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Co-Occurring Step One Worksheet

The document is a worksheet designed to help individuals with co-occurring disorders reflect on their substance use and mental health issues. It includes prompts for identifying problems caused by chemical use, examples of loss of control, and the impact on various life areas. Additionally, it encourages individuals to consider the importance of treating both substance use and mental health simultaneously for effective recovery.

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Melanie Parker
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35 views4 pages

Co-Occurring Step One Worksheet

The document is a worksheet designed to help individuals with co-occurring disorders reflect on their substance use and mental health issues. It includes prompts for identifying problems caused by chemical use, examples of loss of control, and the impact on various life areas. Additionally, it encourages individuals to consider the importance of treating both substance use and mental health simultaneously for effective recovery.

Uploaded by

Melanie Parker
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Co-Occurring Disorders Step One Worksheet

1. Develop a list of problems in your life that have developed due to the use of chemicals.

2. Write out examples of times when you have consumed more alcohol or other mood-altering

drugs than you intended to.

3. Write out examples of when you have used chemicals, even when you did not intend to.

4. Give other examples of how your chemical use has been out of control at times.

6. List 3 symptoms that have convinced you that you have mental health concerns/diagnoses.

7. Write out examples of how your mental health problems/symptoms and/or your chemical use

has negatively affected these areas of your life:

 intellectual

 social (friends, neighbors, etc.)

 job/career

 romantic relationships (boyfriend/girlfriend/husband/wife)

 family of origin relationships (parents, siblings, aunts/uncles, etc.)


 relationships with your children

 education

 financial situation/goals

 emotional life

8. Give examples of how your chemical use may have made your mental health problems worse.

9. Give examples of your mental health problems may have made your substance use problems

worse.

10. List any negative consequences that you may face if you continue to use. How could your

chemical use interfere with the treatment of your mental health problems?

11. List any negative consequences that you may be concerned about happening if you do not

appropriately treat your mental health problems (e.g. take medication as directed, get adequate

rest/sleep, etc.)? How would failing to treat your mental health problems make your chemical use

more unmanageable?

12. Give two examples of ways that you tried to regain control over your chemical use that have

not worked.
14. List any examples of ways that you tried unsuccessfully to manage your mental health

problems without professional help.

15. Why is sobriety and treating your mental health at the same time so important?

16. How could failing to treat one side of the problem (alcohol/drugs or mental health issues)

sabotage your recovery efforts on the other side of the problem?

l7. Identify any of the following cognitive distortions or defense mechanisms that you have used

in order to continue to drink/drug or to avoid treating your mental health problems appropriately:

 making excuses

 blaming

 lying

 justification/rationalization/intellectualization

 aggression/agitation/keeping others away/hostility

 making false assumptions about treatment or other people

 minimizing h. outright denial

 grandiosity/attitude of superiority

 exaggerating

 refusing to discuss the problem


18. Identify how any of the above defenses/cognitive distortions may have kept you from

identifying, accepting, and treating your mental health and substance abuse issues.

19. Identify how chemical use may have intensified your mental health symptoms (i.e., more

depressed, more manic, more out of control, etc.).

20. Give examples of how your life has improved since you stopped using.

21. Give examples of how your life has improved since appropriately treating your mental health

problems.

23. Describe a realistic, positive picture of your life in the future as you grow in your dual

recovery.

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