Categories of High-risk Situations for Using Alcohol and other Drugs

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1 Categories of - Situations for Using Alcohol and other Drugs is considered a situation where you are likely to use alcohol or drugs or have had extensive experience using under this circumstance. You may find it difficult to use effective coping skills to avoid using alcohol or other drugs. is considered a situation where you could be triggered to use alcohol or drugs or have had some experience using under this circumstance. You are somewhat confident that you can use effective coping skills to avoid using alcohol or other drugs in this situation, but need more practice or skills training. is considered a situation where you are not likely to use alcohol or drugs or have had minimal or no experience using under this circumstance. You confident you can use effective coping skills to avoid using alcohol or other drugs. Within the person or emotions caused by environmental events Feeling frustrated or angry with an activity emotional s Feeling anxiety, panic, or fear Feeling worrisome, doom, or fear of the unknown for the future Feeling bored or lonely Feeling depressed, sad, grief, guilt or loss physical s Feeling withdrawals from alcohol and other drugs Feeling physical pain Enhanceme nt of positive Testing personal control Giving in to urges or temptation Feeling joy, needing a reward (I earned this), wanting to celebrate Wanting to test control Feeling the urge to use, day dreaming about using (relapse fantasy), remembering the positive aspects of alcohol and other drugs

2 Between people or situations that involve other individuals (e.g., interpersonal situations) Feeling frustrated, controlled or angry interpersonal conflict Feeling anxious, stress, apprehension, tension, intimidated, panic, or fear around certain individuals Feeling worrisome, doom, or fear of the unknown for the future associated with a relationship Feeling guilt associated with how you treated individuals in the past Social pressure Direct social pressure from a person or persons who want you to use alcohol or other drugs with them Indirect social pressure by observing other individuals consuming alcohol or other drugs Wanting to increase feelings of pleasure while in a social situation The next table consists of common triggers and environmental cues that can create a high- situation. Please check one of the three boxes in the following categories to indicate if these situations are high, moderate or low for you using alcohol or other drugs (check only one box for each ) Cue or Trigger Category Environmental cues Temporal cues Social cues Specific trigger Visual cues or signs of alcohol or drug use, such as seeing a bottle of alcohol, smelling marijuana smoke, seeing or smelling a bar or pub, walking past a drug store, gas station or supermarket where you purchased alcohol (or walking past a drug dealers house), or seeing equipment used for drug use (e.g., crack or marijuana pipe, needles, spoons, rolling paper, and other paraphernalia) Patters of alcohol or drug use based on certain or specific times of the day, such as mornings, afternoon, evenings, or late night. Patterns of the week, such as weekends, Mondays, or Fridays after work. Calendar events, such as holidays, birthdays, anniversaries of the death of a family member, or anniversaries of celebration Social situations where you are more likely to use, such as with friends (or always alone), with family members (or always away from children and other family members), when seeing your dealer, when interacting with a significant other (or ex-significant other)

3 Now write down your list of specific high or moderate situations that you would like to learn how to categories where you don t feel that you have any high or moderate of using alcohol or other drugs. Feeling frustrated or angry with an activity, such as coping with emotional s Feeling anxious, panic, or fear, such as Feeling worrisome, doom, or fear of the unknown for the future associated with Feeling bored or lonely, such as Feeling depressed, sad, grief, guilt or loss associated with physical 7s Feeling withdraws from alcohol and other drugs (physical cravings, not psychological cravings) Feeling physical pain from an injury, problems associated with Feeling joy, needing a reward, such as Testing personal control Wanting to see if you can return to social use of alcohol or other drugs, such as Giving in to urges or temptation Feeling the urge to use when you are

4 Now write down your list of specific high or moderate situations that you would like to learn how to categories where you don t feel that you have any high or moderate of using alcohol or other drugs. Feeling frustrated, controlled or angry after talking/arguing with people you interact with such as coping with interpersonal conflict Feeling anxious, stress, apprehension, tension, intimidated, panic, or fear around certain individuals who you know or interact with, such as Feeling worrisome, doom, or fear of the unknown for the future associated with a relationship, such as Feeling guilt associated with how you have treated individuals in the past, such as Direct social pressure from a person or persons who want you to use alcohol or other drugs with them, such as Social pressure Indirect social pressure by observing other individuals consuming alcohol or other drugs, such as Wanting to increase feelings of pleasure while in a social situation, such as

5 Now write down your list of specific high or moderate situations that you would like to learn how to categories where you don t feel that you have any high or moderate of using alcohol or other drugs. Cue or Trigger Category Environmental cues Visual cues or signs of alcohol or drug use, such as Specific trigger Temporal cues Patters of alcohol or drug use based on certain or specific times of the day, such as Social cues Social situations where you are more likely to use, such as