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Therapy handout library: worksheets and activities
A practical library for therapists choosing structured handouts and between-session activities. Browse by approach, concern, or the skill a client is ready to practice.
About this library
Worksheets can give a session a useful bridge into the week, but only when the page matches the clinical task. This therapy handout library is for therapists who want structured handouts and activities without mistaking a completed form for the work itself. You will find guides for choosing, adapting, assigning, and reviewing tools across CBT, DBT, ACT, trauma-informed practice, and everyday coping.
Start with the clinical guide to therapy worksheets if you are deciding whether a handout fits at all. From there, use the sections by approach or task: CBT worksheets for thought records and behavioral experiments, DBT worksheets for targets and skills practice, ACT worksheets for psychological flexibility, and coping skills worksheets for grounding and regulation. Each section organizes the guides around a decision you might be making in practice. Choose one tool, introduce it with care, and plan how you will make sense of it together next time.
Start here
A practical first read
Therapy Worksheets: CBT, ACT, Trauma-Informed and more
A practical guide to therapy worksheets, when to use them, why they fail, and how to adapt CBT, ACT and trauma-informed templates for real clinical use.
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Mental Health Worksheets: Match Tools to Client Concerns
Match mental health worksheets to anxiety, depression, trauma and recovery concerns with a clinical decision table, adaptation checks and a starter pack.
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CBT Worksheets: Free Pack for Therapists (PDF)
Download a therapist-ready CBT worksheets pack with thought records, distortion labels, behavioral experiments, and clinical sequencing guidance.
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DBT Worksheets Pack: Free Therapist Download
Download a therapist-ready DBT skills worksheet pack with diary-card, chain-analysis, distress-tolerance, and interpersonal-effectiveness pages.
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ACT Therapy Worksheets: A Clinician's Guide to Acceptance and Commitment Therapy Tools
ACT therapy worksheets that respect the modality. Defusion, values, committed action, and acceptance tools, with a downloadable starter pack.
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4 Coping Skills Worksheets for Adults & Teens (Free PDF Handouts)
Get 4 coping skills worksheets for adults and teens, plus free PDF handouts for distress tolerance, grounding, emotion regulation, and recovery.
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Worksheets & activities
Choosing and assigning worksheets
Start with the clinical question, not the handout title. These guides help you decide whether a structured prompt will support the work, what it asks the client to do, and how you will return to it together.
Mental Health Worksheets: Match Tools to Client Concerns
Match mental health worksheets to anxiety, depression, trauma and recovery concerns with a clinical decision table, adaptation checks and a starter pack.
Therapy Worksheets: CBT, ACT, Trauma-Informed and more
A practical guide to therapy worksheets, when to use them, why they fail, and how to adapt CBT, ACT and trauma-informed templates for real clinical use.
Between Session Homework Worksheets: A Clinician Worksheet Pack
Use between session homework worksheets as a reviewable pack: choose one page, set a cue and privacy plan, then revisit what comes back next session.
Fun Worksheets for Adults PDF You Can Assign
Send one page from a fun worksheets for adults pdf with a named job, a time box under ten minutes, and a review next hour. Use the assignment pack.
Therapy Workbooks for Adults: Starter Pack (Free PDF)
Download therapy workbooks for adults, with a 4-week starter, treatment-goal map, weekly practice loop, and next-session review prompts.
Mental Health Activity Sheets: Clinician Session Guide
Use four mental health activity sheets in therapy sessions, with selection cues, rehearsal steps, safety checks, and a stop rule.
Worksheets & activities
DBT skills and worksheets
Use DBT pages to organize a specific treatment task, such as tracking targets, reviewing a chain, planning for high distress, or rehearsing an interpersonal ask. Keep the sheet tied to the hierarchy and to a review in the next session.
Behavior Chain Analysis Worksheet for Therapists
Walk a behavior chain analysis in session: a filled chain from vulnerability to consequence, the link a skill could replace, and a blank chain to fill.
Build Mastery Worksheet for Therapists
Use a build mastery worksheet to plan competence reps, schedule one week, and review confidence before and after without turning progress into a score.
Check the Facts Worksheet for Therapists
Assign a check the facts worksheet: prompting event, interpretation, the check, the emotion that fits the facts, and the intensity that fits.
Cope Ahead Worksheet for Therapists
Assign a cope ahead worksheet to rehearse one future difficulty: name the situation, choose skills, imagine the run-through, and review the result.
DBT ACCEPTS Worksheet for Therapists (Free PDF)
Assign a DBT ACCEPTS worksheet: one concrete plan per letter, then one timed shift the client can use in the next distressing hour.
DBT How Skills Worksheet for Therapists (Free PDF)
Assign a DBT how skills worksheet as a how-to-practice record: nonjudgmental, one-mindful, and effective, attached to one already-named skill.
DBT Pros and Cons Worksheet for Therapists (Free PDF)
Assign a four-quadrant urge grid for one named urge: pros and cons of acting, and pros and cons of tolerating the distress this hour.
DBT Techniques for BPD: Hierarchy Before Skills
Choose DBT techniques for BPD by target hierarchy, chain link and client readiness, with worked examples and a printable target-to-skill selector.
Emotion Regulation Worksheets for Therapists
Hand a client emotion regulation worksheets: name the emotion, check the facts, opposite action, and one positive experience, each with a review line.
Opposite Action Worksheet for Therapists
Assign an opposite action worksheet: name the emotion and urge, mark whether it fits the facts, write the opposite all the way through, then rate after.
PLEASE Skill Worksheet for Therapists (Free PDF)
Assign a PLEASE skill worksheet to track physical vulnerability across illness, eating, substances, sleep, and exercise, then choose one weekly target.
Radical Acceptance Worksheet for Therapists (Free PDF)
Assign a radical acceptance worksheet that records the situation, what cannot change, what still can, turning-the-mind moments, and one willingness step.
Show all 23 guides in DBT skills and worksheets
Wise Mind Worksheet for Therapists (Free PDF)
Assign a wise mind worksheet that records the emotion-mind read, the reason-mind read, and the one decision sitting in the overlap.
DBT for Eating Disorders: Modules, Card, Session Sequence
Adapt DBT for eating disorders to binge eating and bulimia: module map, diary-card targets, a session sequence, and where trial evidence is strong or thin.
DBT Diary Card: Free Template and Therapist Review Guide
Standard vs adapted DBT diary cards: when the Linehan format fits, when an adapted card is better, and how to choose which to give a client.
DBT Distress Tolerance Skills for Therapists
Choose DBT distress tolerance skills by clinical need, teach IMPROVE and self-soothing in session, and use therapist-ready practice tools safely.
DBT What Skills Worksheet for Therapists
Assign a dbt what skills worksheet: a three-skill practice log for observe, describe, and participate. One move per trial, then review next session.
DBT STOP Skill Worksheet for Therapists (Free PDF)
Assign a DBT STOP skill worksheet for one named trigger: stop, take a step back, observe, proceed mindfully, then rate the urge after.
FAST Skill Worksheet for Therapists
Use a FAST skill worksheet to rehearse one fair, truthful conversation without unnecessary apology, values drift, or a second DEAR MAN script.
GIVE Skill Worksheet: A Therapist Guide to DBT Relationship Repair
GIVE skill worksheet for therapists: plan one conversation, rehearse gentle language, and review how interest, validation, and ease shaped the exchange.
DBT Worksheets Pack: Free Therapist Download
Download a therapist-ready DBT skills worksheet pack with diary-card, chain-analysis, distress-tolerance, and interpersonal-effectiveness pages.
TIPP DBT Worksheet for Therapists
Therapist guide to using a TIPP DBT worksheet for distress-tolerance rehearsal, crisis pacing, body-led regulation, and session review.
DEAR MAN Worksheet: A Therapist Guide to the DBT Skill (Free PDF)
DEAR MAN worksheet for therapists: the DBT interpersonal-effectiveness skill explained step by step, with clinical adaptations and a free printable PDF.
Worksheets & activities
CBT tools and practice
CBT tools can make a thought, prediction, behavior, or pattern concrete enough to examine together. Choose a focused page, work through an example in session, and adjust or retire it when it no longer serves the formulation.
Automatic Negative Thoughts Worksheet for Therapists
Fill an automatic negative thoughts worksheet in session: situation, thought, emotion, pattern, evidence for and against, and a balanced thought.
CBT Problem Solving Worksheet for Therapists
Assign a CBT problem solving worksheet: define one problem, generate options, weigh them, choose, plan the first step, and review next session.
REBT Worksheet You Assign After a Must
Name the must in session, walk A and C, dispute once, and send one REBT worksheet row home. Review E next hour. Skip the form in crisis or OCD.
Social Anxiety Worksheets for Therapists (PDF)
Printable social anxiety worksheets for licensed therapists: safety-behavior inventory, prediction log, exposure ladder, attention-shift, and review sheet.
Socratic Questioning Worksheet for Therapists
Walk a socratic questioning worksheet in session: six guided-discovery questions, answer space, a client-owned closing summary, and stop cues.
CBT Thought Record Worksheet: A Therapist's Clinical Guide
CBT thought record worksheet guidance for therapists: when the format works, the 5- and 7-column variants, common pitfalls, plus adaptations by population.
Behavioral Activation Worksheet for Therapists
A therapist guide to behavioral activation forms, activity monitoring, scheduling, mood ratings, and review prompts for CBT.
CBT Worksheets: Free Pack for Therapists (PDF)
Download a therapist-ready CBT worksheets pack with thought records, distortion labels, behavioral experiments, and clinical sequencing guidance.
Cognitive Distortions Worksheet: A Therapist's Clinical Guide
Cognitive distortions worksheets for CBT therapists: the standard list of 12, when labeling helps, common pitfalls, and adaptations by population.
CBT Techniques for Depression: Sequence by Clinical Cycle
Choose CBT techniques for depression by maintaining cycle, with staged examples, stop rules, and a printable sequencing planner for therapists.
Cognitive Restructuring Worksheets: A Therapist's Clinical Guide
Cognitive restructuring worksheets for therapists: thought records, behavioral experiments, surveys, continuum work, pie charts, and sequencing.
Exposure Hierarchy Worksheet for Therapists
Therapist guide to building a graded exposure worksheet with SUDS anchors, pacing safeguards, safety behaviors, and session-review prompts.
Worksheets & activities
ACT values and flexibility
ACT forms support psychological flexibility through defusion, acceptance, present-moment contact, self-as-context, values, and committed action. Pick the process that fits the work rather than turning every page into cognitive restructuring.
Self as Context Worksheet You Assign After Noticing
Assign a self as context worksheet after an in-session noticing drill. Record what was noticed, the story that arrived, and what stayed constant.
Struggle Switch Worksheet for Therapists (Free PDF)
Assign a struggle switch worksheet that records the unwanted feeling, the fight, what that fight cost, and one switched-off alternative.
ACT Therapy Techniques for This Hour
Use act therapy techniques in the hour: one scripted move for each hexaflex process, and the cue that tells you when to reach for it.
ACT Therapy Worksheets: A Clinician's Guide to Acceptance and Commitment Therapy Tools
ACT therapy worksheets that respect the modality. Defusion, values, committed action, and acceptance tools, with a downloadable starter pack.
ACT Defusion Techniques: Clinical Scripts and Selection Guide
ACT defusion techniques for therapists, with use and avoid cues, worked scripts, client-response examples, and a printable clinical selection sheet.
ACT Matrix Worksheet for Therapists
An ACT matrix worksheet for sorting private experience from observable behavior in session, with a printable clinician version and documentation examples.
Values Clarification Worksheet for Therapists
A values clarification worksheet for ACT-informed therapy, with prompts for values, goals, avoidance, committed action, and review.
Worksheets & activities
Trauma, EMDR, and parts work
Trauma, EMDR, and parts-work tools need pacing, consent, and a clear sense of what the client can safely approach. Begin with stabilization and use the guide that matches the phase and modality of the work.
Parts Work Therapy Worksheets You Can Assign
Assign parts work therapy worksheets after a part was met in session, time-box noticing, and review the page next hour. Use the shared pack.
Trauma Narrative Worksheet and Adult Template
Fill a trauma narrative in session: readiness, pacing, chapters, one processing prompt, a grounding step, and the stop rule you will use.
IFS C: 8 Cs of Self in the Chair
Use each IFS C of Self from the chair: what it sounds like in a client, a prompt to invite it, and the 5 Ps of your Self beside the hour.
Internal Family Systems Chart for Therapists
Use an internal family systems chart to sort managers, firefighters, and exiles by role, common examples, and what each protects in session.
Grounding Techniques Worksheet for Therapists
Therapist guide to using grounding worksheets for children, teens, and families with pacing, rehearsal, review, and documentation prompts.
IFS Worksheets: A Clinician's Guide to Internal Family Systems Tools
IFS worksheets for parts mapping, unblending, and Self-led practice. A therapist-authored guide to internal family systems worksheets and tools.
Between Session Activities Trauma Work Can Finish Safely
Select between session activities trauma work built on stabilization, choice, pacing, and stop conditions, with a printable safety-aware selector.
Free Trauma Worksheets for Adults
Download free trauma worksheets for adults, with therapist pacing cards, stop rules, and next-session review. Stabilization only, not processing.
Window of Tolerance Worksheet for Therapists
Therapist guide to mapping arousal ranges with children, teens, caregivers, and trauma-affected clients using practical worksheet scaffolds.
EMDR Target Development Worksheet: Clinician Guide
Plan past, present, and future EMDR targets, assess readiness, and document Phase 3 elements with a clinician printable and clear training limits.
IFS Parts Mapping Worksheet: Clinician Guide
Use an IFS parts mapping worksheet to map protectors, check unblending, pace exile contact, and download a printable clinician tool with an example.
Worksheets & activities
Coping and everyday practice
These practical handouts cover grounding, emotion regulation, relationships, behavior change, and between-session follow-through. Favor one small, rehearsed skill over a long list a client is expected to complete alone. For individual adolescent sessions, explore therapeutic activities for teens with a clear goal and a shared debrief.
3 Impulse Control Worksheets for Therapists (Free PDF)
Download 3 impulse control worksheets for therapists to map triggers, rate urges, build a pause plan, and review choices with a free PDF.
Behavior Worksheets for Therapists (Free PDF)
Download behavior worksheets for therapists, with ABC mapping, a replacement-behavior plan, and review prompts for kids, teens, and families.
Co-occurring Disorders Worksheets for Therapists
Walk one cue-and-function row in session, then send co-occurring disorders worksheets as a three-line high-risk log. Review both tracks next hour.
Divorce Therapy Techniques for the Decision Hour
Four divorce therapy techniques for this hour: decision clarity, co-parenting, grief for the marriage, and a one-week transition plan.
Grief Worksheets for Therapy: Task Sheet and Continuing-Bond Record
Assign clinician grief worksheets: one Worden-based task for the week plus a continuing-bond record, with dose, stop rules, and next-session review.
Mental Health Check-In Worksheet for Therapists (Free PDF)
Download a mental health check-in worksheet for therapists, with a repeatable client pulse, setup guidance, privacy boundaries, and next-session review.
Narrative Therapy Worksheets You Hand a Client
Hand a client four narrative therapy worksheets: name the problem, map its influence, catch unique outcomes, and start an alternative story.
Self Compassion Worksheet for Letter and Other Records
Assign one self compassion worksheet: a compassionate letter and a borrowed-other sentence the client completes and brings back. For licensed therapists.
Shame Worksheet for Shame Versus Guilt Records
Assign one shame worksheet: a shame-versus-guilt record, a justified or unjustified judgment, and the action that follows. For licensed therapists.
Therapeutic Activities for Teens: 10 Individual Session Cards
Therapeutic activities for teens with session goals, materials, steps, privacy lines, and debrief questions for individual therapy sessions.
Triggers Worksheet for Therapists: Guide + Free Skills Pack
Use a triggers worksheet to map cues, pair triggers with coping skills, and review patterns safely. Get the free therapist-led PDF pack.
Compassionate Imagery: Session Steps and Script
Run compassionate imagery in session: four CFT steps, a worked therapist script, threat-response moves, and a small home practice.
Show all 40 guides in Coping and everyday practice
Tree of Life Narrative Therapy for This Hour
Run tree of life narrative therapy this hour: tree parts, four session steps, a filled example, and a printable worksheet you copy.
4 Coping Skills Worksheets for Adults & Teens (Free PDF Handouts)
Get 4 coping skills worksheets for adults and teens, plus free PDF handouts for distress tolerance, grounding, emotion regulation, and recovery.
Couples Therapy Worksheets for the Week Between Sessions
Hand a couple one sheet for the week: a conflict-cycle map, repair log, bonding exercise, or intimacy check-in, with a safety line and your review.
Stages of Change Worksheet for Therapists (Free PDF)
Download a stages of change worksheet for therapists, with readiness prompts, stage-matched next steps, clinical cautions, and a printable PDF.
Anger Management Worksheet: A Therapist's Clinical Guide
Anger management worksheets for therapists: escalation tracking, cognitive appraisal, coping-skill selection, and a printable session tool.
Assertiveness Worksheet for Therapists
Assign an assertiveness worksheet: a passive, aggressive, and assertive style grid plus one rehearsal ladder, with stop rules and next-session review.
Therapy Termination Worksheet for Planned Endings
Assign a therapy termination worksheet: what changed, open goals, return cues, and who to contact, with dose, stop rules, and next-session review.
Coping Skills Checklist for Teens (Therapist PDF)
Download a coping skills checklist for teens for therapists, with 1-3 named skills, privacy rules, and review of used, mixed, or blank work
Adulthood Worksheets: Adult Roles, Boundaries and Goals
Assign adulthood worksheets for adult-role overload, boundaries and small goals. Choose one brief task and review it with the client next session.
Apps to Recommend to Therapy Clients: Free Sheet
Compare apps to recommend to therapy clients by clinical use, privacy, evidence, access, and review plan. Download the therapist recommendation sheet.
Art Therapy Worksheets for Talk Therapists (PDF)
Printable art therapy worksheets for licensed therapists: four image-safe prompts with debrief notes for emotion, identity, resources, and closure.
Between Session Activities Anxiety Clients Can Finish
Select between session activities anxiety work that fits the maintaining cycle, burden, and next-session review, with a printable activity selector.
Between Session Activities Depression Clients Can Finish
Select between session activities depression work calibrated to energy, anhedonia, and behavioral activation, with a printable activity selector.
Depression Worksheets for Teens (Free PDF)
Download depression worksheets for teens for therapists, with a small-action plan, support map, short thought check, and safety-escalation boundaries.
Therapy Worksheets for Teens (Free PDF)
Download therapy worksheets for teens for therapists, with a session-goal selector, teen try card, privacy rules, and next-session debrief boundaries.
Social Skills Worksheets for Adults (Free PDF)
Download social skills worksheets for adults, with joining and exiting conversations, perspective-taking, and therapist review prompts.
Stop Think Act Worksheet for Therapists (Free PDF)
Download a stop think act worksheet for therapists, with youth and adult variants, a worked example, and next-session review prompts.
12 Step Recovery Worksheets for Therapists and Groups
Use 12 step recovery worksheets to structure clinician-led reflection, connect step work to treatment goals, and plan safe follow-up across recovery care.
Wellness Worksheets Pack for Therapists (Free PDF)
Download wellness worksheets for therapists, with a domains inventory, values check, goal ladder, and next-session review prompts.
Positive Psychology Worksheets for Therapists (Free PDF)
Download positive psychology worksheets for therapists, with strengths, gratitude, meaning, and best-possible-self exercises plus debrief prompts.
Self-Esteem Worksheets for Teens: A Therapist Guide
Use self-esteem worksheets for teens with developmentally matched prompts, safety checks, caregiver boundaries, and clinician-led session guidance.
Family Therapy Worksheets: 12 Therapist-Ready Formats
Use family therapy worksheets to map patterns, practice communication, plan repair, and match tools to developmental stage in session.
Accountability Worksheets for Therapy: Free Printable Pack
Free accountability worksheets for therapists: plan one commitment, anticipate barriers, review follow-through, and repair missed steps without blame.
Homework Adherence Therapy Strategies That Hold
Improve follow-through with collaborative task fit, barrier review, rupture-aware repair, and next-session use. Between-Session Pack included.
Boundaries Worksheet: A Therapist's Clinical Guide
A boundaries worksheet for therapists: naming the violation, the felt signal, the limit, and the script, plus a printable session tool for clients.
Communication Skills Worksheet: A Therapist's Guide
A communication skills worksheet for therapists: assertive requests, reflective listening, and repair, plus a printable session tool for clients.
Sleep Hygiene Worksheet: A Therapist's Clinical Guide
A sleep hygiene worksheet for therapists: wind-down routine, a nightly log, and referral boundaries, plus a printable session tool for clients.
Self-Esteem Worksheet: A Therapist's Clinical Guide
A self-esteem worksheet for therapists: core-belief evidence review, values-based reappraisal, and a printable clinical tool for session use.
Frequently asked questions
Use these links to choose a guide for the next clinical or practice task.
How do I choose a therapy worksheet?
When should I introduce a worksheet in therapy?
Which worksheets work well for CBT practice?
Which worksheets support DBT skills practice?
How can I review a worksheet in the next session?
When should I avoid assigning a worksheet?
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