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Part of the Relapse Prevention Workbook for Chemically Dependent Criminal Offenders

Exercise No. 15: Critical Warning Sign

Purpose. This exercise will help you see which warning signs you can begin to change when they happen to you.

Instructions. Make three copies of this work sheet. Reread your final warning sign list in Exercise No. 14. Choose three warning signs between no. 3 and no. 8 that you would recognize when they happen to you. Fill out the worksheet below for each one.

Critical Warning Sign No.________

  1. Summary title of the warning sign: _______________________________

  2. Describe how this warning sign happened to you in the past.

  3. When this warning sign happened . . .

    1. My thought was

    2. My feeling was

    3. I wanted to

  4. What I did that was not helpful

  5. What do you think would help you when this warning sign happens?

  6. How could you handle your feelings differently to help you when this warning sign happens?

  7. How could you act in a way that would help you when this warning sign happens?

  8. How could you handle this warning sign if it happened again so that it would not cause more warning signs?

  9. New Skills: What skills do you need to learn so that you can be successful with your plan in no. 8 above?



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Last Updated 11-7-02