Substance use recovery / SUR-A18-5
Co-occurring Concerns Bridge — Review journal
Review an attempt at co-occurring concerns bridge and choose what to keep, change, or leave aside.
10 minutes · Journal prompts · Adults; supported use as appropriate
Fictional example: Jordan notices that low mood and urges sometimes rise together.
Use an ordinary or fictional example, with a clinician when appropriate. Mental health and substance-use concerns can be discussed 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
Prepare a shared-care summary of concerns, goals, current supports, and questions without assigning a diagnosis.
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 would you like your providers to understand about the connection? 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 would you like your providers to understand about the connection? My optional adjustment or support request:
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.