Substance use CBT worksheet

What is the theory behind this substance use CBT worksheet?

Cognitive behavioural therapy is frequently utilised in the treatment of addiction. People receiving treatment for a substance use disorder (SUD) are taught how to use CBT to make connections between their thoughts, feelings, and behaviours and to become more conscious of how these factors affect recovery.

How will the worksheet help?

A person who is addicted is better able to beat their addiction when they comprehend why they feel or act a specific way and how those sentiments and actions lead to substance usage. The worksheet will provide client insight on how the substance use cycle is maintained and how thoughts lead to cravings.  

How to use the worksheet?  

This worksheet can be used by the therapist with the clients to help them recognise their negative thoughts that fuel cravings and support the cycle of substance use. 

Substance use CBT worksheet

Triggers, thoughts, cravings, and substance use tend to go hand in hand.  Often, a trigger will cause the thought of using drugs to enter your mind. 

Cravings, which are sudden drives to consume substance, follow the thought. All of this results in substance abuse.

It’s essential to recognize the negative thoughts that fuel your need if you want to quit the cycle of substance use. List down your negative thoughts in the box that lead to cravings.


Cognitive behavioral therapy. (2022, June 20). Addiction Center.

Zamboni, Lorenzo & Centoni, Francesco & Fusina, Francesca & Mantovani, Elisa & Rubino, Francesca & Lugoboni, Fabio & Federico, Angela. (2021). The Effectiveness of Cognitive Behavioral Therapy Techniques for the Treatment of Substance Use Disorders. The Journal of nervous and mental disease. 209. 835-845. 

You can download this worksheet here.

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