Illness Management and Recovery / IMR-A13-5
Substance Use and Mental Health — Review journal
Review an attempt at substance use and mental health and choose what to keep, change, or leave aside.
10 minutes · Journal prompts · Adults; supported use as appropriate
Fictional example: Casey notices difficulty remembering routines after some evenings and wants a nonjudgmental discussion.
Use an ordinary or fictional example, with a clinician when appropriate. IMR-informed planning can address substance use and mental health together.
Before looking back
Choose one ordinary attempt or decide to review the fictional example instead. This journal has no scores, required disclosure, or expectation of progress.
Revisit the practice
Map how a substance-use pattern and mental health concerns may interact, labeling uncertainty and questions for the team.
Notice context and impact
Record what actually happened, including an unhelpful or neutral outcome. Note resources, power differences, accessibility, and changed conditions rather than attributing everything to personal effort.
Choose a revision
What should be explored without jumping to a causal conclusion? Keep the approach, change one part, ask for support, or set it aside. A mismatch is useful information.
Prompts for this resource
- What I tried, or what happened in the fictional example:
- What I noticed before, during, and after; what remains uncertain:
- What helped, did not help, or was outside my control:
- What should be explored without jumping to a causal conclusion? My optional adjustment or support request:
Conceptual background
Illness Management and Recovery Evidence-Based Practices KIT — SAMHSA
Background on the approach only. Original exercises and wording are by More Than Therapy with AI assistance; the source does not validate or endorse these materials.