Substance use recovery / SUR-A02-2
Reasons for Change and Ambivalence — Practice worksheet
Place reasons to change, reasons to hesitate, and needed supports in separate columns.
15 minutes · Worksheet · Adults; supported use as appropriate
Fictional example: Jordan wants fewer consequences and worries about losing a familiar coping strategy.
Use an ordinary or fictional example, with a clinician when appropriate. Mixed feelings can be explored without demanding readiness.
1. Choose a workable example
Use the fictional example below or an ordinary situation of your choosing. Keep identifying details out of shared copies.
2. Try the practice
Place reasons to change, reasons to hesitate, and needed supports in separate columns.
3. Compare possibilities
Generate at least two interpretations or options. Mark what you know, what you are guessing, and what remains outside your control.
4. Decide together
What deserves understanding before a next step is chosen? Choose one small action, a support request, or no action. Review the fit with your clinician when relevant.
Prompts for this resource
- My chosen or fictional situation, and what I know about it:
- My response to the practice task above:
- What deserves understanding before a next step is chosen?
- An optional next step, support, adaptation, or reason to stop:
Conceptual background
Substance Use Disorders — National Institutes of Health
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.