Functional Analysis of Use (Triggers and Consequences)
A CBT functional analysis worksheet linking external and internal triggers to use, short- and long-term consequences, and alternative ways to meet needs.
1-page fillable PDF · US Letter (prints on A4) · CBT for addictions
- Approach / concern
- Recovery & Addiction
- Technique
- CBT for addictions
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Functional Analysis of Use (Triggers and Consequences)?
Functional analysis identifies antecedents and consequences of substance use, revealing the functions use serves and guiding skills training and relapse prevention.
Why it works
Functional analysis is central to cognitive-behavioural relapse prevention (Marlatt & Donovan, 2005). Exploring the ‘good things’ about use supports motivational engagement (Miller & Rollnick, 2013).
When to use it
- CBT for substance use
- Early treatment
- Recurring lapses
- Behavioural addictions
How to use it in session
- Pick recent episodes.
- Identify triggers.
- Note short and long-term effects.
- Identify needs.
- Plan alternatives.
Clinician tips
- Acknowledge real benefits.
- Contrast short and long term.
- Link to coping skills.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Why look at the positives of using?
Understanding what use does for you helps you find healthier ways to get the same needs met.
Is this only for drugs?
No. It works for alcohol, gambling, gaming and other behaviours.
References
Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed.). Guilford Press.
Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
