Mind & Body
The HALT Checklist
Triggers
Social Support
Reframing Thoughts
Relapse Warning Signs
100

This breathing technique requires you to inhale for 4 seconds, hold for 4, exhale for 4, and hold for 4.

What is Box Breathing?

100

The "H" in HALT, which can cause irritability if ignored

What is Hungry?

100

People, places, and things that remind you of past use are classified as this type of trigger.

What are External Triggers?

100

A safe person you can call immediately when you feel an urge to relapse.

What is a Sponsor (or accountability partner / support person)?

100

The strategy of imagining the negative consequences of a relapse from start to finish.

What is Playing the tape through?

100

This stage of relapse happens first, before a person even thinks about physically using.

What is Emotional Relapse?

200

This grounding method uses your 5 senses to bring you back to the present moment.

What is the 5-4-3-2-1 technique?

200

The "A" in HALT, an emotion that often masks fear or sadness.

What is Angry?

200

Feelings like boredom, anxiety, or loneliness that create an urge to use are called this.

What are Internal Triggers?

200

Saying "no" to people or places that threaten your peace and sobriety.

What is Setting Boundaries?

200

Short, positive statements repeated daily to challenge negative thoughts.

What is an Affirmation?

200

Returning to old, unhelpful thinking patterns, such as glorifying past drug or alcohol use.

What is Mental Relapse?

300

Tensing and then releasing different muscle groups to reduce physical anxiety.

What is Progressive Muscle Relaxation (PMR)?

300

The "L" in HALT, which highlights the danger of isolation.

What is Lonely?

300

Anniversaries, holidays, or specific times of the year that increase cravings.

What are Seasonal (or Calendar) Triggers?

300

Group meetings like AA, Smart Recovery, or Celebrate Recovery offer this type of community benefit.

What is Peer Support?

300

Shifting focus from what is going wrong to listing things you appreciate.

What is practicing Gratitude?

300

Skipping therapy, missing support meetings, or neglecting self-care routines.

What is Behavioral Change (or skipping routine/neglect)?

400

This physical activity releases endorphins, which act as natural stress relievers.

What is Exercise (or movement)?

400

The "T" in HALT, which impairs judgment and lowers impulse control.

What is Tired?

400

This internal physical state—often caused by lack of sleep or poor diet—makes you much more vulnerable to triggers.

What is Physical Vulnerability (or exhaustion/stress)?

400

The dangerous behavior of withdrawing from friends and family during tough times.

What is Isolating?

400

The cognitive distortion where you assume the worst possible outcome will happen.

What is Catastrophizing?

400

Defensiveness, mood swings, and rejecting help from your support system.

What is Defensiveness (or isolating/resistance)?

500

This practice involves non-judgmentally focusing your awareness on the present moment.

What is Mindfulness?

500

The primary action you should take immediately when you realize you are experiencing any part of HALT.

What is Pause (or address the basic need)?

500

This term describes a trigger that happens suddenly without any conscious warning or obvious connection.

What is an Unconscious (or Subconscious) Trigger?

500

A professional trained to help you identify triggers and develop personalized coping strategies.

What is a Therapist (or Counselor)?

500

This CBT technique involves identifying, challenging, and changing unhelpful beliefs.

What is Cognitive Reframing (or Cognitive Restructuring)?




500

The final, physical act of breaking sobriety, which usually occurs after emotional and mental relapse have happened.



What is Physical Relapse?