Decisional Balance Worksheet

Thinking about making a change with substance use or a habit can feel overwhelming. It’s completely normal to feel torn—part of you might want to stop, while another part might not be ready. This worksheet uses a proven tool called Decisional Balance to help you map out your mixed feelings and gain clarity.

📄 What’s Included?

Understanding Your Choices Learns how Decisional Balance works without judgment. It explains why looking at the benefits of using is just as important as looking at the bad parts, so you can figure out what you might need to replace those benefits with.

The Decisional Balance Grid A clear, 4-box layout to map out: What you like about using vs. what it costs you. What would be great about changing vs. what feels scary or hard about it.

Guided reflection questions to help you look at the big picture, spot healthy replacements for what the habit gives you, and choose one tiny, manageable step forward.

Photo by Vladislav Babienko on Unsplash