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Substance use recovery / SUR-A04-3

Trigger Context Detective — Clinician dialogue

Guide a collaborative conversation about trigger context detective while checking fit and participant choice.

15 minutes · Clinician script · Mental health professionals

Download printable PDFPreview / add to packet

Fictional example: Jordan notices stronger urges after a stressful shift and an empty evening.

Use within your training and assessment of readiness. A cue is part of a wider sequence rather than proof that use is inevitable.

Invite and obtain permission

Offer: "Would it be useful to explore trigger context detective using an ordinary or fictional example? We can adapt it, observe, or stop." Ask what the person wants from the conversation.

Elicit before teaching

Ask: "How does this show up, if at all, in your own words?" Offer this idea tentatively: A cue is part of a wider sequence rather than proof that use is inevitable. Ask what fits and what does not.

Guide the task

Map an ordinary high-risk situation through setting, thoughts, feelings, body cues, and available choices. Ask for permission before giving an example. Use this fictional illustration if useful: Jordan notices stronger urges after a stressful shift and an empty evening.

Reflect and check accuracy

Reflect only what was offered: "I heard you describe ___. What did I miss?" Ask: Where could support enter before the urge becomes harder to manage? Avoid assigning motives or interpreting silence as agreement.

Respond to a mismatch

If the person rejects the frame, say: "Thank you for correcting it. What would be more useful?" Return to their language or choose a different approach.

Close with agency

Ask which observation, question, or support request the person wants to keep. Confirm a manageable ending and appropriate follow-up; do not turn a tentative possibility into a homework obligation.

Prompts for this resource

  1. Readiness, permission, cultural context, and access needs to check:
  2. Where could support enter before the urge becomes harder to manage?
  3. What would tell me to adapt, stop, or seek supervision?

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.

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