bradshaw, J., Tober, G., Weiner, J., Allison, J. & Healey, C. (1994) Development of the Leeds Dependence Questionnaire, Addiction, 89, pp 563-572.
- Scale
  Primary Link Archived Link
Maudsley Addiction Profile (MAP) | Marsden, Gossop, Stewart, Best, Farrell, Lehmann, Edwards, Strang | 1998
Primary Link Archived Link
- Marsden, J. Gossop, M. Stewart, D. Best, D. Farrell, M. Lehmann, P. Edwards, C. & Strang, J. (1998) The Maudsley Addiction Profile (MAP): A brief instrument for assessing treatment outcome, Addiction 93(12): 1857-1867.
- Scale
  Primary Link Archived Link
Readiness to Change Questionnaire (RTQ) | Heather, Rollnick | 1993
Primary Link Archived Link
- Rollnick, Heather, Gold, Hall (1992)
- User’s manual
  Primary Link Archived Link
Severity of Dependence Scale | Gossop, Darke, Griffiths, Hando, Powis, Hall, Strang | 1995
- Scale
  Primary Link Archived Link
- Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W., Strang, J. (1995). The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction 90(5): 607-614.
Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) | Miller, Tonigan | 1996
- Scale
  Primary Link Archived Link
- Reference Miller, W. R., & Tonigan, J. S. (1996). Assessing drinkers’ motivation for change: the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81.
Drinking motives questionnaire | Cooper, Russell, Skinner, Windle | 1992
Primary Link Archived Link
- Cooper, M. L., Russell, M., Skinner, J. B., & Windle, M. (1992). Development and validation of a three-dimensional measure of drinking motives. Psychological Assessment,4,123-132.
- Scale
  Primary Link Archived Link

Guides and workbooks

Psychosis And Substance Use | NDARC: Mills, Marel, Baker, Teesson, Dore, Kay-Lambkin, Manns, Trimingham | 2011
Primary Link Archived Link
Trauma And Substance Use | NDARC: Mills, Ewer, Marel, Baker, Teesson, Dore, Kay-Lambkin, Manns, Trimmingham | 2011
Primary Link Archived Link
Changing Addictive Thought Patterns | Mayo Clinic
Primary Link Archived Link
Personality And Substance Use | NDARC: Mills, Marel, Baker, Teesson, Dore, Kay-Lambkin, Manns, Trimingham | 2011
Primary Link Archived Link
Alcohol And You (An NHS Self-Help Guide) | Holdsworth, Anslow, Crawford, Hall, Jcques, McNally, Reynolds, Widdas, Maunder, Cameron | 2020
Primary Link Archived Link
Anxiety And Substance Use | NDARC: Mills, Marel, Baker, Teesson, Dore, Kay-Lambkin, Manns, Triningham | 2011
Primary Link Archived Link
Mood And Substance Use | NDARC: Mills, Marel, Baker, Teesson, Dore, Kay-Lambkin, Manns, Trimingham | 2011
Primary Link

Information Handouts

What Is Alcoholism? | NACOA
Archived Link
Introduction To Codependency | NACOA
Archived Link

Presentations

What to do if CBT isn’t working | Bruce Liese | 2020
Primary Link Archived Link
Cognitive behavioral & relapse prevention strategies | UNODC | 2007
Primary Link Archived Link
The great porn experiment – TED lecture | Gary Wilson
Primary Link

Treatment Guide

Counselor’s Manual For Relapse Prevention With Chemically Dependent Criminal Offenders | USDHHS | 1996
Primary Link
Enhancing motivation to change in substance use disorder treatment | SAMHSA | 2019
Primary Link Archived Link
Individualized treatment for problem gamblers: patient workbook | Timothy W. Fong, Richard J. Rosenthal | 2009
Primary Link Archived Link
Integrated cognitive behavior therapy: clinician's manual | Mark McGovern, Kim Mueser, Jessica Hamblen, Mary Jankowski
Primary Link Archived Link
Cognitive Behavioural Coping Skills Treatment Manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence | Kadden, Carroll, Donovan, Cooney, Monti, Abrams, Litt, Hester | 2003
Archived Link
Enhancing Motivation for Change in Substance Use Disorder Treatment | SAMHSA | 2019
Primary Link
Motivational Enhancement Therapy Manual | Miller, Zweben, DiClemente, Rychtarik | 1995
Primary Link Archived Link
Clinical guidelines for implementing relapse prevention therapy | Marlatt, Parks, Witkiewitz | 2002
Archived Link
A Cognitive-Behavioral Approach: Treating Cocaine Addiction (National Institute On Drug Abuse: Therapy Manuals For Drug Addiction) | Kathleen Carroll | 1998
Archived Link
Patient’s workbook for cognitive behavioral therapy sessions – Intensive Treatment and rehabilitation program for residential treatment and rehabilitation centers for drug dependents (INTREPRET) | Phillipines Department of Health | 2020
Primary Link Archived Link
Substance use / brain injury bridging project – Client workbook | Community Head Injury Resource Services of Toronto (CHIRS) and the Centre for Addiction and Mental Health (CAMH)
Primary Link Archived Link
Substance Use / Brain Injury Workbook | Community Head Injury Resource Services of Toronto (CHIRS), Centre For Addiction And Mental Health (CAMH)
Primary Link Archived Link

What Is Addiction?

Signs and Symptoms of Addictions and Relapse

Behavioral and Social Signs of Addictions Include:

Continuing to use a substance (or engage in certain behaviors) despite the negative consequences that they cause
Trying but failing to reduce or stop misusing a substance
Secretive, furtive, or dishonest behavior

Psychological Symptoms of Addictions Include:

Mood swings
Anger or irritability
Paranoia
Defensiveness
Poor judgment

Psychological Models of Addictions and Relapse

There is considerable psychological theory which clinicians working in the field of addiction can draw upon.

Prochaska and DiClemente’s Transtheoretical Model (Stages of Change Model)

The transtheoretical model (Prochaska & DiClemente, 1982; Prochaska, DiClemente, Norcross, 1992) is used to conceptualize the process of intentional behavior change. It identifies important stages in the process of changing a behavior: precontemplation, contemplation, preparation, action, and maintenance. The transtheoretical model also identifies processes which need to be implemented to attain behavior change: consciousness raising (awareness of the facts), dramatic relief (paying attention to feelings), environmental re-evaluation (noticing our effects upon others), self–re-evaluation (creating a new self-image), social liberation (noticing support around us), self-liberation (making a commitment), counterconditioning (using substitutes), helping relationships (getting support), reinforcement management (using rewards), stimulus control (managing your environment).

Marlatt and Gordon’s Cognitive Behavioral Model of Relapse

Marlatt and Gordon published a cognitive behavioral model of relapse in 1985. They conceptualize relapse as a “transitional process, a series of events that unfold over time” (Marlatt & Gordon, 1985). The model identifies factors that can contribute toward episodes of relapse. These include intrapersonal factors such as self-efficacy (the degree to which an individual feels confident and capable of performing a certain behavior in a specific situational context), outcome expectancies (an individual’s anticipation of the effects of a future experience), craving, motivation, and social support.

The Cognitive Behavioral Model of Substance Abuse

The cognitive behavioral model of substance abuse (Beck, Wright, Newman, & Liese, 1993) describes psychological areas of vulnerability that predispose an individual to misusing substances including: dysfunctional beliefs about drugs, oneself, or one’s relationship with drugs; ‘permission-giving beliefs’ with which an individual may justify their drug use; and reactions to a lapse or relapse that lead to a vicious cycle of maintenance.

Evidence-Based Psychological Approaches for Working with Addictions and Relapse

Cognitive approaches to working with addictions may include:

identifying patterns of dysfunctional thinking such as ‘permission-giving beliefs’;
learning how to delay and distract in response to cravings and urges;
learning problem-solving techniques;
making positive lifestyle changes;
treating underlying mental health conditions which predispose an individual toward substance misuse.

Resources for Working with Addictions and Relapse

Psychology Tools resources available for working therapeutically with addictions may include:

psychological models of addiction and relapse
information handouts for addiction and relapse
exercises for addiction and relapse
CBT worksheets for addiction and relapse
self-help programs for addiction and relapse

References

Beck, A. T., Wright, F., Newman, C., & Liese, B. (1993). Cognitive therapy of substance abuse: a treatment manual. New York Guilford.
Larimer, M. E., & Palmer, R. S. (1999). Relapse prevention: An overview of Marlatt’s cognitive-behavioral model. Alcohol Research and Health, 23(2), 151–160.
Marlatt, G. A. (1985). Relapse prevention: Theoretical rationale and overview of the model. In G. A. Marlatt & J. R. Gordon (Eds.), Relapse prevention. New York: Guilford Press.
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research & Practice,19(3), 276–288.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to the addictive behaviors. American Psychologist, 47(9), 1102–1114.
Reynolds, M., Mezey, G., Chapman, M., Wheeler, M., Drummond, C., & Baldacchino, A. (2005). Co-morbid post-traumatic stress disorder in a substance misusing clinical population. Drug and Alcohol Dependence, 77(3), 251–258.

Addictions Worksheets, Dual Diagnosis, And Relapse Prevention

.st0{fill:none;stroke:#000;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10} Filter

.st0{fill:none;stroke:#000;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10} Filter

Search

Language

Resource type

Problem

Therapy tool

Links to external resources

Assessment

Guides and workbooks

Information Handouts

Presentations

Treatment Guide

Recommended Reading

What Is Addiction?

Signs and Symptoms of Addictions and Relapse

Behavioral and Social Signs of Addictions Include:

Psychological Symptoms of Addictions Include:

Psychological Models of Addictions and Relapse

Prochaska and DiClemente’s Transtheoretical Model (Stages of Change Model)

Marlatt and Gordon’s Cognitive Behavioral Model of Relapse

The Cognitive Behavioral Model of Substance Abuse

Evidence-Based Psychological Approaches for Working with Addictions and Relapse

Resources for Working with Addictions and Relapse

References

Filter

Filter