National Institute on Drug Abuse Therapy
Manuals for Drug addiction

A Community Reinforcement Approach:
Treating Cocaine Addiction
 
Discovering Triggers of Your Drug Use

Patient:
 
Date:
 
  1. List the places where you are most likely to use cocaine:
  2. List the people with whom you are most likely to use cocaine:
  3. List and times or days when you are more likely to use cocaine:
  4. List any activities that make it more likely that you will use cocaine:
  5. Do you think that you use cocaine when you are feeling certain ways? Read through the following list and mark the ones that are relevant to you. For those you have marked, list specific examples from your own experience:
  • at the end of (or during) a tense day
  • when faced with something you fear or are anxious about
  • when you've failed to accomplish something you'd planned
  • when you feel you have been taken advantage of
  • when you are bored
  • when you are in a social situation
  • when you feel bad about yourself
  • when you are depressed
  • when you want to feel energized or high
  • when you are faced with a tough problem
  • when you want to be friendly
  • when you wish your personality was different
  • others not listed here
  1. List the places where you are unlikely to use cocaine:
  2. List the people with whom you are unlikely to use cocaine:
  3. List the times or days when you are unlikely to use cocaine:
  4. List the activities you engage in when you are unlikely to use cocaine: