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My change plan

Put a change you choose into your own words, with reasons, first steps, support and room to adjust the plan.

Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed

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Use this after exploring importance and confidence for change. You decide the goal. Reduced use is a valid choice; you can also choose to seek advice or return to exploring your options. Write in your own words with your therapist or alcohol and drug service. Suddenly stopping or cutting down alcohol or some drugs, including benzodiazepines, can be dangerous if your body has become used to them. If you use regularly, feel unwell when you miss them, or are unsure about withdrawal risk, get medical advice before changing your use. After cutting down or taking a break, your body may be less used to a substance. Returning to an amount you used before can cause an overdose, especially with opioids. Ask your alcohol and drug service about overdose prevention when planning a change. Call 999 for suspected overdose, slow or difficult breathing, collapse, a seizure or immediate danger. This worksheet is for feelings you can manage. If you have urges to hurt yourself, or you feel unsafe, use your safety plan if you have one and tell your therapist. If you might act on the urges, call 999 or go to A&E. To talk to someone now, call Samaritans free on 116 123. This plan is not monitored for urgent help. Contact your service directly; use local urgent care if urgent help is needed and your service is unavailable.

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The change you choose

This is your plan, not a promise to someone else.

Make the plan workable

You can change the plan after reviewing what you need.

Try it here — nothing you type is saved. Sign up to assign it and let clients complete it on any device.

When to use the My change plan

The My change plan is an interactive motivational interviewing (MI) worksheet, for work with substance misuse. Consider this resource when a client feels ambivalent about change and wants space to explore their own reasons, the importance of change and their confidence in it.

It is designed to be used within therapy rather than as a standalone self-help tool: a therapist introduces it, works through it collaboratively, and helps make sense of what it surfaces. You can preview the full worksheet above, then assign it digitally for clients to complete between sessions on any device or download it as a print-ready PDF.

How it works

Most people work through it in around 20 minutes. It moves through two short steps:

  1. The change you choose: This is your plan, not a promise to someone else.
  2. Make the plan workable: You can change the plan after reviewing what you need.

Completed on the Formulate platform, your client's answers are saved automatically and shared straight back to you, so you can review them before the next session rather than waiting for a paper copy to come back.

The MI approach behind it

The My change plan draws on motivational interviewing (MI). MI is a collaborative conversation about ambivalence, including reasons to change and reasons to keep things as they are. The therapist listens for the client’s own reasons and respects their choice about what happens next. Exploring importance and confidence can distinguish wanting change from feeling able to attempt it, without turning the conversation into persuasion.

It is intended as one part of a wider course of therapy rather than as advice or a diagnosis. The therapist can help decide how it fits the work and discuss what emerges.

Evidence & sources

This worksheet draws on motivational interviewing. Key sources include:

  • Miller, W. R. & Rollnick, S. (2013). Motivational Interviewing: Helping People Change. Guilford Press.
  • Substance Abuse and Mental Health Services Administration (2019). Enhancing Motivation for Change in Substance Use Disorder Treatment. Treatment Improvement Protocol (TIP) Series 35.

For use alongside professional support

Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.

If you need urgent help now:

  • Emergency services: 999 — if you or someone else is in immediate danger
  • NHS 111 (NHS 24 in Scotland): 111 — choose the mental health option for urgent help, in England, Scotland and Wales (in Wales, press 2)
  • Lifeline: 0808 808 8000 — for urgent help in Northern Ireland, free, day or night
  • Samaritans: 116 123 — free, day or night, 365 days a year
  • Shout: 85258 — text SHOUT, free, day or night
  • SANEline: 0300 304 7000 — 4pm–10pm, every day

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