Alcohol therapy worksheet

What is the theory behind this Alcohol therapy worksheet?

The trauma of loss is one of the most powerful phenomena that leads to emotional disturbances. It can turn an individual’s life in a whole new direction. The reminder and memories of a loss leads to negative emotions, that individuals tend to cope with maladaptive strategies. Alcohol consumption is also one of those coping methods that diminishes the effect of loss for a short period of time. The person has to repeatedly consume alcohol in order to maintain that effect thus, leading to addiction.

How will the worksheet help?    

This worksheet will help the clients who have alcohol addiction related problems to track their timeline of grief as well as alcohol use. It will help them to find their pattern and triggers. 

How to use this worksheet?

To use this worksheet, write down the incidents of loss you have experienced in the past. Whatever you remember about it, day, date, season etc. Similarly, do the same with the times you have consumed alcohol to a greater degree. Then, answer the questions below.  

Alcohol therapy worksheet

Events of lossEvents of alcohol consumption

Loss associated with my first repeated consumption

Emotions I was trying to avoid through alcohol use

Further loss due to my addiction 

Other patterns I notice after observing both loss and addiction timelines


Breiner M.J, Stritzke W.G, Lang A.R. (1999) Approaching avoidance. A step essential to the understanding of craving. Alcohol Res Health;23(3):197-206. 

You can download this worksheet here.

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