therapy worksheets, tools, and handouts for mental health counselors.

Therapy worksheets related to all topics for Adults

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Gratitude Exercises
Gratitude Exercises
Research in positive psychology indicates that those who practice gratitude have lower self-reported levels of depression and stress, and they're more satisfied with their social relationships. Not only that, but the effects can be long-lasting.

This worksheet summarizes a few exercises to help clients begin practicing gratitude. They include journaling, writing a gratitude letter, visiting and expressing thanks to someone who is important, and more.
Related tools: Gratitude Journal
Progressive Muscle Relaxation Script
Progressive Muscle Relaxation Script
Use this script to guide clients in progressive muscle relaxation. It'll be important to provide additional education about the purpose and benefits of the exercise, and to encourage clients to practice on their own. Don't be afraid to adjust the script to make it your own--this is just a framework of the exercise.

The introductory text reads: "Progressive muscle relaxation is an exercise that reduces stress and anxiety in your body by having you slowly tense and then relax each muscle. This exercise can provide an immediate feeling of relaxation, but it's best to practice frequently. With experience, you will become more aware of when you are experiencing tension and you will have the skills to help you relax."
Anger Warning Signs
Anger Warning Signs
This worksheet is intended to be used in the beginning anger management treatment to help educate clients about their physical and behavioral responses to anger. We recommend taking time helping the client identify their earliest warning signs of anger that might be less obvious and more difficult to recognize.

Worksheet copy reads: "Sometimes anger can affect what you say or do before you even recognize the feeling. This is especially true if you feel angry all the time. You may become so used to the feeling of anger that you don't notice it, sort of like how you can hear the sound of an air condition or the humming of a refrigerator but block it from your mind. Even if you aren't thinking about your feelings, they influence how you behave. The first step to managing anger is learning to recognize your personal warning signs that tell you how you feel."
"I" Statements
"I" Statements
Teach clients about the benefits of "I" statements, show examples, and help them practice generating their own statements using this communication worksheet. After going through the examples, it's suggested that the client practices generating "I" statements from situations in their own life.
Relapse Prevention Plan (Version 2)
Relapse Prevention Plan (Version 2)
This worksheet provides a template for clients to list coping skills, social support, and consequences of relapse. The goals of this worksheet are to help clients maintain their motivation for sobriety, and to make sure they always have an accessible list of skills during times of need.
Creating a Token Economy
Creating a Token Economy
Use this worksheet to reinforce important points when helping a parent establish a token economy with their child. Token economies are an effective way to change behavior through the use of positive reinforcement.
Automatic Thoughts
Automatic Thoughts
This CBT tool educates clients about automatic thoughts and the benefits of changing them. An example is given, and clients are encouraged to identify their own automatic thoughts and new replacement thoughts.

The text reads: "Our thoughts control how we feel about ourselves and the world around us. Positive thoughts lead to us feeling good and negative thoughts can put us down. Sometimes our thoughts happen so quickly that we fail to notice them, but they can still affect our mood. These are called automatic thoughts. Oftentimes, our automatic thoughts are negative and irrational. Identifying these negative automatic thoughts and replacing them with new rational thoughts can improve our mood."
Building Discrepancy
Building Discrepancy
One goal of Motivational Interviewing is to build discrepancy between the client's current behavior and their desired behavior. Use this Motivational Interviewing worksheet to help clients understand how their current drug and alcohol use affects various areas of their life.
Gratitude Journal
Gratitude Journal
Several studies have show a link between gratitude and well-being (for one, see Emmons, R. A. & McCullough, M. E., 2003). This worksheet will act as a reminder and a guideline for clients who may be journaling for the first time.
Related tools: Gratitude Exercises
My Stages of Grief
My Stages of Grief
Use this worksheet to help clients explore how they have coped with each of the five stages of grief (denial, anger, bargaining, depression, and acceptance). If clients have gotten stuck in one of the stages, encourage them to explore this point deeper. Try pairing this worksheet with the "Stages of Grief" education printout.
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