12 Steps of The NA Worksheet

1-Can you recall how you started narcotics and why you enjoyed it initially?

______________________________________________________________________________

2-How did you feel when you had not engaged in addictive behavior?

______________________________________________________________________________

3-List down those events and places that play the role of “cue” to trigger a craving.
______________________________________________________________________________

______________________________________________________________________________

4-Write down the people who serve as “cues” to trigger a craving.

______________________________________________________________________________

5-Write up the intensity and frequency of response (using ).

______________________________________________________________________________

6-Set a goal to decrease “response (addictive behavior)” by 1 step back for 15 days.

______________________________________________________________________________

7-List down the event, place, things, and people who are part of the “reward (feelings)” after using narcotics.

______________________________________________________________________________

8-Write down what cue to remove to break the cycle of craving.

______________________________________________________________________________

9- Write down the frequency of success and failure to remove the cue.

______________________________________________________________________________

10- Reinforce success every time with something that makes you feel a better person.

______________________________________________________________________________

11-Appreciate yourself for a small commitment

______________________________________________________________________________

12- Reevaluate your cues and responses list, and set 2nd step for the next 15 days.

______________________________________________________________________________

You can download more Mental Health worksheets here

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counselor.

References

DeLucia C, Bergman BG, Beitra D, Howrey HL, Seibert S, Ellis AE, et al. Beyond Abstinence: An Examination of Psychological Well-Being in Members of Narcotics Anonymous. J Happiness Stud. 2016 Apr 1;17(2):817–32.