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Recovery & relapse prevention worksheet

Relapse Prevention Plan

A personal map of what pulls toward relapse and what protects against it — triggers, early warning signs, coping strategies, and the people to call before things escalate.

Name or initialsDate

How to use this worksheet

Complete this collaboratively, drawing on the client's own history — past lapses are the best data for a prevention plan. Be concrete: name the specific bar, person, feeling, or time of day. Relapse is usually a process, not a single event, so the earlier the warning signs are caught, the more choices remain. The client keeps a copy somewhere reachable, and it's revised as recovery changes.
Pair this with the Coping Skills Toolbox worksheet
1.

What I'm working to protect

My reasons for recovery — the people, goals, and values that make staying on track worth it.

2.

My triggers — high-risk situations

People, places, times, feelings, or events that raise the risk. Be specific.

External (people, places, situations)

Internal (feelings, thoughts, states)

3.

Early warning signs

The subtle shifts that show up before a lapse — in mood, thinking, routine, or behavior. What did the slide look like last time?

4.

Coping strategies that work for me

Concrete actions to take when a trigger or warning sign shows up — things I've actually done that help.

  • Leave the situation / change my environment
  • Reach out to a support person (see below)
  • Use a grounding or urge-surfing technique
  • Go to a meeting or call my sponsor / recovery contact
  • Move my body — walk, exercise, physical activity
  • Delay & distract — ride out the urge; it peaks and passes

Others that work for me:

5.

My support network

People and groups I can reach out to — fill in numbers ahead of time so they're ready when I need them.

Support person
Phone
Sponsor / recovery contact
Phone
Counselor / treatment provider
Phone
Meeting / group & when it meets
6.

If a lapse happens — my emergency plan

A lapse is not a failure; what I do next is what matters. The specific steps I'll take to interrupt it and get back on track fast.

24/7 crisis & recovery lines

988— Suicide & Crisis Lifeline (call or text)

833-710-6477— NH Rapid Response Access Point (24/7 mental health & substance use crisis)

211— NH 211, treatment & recovery resources

1-844-711-4357 — The Doorway NH (substance use treatment access)

Review & commitment

  • I have a copy of this plan somewhere I can reach it.
  • At least one support person knows they're on my plan.
  • A follow-up / next appointment is scheduled.
SignatureDate

Draws on Marlatt & Gordon's Relapse Prevention model (1985) and Gorski's relapse-warning-sign framework, widely used in SUD and behavioral-health recovery. For use alongside appropriate treatment and support — not a substitute for it.

Meridian · New Hampshire mental health resources · This is a general clinical handout, not a substitute for professional judgment. If you or someone else is in immediate danger, call or text 988 or NH Rapid Response at 833-710-6477.