Structured worksheets translate knowledge about harm reduction into action. These exercises are adapted from evidence-based therapies used to treat harm reduction.
The Thought Record Worksheet for Harm Reduction
Based on CBT, this exercise helps identify and challenge the automatic thoughts driving harm reduction:
- Situation: What triggered my harm reduction?
- Automatic thought: What did I immediately think?
- Emotion: What did I feel, and how intense (0-10)?
- Evidence for/against: Is this thought accurate?
- Balanced thought: What's a more realistic perspective?
- Result: How do I feel now (0-10)?
The Harm Reduction Trigger Tracker
Track your harm reduction patterns for one week:
| Date | Trigger | Intensity (1-10) | My Response | What Helped? | |------|---------|-----------------|-------------|--------------|
The Values Clarification Exercise
When harm reduction is overwhelming, reconnecting with values provides direction:
Write: 'What matters most to me, even when harm reduction is present?'
How to Use These Worksheets
Work through one exercise at a time. Bring completed worksheets to therapy sessions to accelerate progress.