Worksheets and Templates
CBT-informed worksheets and exploration guides for innovative relationship models. These can be used by non-clinicians and clinicians alike.
How to Use These Resources
These materials are designed to support reflection and understanding.
They are not diagnostic tools or substitutes for therapy.
You can use them:
- on your own
- alongside therapy
- as a starting point for conversations
- as something to return to over time
The goal is not to arrive at a single answer, but to better understand what you are experiencing and how you want to respond to it.
A growing library of clinician-built worksheets and reflection tools. Free to download, share, and adapt in your practice or community.
CBT Applications to Interpersonal & Structural Stressors
CBT Problem Solving
CBT Thought Analysis
Complex Experiences and Coping
Behavior Analysis
CBT Thought Analysis
Trauma
Connection-Seeking, Intimacy & Boundaries
CBT Problem Solving
CBT Thought Analysis
Creating Authentic Relationships
Agreements & Frameworks
Self Reflection and Identity Development
CBT Problem Solving
Coming Out
GBTQ Mental Health Global Self-Assessment Tool
Worksheets and Practical Tools
Structured worksheets for understanding patterns, making decisions, planning manageable changes, and preparing for more useful conversations about care.
These resources are designed to help you slow down experiences that can otherwise feel blurred, urgent, or difficult to organize. Each worksheet explains what it is for, provides an example, and gives you space to work through the process yourself. You do not need to complete an entire collection. Start with the worksheet that most closely matches the question in front of you.
Anxiety and Depression
Tools for noticing the relationship among activity, mood, avoidance, effort, pleasure, and automatic thoughts.
These worksheets are grounded in cognitive and behavioural approaches. They are designed to replace vague self-judgments with more specific information about what is happening, what you are predicting, and what might be worth testing.
01 Activity Diary See what your week actually contains.
Anxiety and depression can make a week feel empty, unproductive, or indistinguishable from the one before it. The Activity Diary helps you record what you did across the week and rate each activity for pleasure and mastery.
Use it to identify:
- activities that provide enjoyment or comfort;
- tasks that create a sense of accomplishment;
- periods in which mood and energy tend to fall;
- activities that cost more or offer more than expected; and
- one small change worth testing during the following week.
This is not a productivity scorecard. Activities are rated against your current capacity, not against what you used to do or what someone else can manage.
Includes: instructions, an hourly weekly diary, pleasure and mastery ratings, and a weekly review.
Download the Activity Diary02 Graded Task Assignment Turn an overwhelming task into a workable staircase.
Some tasks remain stuck because they are being imagined at full size. This worksheet helps you define an observable goal and divide it into smaller steps, arranged from least to most difficult.
Use it when you are:
- avoiding a task because it feels too large;
- returning to an activity after anxiety, depression, illness, or interruption;
- practising gradual exposure;
- having difficulty knowing where to begin; or
- repeatedly attempting a step that may need to be made smaller.
The worksheet includes a practice log so you can compare how difficult each step feels before and after completing it. The aim is not a single heroic attempt. It is repeatable progress at a pace your body can tolerate.
Includes: instructions, a seven-step planning staircase, difficulty ratings, and a practice log.
Download the Graded Task Assignment03 Preparing for Behavioural Activation Identify activities that offer pleasure, mastery, or both.
Low mood often removes motivation before it removes the need for activity. Behavioural activation begins by reversing that sequence: choosing and scheduling an activity before waiting to feel ready.
This preparation worksheet helps you:
- identify activities that once felt enjoyable or satisfying;
- distinguish pleasure from mastery;
- compare predicted effort with actual effort;
- test whether low mood is accurately forecasting an experience; and
- create balanced lists of activities to schedule.
The goal is not to fill your calendar or force yourself to be productive. It is to choose small activities that provide information about what affects your mood, energy, and sense of agency.
Includes: mastery and pleasure mapping, an activity-rating scale, a prediction experiment, and scheduling lists.
Download Preparing for Behavioural Activation04 Thought Record Slow down the sequence between an event, a thought, a feeling, and a response.
Automatic thoughts often arrive too quickly to examine. A thought record helps you identify the thought carrying the most emotional charge, compare it with the available evidence, and develop an alternative interpretation that accounts for the full situation.
Use it when:
- a situation produces a strong emotional response;
- you notice yourself avoiding, checking, withdrawing, or reacting quickly;
- a familiar conclusion about yourself or another person appears;
- you want to distinguish feelings from interpretations; or
- you need to determine whether the thought or the situation requires action.
The aim is accurate thinking, not compulsory positive thinking. Sometimes the evidence supports the original thought. When it does, the worksheet can help you consider what the situation costs, what you want to do, and who else may need to know.
Includes: instructions, a worked example, an evidence-based thought record, and space to revisit feelings after reflection.
Download the Thought RecordDecision Making
Tools for choices that involve genuine trade-offs, practical constraints, incomplete information, or problems that cannot be resolved through reassurance alone.
These worksheets recognize that difficulty making a decision does not necessarily mean that you are indecisive. Sometimes both options carry meaningful benefits, losses, risks, or consequences shaped by circumstances outside your control.
01 Decisional Balance Put the full cost of changing and not changing on one page.
A conventional pros-and-cons list often misses the parts of a decision where ambivalence actually lives: the advantages of staying the same and the disadvantages of making the change.
This four-part worksheet helps you consider:
- the advantages of changing;
- the disadvantages of changing;
- the advantages of not changing; and
- the disadvantages of not changing.
You can then identify which considerations carry the most weight and distinguish what is within your control from what depends on money, safety, housing, immigration status, family, institutions, or other people.
The worksheet does not make the decision for you. It helps you see the decision more completely.
Includes: instructions, a worked example, a four-part decision grid, weighting prompts, and reflection questions.
Download the Decisional Balance02 Problem Solving Worksheet Use when the problem is real and the question is what to do next.
A thought record asks whether the evidence supports your conclusion. This worksheet begins from the possibility that it does. The relationship may not be working. The environment may be unsafe or unsustainable. The problem may require action rather than reinterpretation.
The worksheet guides you through:
- describing the situation in observable terms;
- identifying feelings and thoughts;
- defining one problem at a time;
- setting a specific and achievable goal;
- generating possible responses before evaluating them;
- comparing the strongest options;
- choosing an action; and
- reviewing what happened.
The process does not assign responsibility for structural conditions or another person’s conduct to you. It focuses on what may be available to you within the situation, including seeking support, making a complaint, reducing exposure, leaving, or bringing someone else into the process.
Includes: instructions, a worked example, a complete problem-solving sequence, an action plan, and an outcome review.
Download the Problem Solving Worksheet03 Problem Solving for Housing Organize a housing decision made under pressure.
Housing choices are often shaped by deadlines, limited availability, financial constraints, discrimination, and decisions made by landlords, programs, or institutions. This worksheet helps separate the part of the situation you can act on from the conditions requiring advocacy, support, or action by someone with greater authority.
Use it to:
- describe the immediate housing situation and deadline;
- identify the specific problem in front of you;
- clarify what information you still need;
- establish realistic goals;
- generate and compare possible actions;
- identify who will do what and by when; and
- reassess the situation when new information appears.
This worksheet cannot make an inadequate housing option safe or create options that do not exist. It can help you make the decision using clearer information and preserve a record of how it was reached.
Includes: instructions, a worked housing example, structured problem solving, an action plan, and a follow-up review.
Download Problem Solving for Housing04 Housing Criteria Mapping Decide what matters before you are standing in a unit under pressure.
Housing decisions can involve dozens of competing considerations. This worksheet helps you identify your requirements, preferences, priorities, and possible trade-offs before attending viewings or comparing specific options.
It covers:
- safety and security;
- location and neighbourhood;
- accessibility and apartment features;
- cost and financial considerations;
- building policies and maintenance;
- transportation and essential services;
- family, community, and social needs; and
- requirements shaped by disability, identity, safety, or discrimination.
A requirement is different from a preference. An elevator required for mobility, proximity to essential care, or a neighbourhood where you can move safely should not be weighed against conveniences as though they were interchangeable.
Includes: a 37-item criteria inventory, space for additional requirements, a top-five priority exercise, and a trade-off map.
Download Housing Criteria MappingManaging Mania
Tools for recognizing personal patterns associated with elevated and depressed mood, identifying early changes, and connecting observation to a plan developed in advance.
These worksheets are intended to support ongoing care for people who already understand themselves as experiencing bipolar-spectrum mood changes or who are exploring these patterns with a qualified professional. They cannot determine whether someone is manic, hypomanic, depressed, or living with bipolar disorder.
Because insight and judgment can change during an episode, these tools are usually most useful when completed during a relatively stable period and reviewed with a clinician or trusted support person.
01 Life Chart Exercise Map episodes, life events, substances, and treatment across time.
A life chart places periods of depression, elevation, and relative stability on a shared timeline. It then adds major events, relationships, losses, moves, work changes, substance use, medication, therapy, and hospital care.
Use it to explore:
- what tends to happen before a mood episode;
- how long episodes have lasted;
- whether particular disruptions appear repeatedly;
- what changed after treatment began;
- how substance use and mood shifts overlap; and
- what was different during longer periods of stability.
The chart identifies sequences and questions; it does not establish causation. Dates may be approximate, especially when mapping earlier periods.
Completing a life chart can bring difficult periods together on one page. Consider doing it with support and planning what you will do afterward.
Includes: instructions, a worked example, short- and long-term timelines, a mood scale, and a trigger-pattern review.
Download the Life Chart Exercise02 Mood and Symptom Links Describe what mood changes look like in you, not only in a diagnostic checklist.
General descriptions of mania and depression may be difficult to recognize in daily life. This worksheet helps you describe how mood, sleep, energy, concentration, creativity, social activity, self-perception, restlessness, and sensitivity to noise change during elevated, depressed, and stable periods.
Begin by describing your usual baseline. Specific observations, such as hours slept, money spent, messages sent, or changes in social activity, are often easier to recognize than broad labels.
Use the worksheet to:
- establish what “well” or relatively stable looks like for you;
- translate symptoms into your own words;
- identify the areas that change earliest;
- invite observations from someone who knows your patterns; and
- decide who should notice and respond to particular changes.
Recording valued experiences such as creativity, confidence, or sociability does not mean agreeing to give them up. It helps distinguish a good period from the beginning of a change that may carry costs.
Includes: instructions, a worked example, a personalized comparison table, early-warning questions, and a support-person plan.
Download Mood and Symptom Links03 Tracking Daily Moods Connect a daily mood rating to an action decided in advance.
A mood rating records what happened. A mood plan identifies what you have agreed to do when the rating reaches a particular level.
This worksheet helps you:
- define your own mood scale;
- establish a practical response for different levels;
- record one rating each day;
- identify direction and change across several weeks;
- notice whether planned actions were carried out; and
- revise actions that repeatedly prove unrealistic.
The response attached to each level should be specific enough to use when energy, judgment, or concentration has changed. Plans for more severe elevated or depressed states should be developed in advance with appropriate clinical and personal support.
Includes: instructions, an example with preplanned actions, a weekly tracker, review questions, and a plan-revision table.
Download Tracking Daily Moods04 Thought Record for Manic Thoughts Create time between an urgent thought and the action it is asking you to take.
Thoughts associated with elevated mood may feel exciting, unusually clear, urgent, or unquestionably correct. They may involve a major idea, an impulsive decision, or an expectation that something important is about to happen.
This adapted thought record asks:
- What is the thought asking you to do?
- What would acting now commit you to?
- What does your recent history show?
- Which limits are being treated as though they do not apply?
- Could the idea remain valid without requiring immediate action?
- What plan would protect sleep, money, relationships, safety, and future choice?
The aim is not to prove that an idea is bad. It is to evaluate its urgency, timing, scale, and likely consequences. The final step is to make a concrete plan and share it with someone who knows you.
This worksheet works best when completed before acting. It should not be relied on as the only safeguard when judgment, sleep, spending, driving, safety, or contact with reality has already changed substantially.
Includes: common thinking patterns during elevation, examples, a worked thought record, an evidence review, and a concrete action plan.
Download the Thought Record for Manic ThoughtsChoosing Where to Begin
You might start with:
- Activity Diary if your week feels blurred or you are unsure where your energy goes.
- Graded Task Assignment if a specific task feels too large to begin.
- Preparing for Behavioural Activation if you want to rebuild pleasure, mastery, or routine.
- Thought Record if a situation repeatedly triggers a strong conclusion or emotional response.
- Decisional Balance if both changing and staying the same carry meaningful costs.
- Problem Solving if the distressing thought is accurate and you need to decide what to do.
- Problem Solving for Housing if an immediate housing situation needs structured action.
- Housing Criteria Mapping before comparing units, attending viewings, or accepting an offer.
- Life Chart if you want to understand mood episodes across a longer period.
Related Reading
These resources are connected to The Mental Health Guide for Cis and Trans Queer Guys, which explores these themes in more depth.
Learn more about the bookFinding a Therapist
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