This worksheet focuses on managing anxiety and overcoming treatment hesitation, emphasizing strategies to reduce anxiety without resorting to self-medication. It outlines twelve practical methods for anxiety management, such as changing thought patterns, breathing exercises, muscle relaxation, and improving problem-solving abilities. The worksheet encourages setting up personalized plans for each strategy and addresses the issue of self-medication by prompting users to reflect on their past behaviors, the emotions they were trying to manage, and the effectiveness of their coping strategies. It aims to help individuals create a comprehensive approach to managing anxiety and substance use, promoting long-term recovery.

Written by clinical psychologist Dr. Hal Baumchen, PsyD, LP, LADC, this printable PDF worksheet gives clinicians a practical, session-ready tool. The conversational, encouraging tone makes clinical concepts accessible to clients at any stage of recovery, while structured prompts keep the work focused and productive.

How clinicians use it: as an in-session exercise to open and structure discussion, as between-session homework to reinforce skills, as a progress tool to track growth over time, and as part of a treatment unit paired with the companion lesson and PowerPoint on this topic. Formatted for easy printing and immediate use in individual or group settings.