Cognitive Distortions
Automatic Negative Thoughts
Health Thought Patterns
High-Risk Situations
Role-Playing Scenarios
100

This distortion happens when you see things as all good or all bad, with no middle ground.

Black-and-white (all-or-nothing) thinking.

100

"I made one mistake in my recovery, so I am a total failure."

All-or-nothing OR black-and-white thinking

100

What is one way to challenge a negative thought?

Ask for evidence or re-frame the thought

100

What is one common emotional trigger for relapse?

Stress, anger, sadness, or boredom.
100

Your friend cancels plans, and you assume they don't like you anymore. What is a healthier way to think?

"Maybe they had something come up, and it isn't personal."
200
Thinking that something terrible will happen even if there is little or no evidence.

Catastrophizing

200

"Since I had a craving today, I must be on the verge of relapse."

Catastrophizing

200

Instead of saying, "I cannot do this," what is a healthier way to think?

"Recovery is hard, but I am capable of change."
200

If you feel tempted to relapse, what is one step you can take?

Call a sponsor, use coping skills, or remove yourself from the situations.

200

You feel anxious about a job interview. What is a helpful self-talk phrase?

"I am prepared, and I can handle this situation."

300

Believing that you are the cause of negative events, even when it is not your fault.

Personalization

300

"I will never be able to stay sober because I messed up in the past."

Overgeneralization

300

This practice helps you stay present and avoid overthinking.

Mindfulness

300

If you catch yourself thinking, "I will never stay sober," what should you do?

Challenge the thought and replace it with a realistic one.

300

You had a stressful day and start thinking about using. What can you do instead?

Go for a walk, journal, talk to someone, or practice deep breathing.

400

Focusing only on the negative and ignoring nay positive aspects of a situation.

Mental filtering

400

"Everyone thinks that I am weak for struggling with addiction."

Mind reading


400

A way to remind yourself of your progress and stregnths.

Positive affirmation or self-reflection.

400

True or false: Urges to use mean you are failing in recovery.

False, urges can be normal and are able to be managed.

400

You made a mistake at work and think, "I am terrible at my job." How can you reframe this?

"Everyone makes mistakes, and I can learn from this."

500

Predicting the future negatively without any real evidence.

Fortune telling

500

"If I do not feel 100% confident, then I must not be ready for recovery."

Emotional reasoning

500

Instead of thinking "nobody understand me," what is a healthier thought?

"Some people may not understand, but I can find support from those who do."

500

Name three coping skills that can help when facing high-risk situations.

Deep breathing, calling a friend, exercising, journaling?

What else?

500

You are struggling with a craving and think, "I cannot do this." How can you reframe this thought?

"Cravings are temporary, and I have tools to get through this."
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