Substance use recovery / SUR-A05-4
Craving Observation with Choice — Session activity
Facilitate a structured practice of craving observation with choice with preparation, reflection, and an agreed closing.
30 minutes · Session guide · Mental health professionals
Fictional example: Jordan practices with the urge to check a phone rather than a substance cue.
Use within your training and assessment of readiness. Urges can be noticed without requiring exposure to substance cues.
0–5 min | Agree on purpose and fit
Explain the educational scope. Ask what would be useful, check readiness and access needs, and establish choices to observe, adapt, or pass. Use an ordinary example; do not solicit trauma narratives.
5–10 min | Orient with an example
Urges can be noticed without requiring exposure to substance cues. Fictional example: Jordan practices with the urge to check a phone rather than a substance cue. Ask what is observed and what remains uncertain.
10–20 min | Practice and compare
Use an imagined low-intensity urge to identify its changing intensity, a pause option, and a support contact. Offer quiet individual work, a supported conversation, or an observing role. Compare two possible responses without evaluating people as right or wrong.
20–25 min | Reflect on meaning
What helps you observe an urge without turning the exercise into a test? Ask what fit, what did not fit, and how culture, power, disability access, or external conditions affect the options.
25–30 min | Integrate and close
Invite one optional next step or support request. Orient to the current setting, allow an unfinished question to remain unfinished, and agree how to revisit it. End early or adapt if activation increases.
Adaptations
For a group, use fiction and no compulsory round-robin disclosure. For remote use, allow off-camera reflection and private notes. For brief use, keep one example and one question while retaining opening and closing choices.
Prompts for this resource
- What outcome would make this practice useful?
- What helps you observe an urge without turning the exercise into a test?
- What adaptation or follow-up is needed?
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.