Internal Trigger Questionnaire
During recovery certain feelings or emotions often trigger the brain to think about using substances. Read the following list of feelings and emotions, and place a check mark next to those that might trigger thoughts of using for you. Place a zero next to those that are not connected with using.
afraid
frustrated
neglected
angry
guilty
nervous
confident
happy
passionate
criticized
inadequate
pressured
depressed
insecure
relaxed
embarrassed
irritated
sad
exited
jealous
bored
exhausted
lonely
envious
deprived
humiliated
anxious
aroused
revengeful
worried
grieving
resentful
overwhelmed
misunderstood
paranoid
hungry
What emotional states that are not listed above have triggered you to use substances?
Was your use in the weeks before entering treatment
___. Tied primarily to emotional conditions?
____. Routine and automatic without much emotional triggering?
Were there times in the recent past when you were not using and a specific change in your mood clearly resulted in your wanting to use? (for example, you got in a fight with someone and wanted to use in response to getting angry)?
Yes____
No_____
If yes, describe