Basic Relapse Prevention Plan
RELAPSE PREVENTION PLAN
I. Think about instances in your life and identify potential high-risk
situations for you:
A. ____________________________________________________________
B. ____________________________________________________________
C. ____________________________________________________________
D. ____________________________________________________________
E. ____________________________________________________________
F. ____________________________________________________________
II. List as many alternative decisions as you can to the high risk
situations listed above:
KEEP THIS LIST WITH YOU AND USE IT!
A. _____________________________________________________________
B. _____________________________________________________________
C. _____________________________________________________________
D. _____________________________________________________________
E. _____________________________________________________________
F. _____________________________________________________________
III. Identify your method for instituting your support system:
A. Call Sponsor #_________________________________________________
B. Call Supportive Person
#________________________________________
#________________________________________
#________________________________________
#________________________________________
C. Go to a 12-step meeting
D. Leave the Situation
E. Take a Walk or Otherwise Detach from the Situation
F. Refer to the Alternative listed for the Situation