Relapse Prevention Plan Worksheet (Free PDF Download)

Relapse Prevention Plan Worksheet example

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What is the Relapse Prevention Plan worksheet?

The relapse prevention plan worksheet is a two-page plan that a client fills in rather than reads. Page one pairs each Trigger with the Coping Strategies that answer it and lists Your Support Network. Page two is a Daily Maintenance Plan split into morning, afternoon and night.

How to use the Relapse Prevention Plan worksheet

Use this plan both in session and as homework. Build the Identify your Triggers and Coping Strategies grid in session, one row at a time, so each trigger gets a strategy the client has used before. Name the people in Your Support Network with the client present, since a list written alone tends to be shorter. Your clients can draft the Morning, Afternoon and Night Routine boxes between sessions and report what held.

Relapse Prevention Plan Worksheet Download – What’s Included

The download is a two-page printable PDF. Page one opens with a short note on triggers, then a Trigger and Coping Strategies table with room for several rows, then the Your Support Network list. Page two holds the Daily Maintenance Plan, with separate blocks for Morning Routine, Afternoon Routine and Night Routine.

Frequently asked questions

What should be in a relapse prevention plan?

On this sheet it is four things. Triggers come first: the situations, feelings and thoughts that precede a lapse. Each one is paired with a coping strategy. Then come the people the client can call, and a daily routine covering morning, afternoon and night.

How do you write a relapse prevention plan?

Work backwards from real lapses rather than from a blank grid. Ask what happened just before the last one, write that in the Trigger column, then agree a strategy the client has already used successfully. Add support contacts by name and number. Fill the routine blocks last, once the earlier rows are stable.

Used this worksheet in a session?

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Your Author

Tracy Collins, LCP

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.

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Free PDF worksheet · 2 pages

Tracy Collins, LCP

Clinically reviewed by

Ehab Youssef, MSc, Licensed Psychologist

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