Advanced Relapse Prevention Plan- Triggers
Triggers
Check all that apply; then list any additional triggers not included in the list below.
Situational Triggers (situations, places, or events)
____ Bars ____ Nightclubs ____Parties
____Your home ____Your place of work ____Your car
____Your friend's home
____Your dealer's home
____Being away from home on vacation or business
____People talking about chemical highs (war stories)
____Songs associated with chemical use
____Pictures of chemicals on television, in magazines or on billboards
____Certain streets and neighbourhoods
____Certain holidays, anniversaries, or celebrations
____Payday
____Warning notices for unpaid bills
____Physical pain
_____Other situations, places or events (write them down)
Emotional Triggers (moods or feelings)
____Boredom ____Anger ____Depression
____Anxiety ____Sadness ____Frustration
____Loneliness ____Fear ____Exhaustion
____Excitement ____Joy
____Arguments with mate, family, boss or co-workers
____Remembering past relationships
____Other moods or feelings (write them down)
Sexual Triggers
____Sexual desire or arousal
____Sexual thoughts or fantasies
____Pornographic magazines or movies
____Certain sex partners
____Prostitutes
____Cybersex
____Other sexual triggers (write them down)
Chemical Triggers
____Alcohol ____Marijuana ____Tranquilizers
____Caffeine ____Over the counter medications
____Prescription medications ____Near beer
____Paraphernalia
____Other mood altering drugs (write them down)
Other compulsive behavioral triggers
____Gambling ____Sex ____Exercise
____Overeating ____Working ____Under eating
____Co-dependency ____Shopping ____Rage
____Spending ____Internet
Other Triggers
List any other triggers not mentioned above.