Worksheet

Understanding Ambivalence to Change – Worksheet 1

  • Format: Printable PDF worksheet.
  • Best for: In-session work or between-session practice.
  • Focus: Change.
  • Population: Clients with co-occurring mental health and substance use disorders.
  • Author: Hal Baumchen, PsyD, LP, LADC.
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This worksheet, Understanding Ambivalence to Change – Worksheet 1, dives into the inner conflict many people feel when grappling with substance use and mental health issues. It highlights how contradictory desires-such as wanting to quit substance use but also wanting to continue-can leave you feeling stuck or paralyzed. The worksheet encourages you to reflect on personal experiences where these competing beliefs were present and how that impacted your behavior and mindset. Recognizing the areas of conflict helps you understand why you might be resistant to change and clarifies what drives ambivalence. By acknowledging these feelings, you can begin to work through them, decide what you truly want, and take steps toward a healthier, more fulfilling life.