Thinking Traps in Recovery
Thoughts That Trigger Relapse
CBT in Recovery
Discharge & Aftercare Thinking Traps
cognitive distortions
100

A client misses one group and tells themselves, “I’ve already messed up my treatment, so it doesn’t matter if I skip the rest of the day.”

Magnification & Minimization

100

A client sees peers laughing and immediately believes they are being talked about or judged.

Jumping to Conclusions

100

A client tells themselves, “I should be stronger than this. I shouldn’t need help.”

Should Statements

100

A client predicts they will fail outpatient treatment before even attending the first session.

Fortune Telling

100

It was only one drink.

Minimizing

200

After a minor argument with staff, a client thinks, “I’m definitely getting discharged, I’ll relapse, and I’ll lose everything.”

Catastrophizing

200

A client thinks, “Staff probably think I’m just manipulating the system,” without any direct evidence.


Mind Reading

200

A client believes, “If I can’t stay sober perfectly, then I might as well keep using.”


All-or-Nothing Thinking

200

A client believes missing one aftercare appointment will lead to immediate relapse and homelessness.

Catastrophizing

200

It was only my 2nd DUI.

Minimizing

300

A client relapses once and says, “I always fail at recovery. Treatment never works for me.”

Overgeneralization

300

A client states, “I know I’ll relapse as soon as I leave here, so what’s the point of trying?”

Fortune Telling

300

The belief that one is responsible for events outside of their own control.

What is personalization

300

A client believes recovery only “counts” if they never experience cravings after discharge.

All-or-Nothing Thinking

300

I walked in the room and everyone stopped talking, they must have been talking about me.

Personalization

400

A client believes that as long as they pray or “stay positive,” they don’t need to attend groups or follow their relapse-prevention plan.

Magical Thinking

400

A client feels anxious and concludes, “Because I feel this uncomfortable, something bad must be about to happen.”


Emotional Reasoning

400

Nobody cares about me

overgeneralization

400

A client feels nervous about leaving treatment and decides that means they are not ready for discharge.

What is emotional reasoning?

400

I felt upset by my dog getting hit by a car so I relapsed.

emotional reasoning.

500

A client assumes the therapist changed the group topic because “they’re mad at me for not participating.”

Personalization

500

A client completes a full week of groups but says, “That doesn’t count because it was an easy week.”


Disqualifying the Positive

500

No one ever helps me out

overgeneralization

500

A client tells themselves, “I should be cured by now if treatment really worked.”

Should Statements

500

I got angry, that's why I threw my phone and broke it.

Emotional reasoning.

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