aidemia--modules-cbt_worksheet_request	Create a Cognitive Behavioral Therapy worksheet for a patient dealing with mentioned issue(s) and aiming for behavioral changes. Take into account the details listed further.
How many pages	2
Patient condition	Post-Traumatic Stress Disorder
Relevant challenges	Substance use
Use coping techniques	Thought challenging
Patient assignment	Set achievable goals for the week
Specific mindset	I am always going to feel this way
Needed behavioural change	Reduce substance use
Any other preferences

Cognitive Behavioral Therapy (CBT) Worksheet for PTSD and Substance Use

Patient’s Name: __

Date: ___

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Introduction

This worksheet is designed to help you address your Post-Traumatic Stress Disorder (PTSD) and the issues related to substance use. With the use of cognitive behavioral techniques, we’ll focus on challenging unhelpful thoughts, setting achievable goals, and developing healthier coping strategies.

Understanding Your Thoughts and Feelings

1. Identify Negative Thoughts

Take a moment to consider the negative thoughts you often experience regarding your PTSD and substance use. Here are a few prompts to help you:

• What are some thoughts you have when you feel the urge to use substances?
• What feelings do these thoughts evoke?
• How do these feelings affect your behavior?

Common Negative Thoughts:

• "I am always going to feel this way."
• "Using substances is the only way to cope with my feelings."
• "No one will understand what I'm going through."

Write Down Your Negative Thoughts:

1. ---

2. ---

3. ---

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2. Thought Challenging

Use the table below to challenge your negative thoughts. For each thought, identify evidence against it and develop a more balanced thought.

Negative Thought	Evidence Against It	Balanced Thought
I am always going to feel this way.	___	___
	___
Using substances is the only way to cope.	___	___
	___
No one will understand what I'm going through.	_____	___
	___

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Setting Achievable Goals

3. Weekly Goals

Setting achievable goals is essential for progress. Consider setting goals that are specific, measurable, attainable, relevant, and time-bound (SMART). Aim to reduce your substance use and develop healthier coping strategies.

Goals for This Week:

1. Goal: Reduce substance use to [specific amount/time].

   • Why it matters: __
   • How to achieve it: __

2. Goal: Engage in [specific healthy activity, like exercise or mindfulness] for [specific time].

   • Why it matters: __
   • How to achieve it: __

3. Goal: Reach out to a support person [family, friend, or therapist].

   • Why it matters: __
   • How to achieve it: __

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Mindset Reflection

4. Reflecting on Change

Addressing the thought "I am always going to feel this way." Reflect on how you have changed in the past, even if it's in small ways. Consider the following questions:

• What positive changes have you noticed about yourself recently?
• Can you recall a time when you felt differently, even for a short while?
• How do you think your self-talk can impact your feelings and behaviors?

Reflection Notes:

• Positive Changes: _____
• Moments of Feeling Better: _____
• Impact of Self-Talk: ___

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Coping Techniques

5. Developing Coping Strategies

Identify coping strategies you can use when cravings arise. These may be activities that bring you peace or enjoyment, alternative distractions, or engaging with supportive people.

Coping Strategies List:

1. ---

2. ---

3. ---

4. ---

5. ---

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Summary and Commitment

As you fill out this worksheet, take time to reflect on each section. Remember, change is a process that requires patience and effort. Commit to working on your goals and challenging your negative thoughts.

I commit to working on my goals this week and challenging my negative thoughts.

Signature: __

Date: ___

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Conclusion

Utilize this worksheet as a guide throughout your journey. Regularly revisit your thoughts, goals, and coping strategies. Remember, progress may be slow at times, but every step you take is significant. You are not alone in this process.