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Substance Use Disorder (SUD) Worksheets

SUD Worksheets

Understanding Substance Use Disorders and How Mindfulness-Based Ecotherapy Can Help

What Are Substance Use Disorders?

Substance Use Disorders (SUDs) occur when the use of alcohol, drugs, or other substances interferes with daily life, health, or relationships. They involve patterns of compulsive use, cravings, and difficulty controlling behavior despite negative consequences. SUDs are complex, influenced by genetics, environment, and emotional health.

Recovery is possible, but it often requires a combination of support, skill-building, and self-awareness.


How Mindfulness-Based Ecotherapy Can Support Recovery

Mindfulness-Based Ecotherapy combines evidence-based mindfulness practices with immersive nature experiences. It helps clients:

  • Increase awareness of triggers, cravings, and emotional “weather”
  • Observe thoughts and feelings without reacting impulsively
  • Build psychological flexibility through guided reflection and experiential exercises
  • Connect with personal values and life purpose in a grounded, tangible way

By integrating the natural environment into mindfulness practice, clients gain a sense of perspective, calm, and resilience that supports long-term recovery.


Using the Worksheets for Substance Use Disorders

The worksheets on this page are designed to help you practice mindfulness, reflection, and values-based action in the context of SUD recovery. They include exercises such as:

  • Noticing the Landscape: Observing daily routines and emotional patterns without judgment
  • Leaves on a Stream: Practicing cognitive defusion by letting thoughts pass without reaction
  • Roots and Branches: Exploring self-as-context through a tree-based metaphor
  • Weather and Willingness Log: Tracking emotional climates and practicing acceptance

How to Use Them Effectively:

  1. Choose a SUD worksheet appropriate to your current stage of change – from awareness (precontemplation) to action and maintenance.
  2. Take your time outdoors if possible – even a few minutes of mindful observation enhances engagement.
  3. Reflect honestly – write your observations without censoring or judging yourself.
  4. Repeat regularly – consistent practice strengthens self-awareness and coping skills.
  5. Combine with support – consider discussing insights with a therapist, counselor, or support group.

Stages of Change

  1. Precontemplation: Not yet considering change. The person may be unaware of a problem or resistant to acknowledging it.
  2. Contemplation: Aware of the problem and thinking about change, but not yet committed to action. Ambivalence is common.
  3. Preparation: Getting ready to take action soon and planning and gathering resources or strategies to support change.
  4. Action: Actively implementing changes in behavior, thought, or environment to address the problem.
  5. Maintenance: Sustaining new behaviors over time and working to prevent relapse. Focused on reinforcement and long-term habit formation.
  6. Termination / Growth (optional stage): The new behavior is fully integrated; risk of relapse is minimal. Often framed as ongoing growth and consolidation rather than finality.

Disclaimer

These worksheets are provided for educational and personal use. They are not a substitute for professional diagnosis, treatment, or medical advice. If you or someone you care about is struggling with substance use, please seek support from a licensed healthcare professional.


SUD Worksheet Building the Change Trail Map

SUD Worksheets

The Change Plan Worksheet is used for making a plan to maintain sobriety. It’s a good place to start.



SUD Worksheet ABC in Nature

These worksheets are provided for personal, educational, and clinical use. You are welcome to download, print, and share them with clients or students, provided that all copyright and attribution information remains intact and unaltered.

These materials may not be resold, redistributed for profit, or incorporated into commercial products, training, or publications without prior written permission from the copyright holder, Mindful Ecotherapy Center, PLLC.

All rights reserved. All ACT Worksheet materials ©2026 by the Mindful Ecotherapy Center, PLLC, and Charlton Hall, MMFT, PhD, unless otherwise noted.

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