1Learn CBT Relapse-Prevention Plan Skill
Goal: Draft one RPP today, review it monthly (or after any 2-week mood dip) for the next 12 months.
Step 1: List Top Triggers
Identify both external (e.g., holidays, deadlines) and internal (e.g., poor sleep, illness) triggers.
Example: “End-of-quarter crunch; three nights < 6 h sleep.”
Pro-tip: Use your SM2 & BA3 logs to uncover recurring patterns.
Step 2: Spot Early-Warning Signs
Write 3–5 signs that indicate you're moving into the “amber-light” zone, behavioral, physical, or cognitive cues.
Example: Skipping workouts; scrolling at 1 a.m.; jaw tight.
Pro-tip: Keep the list short. Memorable beats exhaustive.
Step 3: Choose First-Line Skills
Pick 3 go-to skills that consistently cut distress in 10 minutes or less.
Example: STOPP Card (PR2); 5-Minute Starter (BA2); Breath 4-7-8 (PR3).
Pro-tip: Only include tools you’ve personally tested and trust.
Step 4: Pick Strategy Escalation
Decide what you’ll do if distress remains ≥ 7/10 after trying first-line skills.
Example: Call friend; run full PMR (PR4); schedule therapy booster.
Pro-tip: Having a threshold protects against “white-knuckling.”
Step 5: List Support Contacts
Write down 3 trusted people and relevant professional resources.
Example: Text Sam (555-1234); email therapist; 24/7 crisis line.
Pro-tip: Reconfirm contact info every quarter.
Step 6: Environmental Tweaks
Make your surroundings recovery-friendly.
Example: Keep elastic band + worksheet in your bag; block doom-scroll apps 10 p.m.–7 a.m.
Pro-tip: Subtle prevention often outperforms intense reaction.
Step 7: Plan Review Dates
Schedule a 30-minute self-check each month; consider sharing it with a friend or therapist.
Example: First Sunday monthly, 7 p.m.
Pro-tip: Set calendar + phone reminders to build the habit.
2Fill out the worksheet
Draft your plan, then revisit it monthly and when you notice a change in your usual patterns. Keep support details current.
Date & Time : …
FAQs
How detailed should my triggers be?
List the handful that historically cause ≥ 2-week dips. Too many items = noise.
What if a warning sign appears but my mood feels okay?
Act anyway. Early action is the easiest action. Run one quick skill and log the event.
When do I call my therapist back?
Write a clear threshold (e.g., PHQ-9 ≥ 10, panic ≥ 2/week, or skills fail twice).
Can the plan change?
Absolutely. Update after life events, medication changes, or new skills learned.
Disclaimer
This lesson is an educational practice resource, not a substitute for professional assessment, diagnosis, or treatment. Discuss behavioral health questions or concerns with a qualified healthcare professional.
Sources and further reading
These resources explain the background approach. They do not validate this worksheet as a standalone treatment or its suggested practice schedule.