Therapy Worksheets


Latest Therapy Worksheets For Therapists

ABC Model For REBT Worksheet

ABC Model For REBT Worksheet

GinaMarie Guarino, LMHC

Rational emotive behavioral therapy (REBT) is a form of therapy that can be very effective in helping clients. It offers a means to gain perspective on challenging situations. REBT suggests that the way people understand situations causes them to be reactive. The concept of REBT implies that a situation is neither positive nor negative. A […]

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Anger Management Skill Cards Worksheet

Anger Management Skill Cards Worksheet

GinaMarie Guarino, LMHC

Children often do not understand how to handle their anger in a healthy way. They may act out, shut down, or lash out at others. Anger can be a complicated emotion for children, so ensuring that they understand how to cope with the feeling is important. Children often need guidance for how to communicate their […]

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Values: Self-Exploration Worksheet

Values: Self-Exploration Worksheet

GinaMarie Guarino, LMHC

Exploring values can help a great deal in therapy. When a client understands their values, they can gain a better understanding of their goals and what they want from life. They also learn about the type of person they want to be, and how they want to behave. When a person does not have a […]

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My Changing Family: Sentence Completion Worksheet

My Changing Family: Sentence Completion Worksheet

GinaMarie Guarino, LMHC

Children often struggle to talk about how they feel. They struggle to work through their own emotions to feel okay. When a changing family affects a child, they may act out or shut down. It is important to be mindful of these changes, and to help the child work through their feelings, rather than punishing […]

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Boundaries Exploration Worksheet

Boundaries Exploration Worksheet

GinaMarie Guarino, LMHC

A huge part of having a healthy lifestyle and promoting healthy relationships is to have proper boundaries with yourself and with other people Boundaries are very important, but can sometimes be difficult to maintain. Everyone’s boundaries are different. They mean different things to different people. Everyone has their own unique needs and expectations in their […]

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Triggers And Coping Skills Worksheet

Triggers And Coping Skills Worksheet

GinaMarie Guarino, LMHC

Everyone has stressors in their lives. When people are in therapy, different stressors can serve as triggers for different conditions. Most people in therapy will have significant triggers that can cause them to think, act and feel in ways that are not healthy for them. An important part of therapy is helping clients identify their […]

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My Partner's Qualities Worksheet

My Partner’s Qualities Worksheet

GinaMarie Guarino, LMHC

A huge part of being able to build a strong relationship is to know how to acknowledge your partner’s qualities, and be able to articulate why the qualities are important to you. Building a strong foundation takes time, dedication and patience. Couples need to learn how to communicate, compromise, and express appreciation for one another. […]

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When I Am Tempted To Use Worksheet

When I Am Tempted To Use Worksheet

GinaMarie Guarino, LMHC

When working with clients in recovery from substance abuse it is important for both the counselor and the client to understand where their temptations stem from. Everyone will have different moments of temptation, and it is not uncommon for a client to be confronted with temptation when they least expect it. Temptations are very difficult […]

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Reward Coupons Worksheet

Reward Coupons Worksheet

GinaMarie Guarino, LMHC

A huge part of encouraging a child to continue to engage in good behavior is to provide positive reinforcement. Reinforcement is a powerful tool because it helps a child learn what behaviors will get a positive reaction from the people around them. It helps them to understand consequences and how to behave in a way […]

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Relaxation Techniques Worksheet

Relaxation Techniques Worksheet

GinaMarie Guarino, LMHC

A major part of learning how to cope with stress, anxiety and other mental health disorders is to learn effective relaxation techniques. Relaxation techniques are a critical part of maintaining good mental health. They are needed for different areas of your body, and without them you cannot properly cope with stress, anger and other upsetting […]

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Exposure Hierarchy Worksheet

Exposure Hierarchy Worksheet

GinaMarie Guarino, LMHC

Phobias are a challenging struggle for clients to experience. Working with clients who are trying to overcome irrational or debilitating fears takes a great deal of time and patience. A person who is facing a phobia or fear will work hard to develop the courage to face it head on, and often need guidance and […]

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What Is Anger? Worksheet

What Is Anger? Worksheet

GinaMarie Guarino, LMHC

Just like adults, children can have a hard time controlling their anger. They often do not understand how their anger affects them, and how it affects others. Children can struggle to learn how to process and express negative feelings like anger, so it is important to teach emotional intelligence skills to keep them grounded when […]

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Family Mindfulness Schedule Worksheet

Family Mindfulness Schedule Worksheet

GinaMarie Guarino, LMHC

Mindfulness is an important exercise to practice regularly. Clients must learn how to be mindful of themselves, their needs and their emotional wellness in order to ensure good mental health. Families often need mindfulness exercises to ensure their mental health and relationships as well. Family mindfulness is a great way to bring families closer together. […]

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Cognitive Distortions: Predicting The Future Worksheet

Cognitive Distortions: Predicting The Future Worksheet

GinaMarie Guarino, LMHC

Everyone struggles with cognitive distortions. A cognitive distortion is an error in thinking. It is a pattern of thinking that is detrimental to the way clients think about challenges and behave in reaction. A cognitive distortion can cause different issues with stress management, communication, and relationships. It can also affect a client’s self-esteem, self-image, and […]

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Relationship Gratitude Tips Worksheet

Relationship Gratitude Tips Worksheet

GinaMarie Guarino, LMHC

Relationships can be tough, but a couple that is motivated for change and attends couples counseling has a lot of room for growth. It is not uncommon for a couple to struggle with a number of issues. Sometimes an issue that a couple can face is remembering to express gratitude for their loved one. Feeling […]

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Cognitive Restructuring: Decatastrophizing Worksheet

Cognitive Restructuring: Decatastrophizing Worksheet

GinaMarie Guarino, LMHC

Catastrophizing is a common issue that people face in therapy. It is a term that refers to people feeling anxious because they feel the worst will happen in a challenging situation. Catastrophizing causes people to feel a great deal of anxiety. It often causes people to act irrationally and in a way that worsens the […]

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Simple CBT Model Worksheet

Simple CBT Model Worksheet

GinaMarie Guarino, LMHC

When used properly, cognitive behavioral therapy (CBT) is a very effective form of therapy. CBT helps people work on their problem behavior by providing a means to understand their thoughts and feelings. People often react to stressors quickly, and that can prevent them from thinking things through. CBT teaches a person how to slow down […]

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Countering Negative Thoughts Thought Log Worksheet

Countering Negative Thoughts Thought Log Worksheet

GinaMarie Guarino, LMHC

Everyone faces challenges. Life is about facing challenges to find resolution and grow from the experience. A huge factor that affects a person’s ability to handle challenges while maintaining inner peace and growth is the way in which they handle their own negative thoughts. It is important to know how to counter your own negative […]

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Introduction To Stress Management Worksheet

Introduction To Stress Management Worksheet

GinaMarie Guarino, LMHC

Stress is a natural part of life. Everyone experiences stress, and everyone is affected by stress in different ways. It is important to know how to manage stress. When you do not know how to manage your own stress, you face consequences like anxiety, depression and sleep issues. The first step to learning how to […]

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Cognitive Distortions: The "Shoulds" Worksheet

Cognitive Distortions: The “Shoulds” Worksheet

GinaMarie Guarino, LMHC

Cognitive distortions (thinking errors) are a huge contributing factor to many people’s mental health issues. Cognitive distortions are erroneous patterns in thinking that lead to negative thoughts, bad feelings and poor behavior. When someone suffers from a cognitive distortion, they are not able to perceive tough situations in a healthy way. That is why it […]

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Cognitive Distortions: Blaming Worksheet

Cognitive Distortions: Blaming Worksheet

GinaMarie Guarino, LMHC

A huge part of using cognitive behavioral therapy with clients is teaching them about cognitive distortions and how they affect their thoughts, feelings and reactions to upsetting situations. It is not uncommon for a client to turn to cognitive distortions like blaming to avoid taking realistic responsibility for challenges in their lives. In order for […]

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Past Vs. Present Worksheet

Past Vs. Present Worksheet

GinaMarie Guarino, LMHC

Throughout the course of therapy, it is important for both the therapist and the client to have a concrete understanding of how the client is growing and developing their coping skills. Therapy is more than just talking about feelings. It is about personal growth and learning how to manage thoughts, feelings, coping skills, behaviors and […]

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Goodbye Letter Worksheet

Goodbye Letter Worksheet

GinaMarie Guarino, LMHC

Grieving can be a very overwhelming and confusing time for a child. Loss and death is a complex concept, and it can be hard for a child to understand what death and loss means, and how the permanence will affect them. It is not uncommon for a child to feel many different feelings, and not […]

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Self-Care Assessment Worksheet

Self-Care Assessment Worksheet

GinaMarie Guarino, LMHC

Practicing proper self-care techniques is a very a important part of mental health. Without self-care, people cannot grow and learn how to cope with the stress of their daily lives. It is particularly important when someone is struggling with mental illness because it teaches skills to maintain good coping strategies and mental wellness. Self-care is […]

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Social Anxiety Hierarchy Worksheet

Social Anxiety Hierarchy Worksheet

GinaMarie Guarino, LMHC

Social anxiety has an effect on how people interact with others. It affects the connections people make with friends and family. Social anxiety can cause a great deal of stress for affected people, and can be really frustrating to manage everyday. Those who seek help with social anxiety aim to learn how to manage their […]

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Cognitive Distortions: Filtering Worksheet

Cognitive Distortions: Filtering Worksheet

GinaMarie Guarino, LMHC

Cognitive distortions are powerful and erroneous thought patterns that significantly affect a client’s ability to perceive and understand an upsetting situation. Filtering is also referred to as focusing on the negative, which can be detrimental to a client’s self-image and ability to think reasonably. It is important for a client to understand how the habit […]

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Reflections: Communication Skills For Confrontation Template

Reflections: Communication Skills For Confrontation Worksheet

GinaMarie Guarino, LMHC

Having healthy communication skills are important, but also challenging to develop. Some people may struggle with articulating their feelings and needs. It is common for a client to struggle with being assertive or understanding what it means to be assertive with your needs. Learning how to reflect on a situation before confronting another person can […]

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Assertive Communication Worksheet

Assertive Communication Worksheet

GinaMarie Guarino, LMHC

A huge part of successfully developing effective communication skills is understanding what it means to be assertive. Assertive communication skills are essential for clients who are learning how to express themselves effectively. When a person is assertive, they are able to make their point and perspective clear. They are able to state their needs and […]

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Wheel Of Emotions Worksheet

Wheel Of Emotions Worksheet

GinaMarie Guarino, LMHC

Emotions can be challenging to understand. It is not uncommon for people to feel different emotions at the same time and not understand why. When people don’t understand what is fueling their emotions or how they are connected they cannot understand what is needed to appropriately manage and take control of their emotions. About This […]

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Thoughts, Feelings & Actions

Thoughts, Feelings & Actions Worksheet

GinaMarie Guarino, LMHC

Using methods from cognitive behavioral therapy (CBT) is a great way to help children understand and take accountability for their feelings and actions. CBT helps kids understand their thoughts, feelings and behaviors, which can be instrumental in building self-esteem. It also helps with modifying problematic behaviors. Helping a child understand their thoughts, feelings and actions […]

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Thinking Errors Worksheet

Thinking Errors Worksheet

GinaMarie Guarino, LMHC

When teaching your clients cognitive behavioral therapy(CBT) skills, it is important to help them gain an understanding of common thinking errors and how they affect thoughts, feelings and behaviors. When a person has a pattern of negative thinking, it will skew the way they see and understand how they fit into a situation. This will […]

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Looking Back, Looking Forward Worksheet

Looking Back, Looking Forward Worksheet

GinaMarie Guarino, LMHC

It is not uncommon for a person to get stuck on the past, present or future. Each frame of time is important to consider when planning goals or the best way to move forward with life. When a person focus too much on the past they can get stuck because they don’t know how to […]

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Cognitive Distortions: Labeling Worksheet

Cognitive Distortions: Labeling Worksheet

GinaMarie Guarino, LMHC

It is important for clients in therapy to understand how cognitive distortions affect them. Cognitive distortions can affect motivation, perspectives, expectations and self-image. They are powerful, and important to keep in mind when learning how to improve thought patterns in therapy. A cognitive distortion that can be particularly powerful is labeling. Labeling can affect a […]

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Protective Factors Worksheet

Protective Factors Worksheet

GinaMarie Guarino, LMHC

When dealing with a client who is struggling with self-confidence and low self-esteem, it is important to ensure that they are aware of their protective factors. Knowing your own protective factors is important. Protective factors serve as a source of strength, hope and comfort when dealing with a challenge. Sometimes a client is not aware […]

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Triggers Worksheet

Triggers Worksheet

GinaMarie Guarino, LMHC

Being aware of triggers is a critical component to learning how to cope with symptoms of mental illness. A part of a client understanding why they are feeling uncomfortable is understanding what causes the discomfort. Being able to identify triggers helps the client learn how to cope with several different disorders, like anxiety, depression, anger […]

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Positive Journal Worksheet

Positive Journal Worksheet

GinaMarie Guarino, LMHC

Many people who suffer from mental illness struggle to see their daily lives from a healthy perspective. It can be a challenge for most people in therapy to remove the lens of negativity that causes them to feel anxious, depressed or angry. When the balance between positive experiences and negative experiences is weighed toward the […]

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Countering Anxiety Thought Log Worksheet

Countering Anxiety Thought Log Worksheet

GinaMarie Guarino, LMHC

It is not uncommon for a client to feel like a victim of their own anxiety. Anxiety is a difficult feeling to live with, and it is often chronic for people who seek counseling. Anxiety brings ruminating negative thoughts that can have a major impact on a client’s ability to get through their day. When […]

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Symptoms Of Stress Worksheet

Symptoms Of Stress Worksheet

GinaMarie Guarino, LMHC

Stress is a natural part of life. It is a part of life that everyone must face and learn how to cope with. Some people are able to manage stress well, while others tend to really struggle to cope. Stress can lead to other issues, like anxiety, depression, motivation issues and relationship issues, so it […]

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Chore Chart Worksheet

Chore Chart Worksheet

GinaMarie Guarino, LMHC

An important part of teaching a child responsibility, accountability and maturity is to provide structure and routine in the daily schedule. With the help of chores and responsibilities around the house, the child is able to learn how to interact with the world, how to take initiative to be self-sufficient, and how to internalize the […]

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Food Diary Worksheet

Food Diary Worksheet

GinaMarie Guarino, LMHC

People can develop unhealthy eating habits for a number of reasons. Some people use food as a reward, punishment or comfort, while others do not prioritize eating in times of stress. Establishing and maintaining a healthy diet is a critical part of mental health. Without a healthy body a person cannot maintain a healthy mind. […]

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Sleep Diary Worksheet

Sleep Diary Worksheet

GinaMarie Guarino, LMHC

A client’s quality of sleep can be very telling when addressing their mental health. Poor sleep patterns or hygiene can be symptomatic of several different conditions, like anxiety, depression, insomnia or PTSD. If a client is reporting issues with sleeping or recurrence of nightmares, it is important to look closely at the patterns that may […]

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Anger Stop Sign Worksheet

Anger Stop Sign Worksheet

GinaMarie Guarino, LMHC

Anger is an emotion that can overwhelm anyone, especially a young child. When a child is not taught proper emotional regulation skills, they can have trouble with learning how to manage their behaviors in reaction to their feelings. This can result in behavioral issues and troubles with communication. Teaching proper anger management skills helps a […]

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Panic Assessment Worksheet

Panic Assessment Worksheet

GinaMarie Guarino, LMHC

Panic attacks are very difficult to go through, and it is not uncommon for a person to have a panic attack without even realizing it is a panic attack. Panic attacks cause many alarming symptoms that can be disguised as other conditions. It is important for a person to be able to determine whether or […]

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Star Jar Worksheet

Star Jar Worksheet

GinaMarie Guarino, LMHC

Reinforcement exercises are a helpful tool when teaching children healthy communication and behavior habits. With positive reinforcement, a child learns what types of behaviors elicit positive reactions from people. Through using positive reinforcement techniques like reward systems, children can learn how to behave well in school, at home, and in counseling. About This Worksheet This […]

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My Strengths Worksheet

My Strengths Worksheet

GinaMarie Guarino, LMHC

When a child is suffering from the effects of anxiety, trauma, abuse, or behavioral problems, he or she feels helpless and vulnerable. These feelings can prevent the child from taking action in taking care of themselves when it counts. In order to ensure a child develops the skills needed to become mentally and emotionally strong […]

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What Is Worry? Worksheet

What Is Worry? Worksheet

GinaMarie Guarino, LMHC

Children can have a particularly difficult time communicating how they feel. There could be a few different reasons for this. Whether they are afraid, frustrated, or simply do not understand how to express emotions, the ability to talk about how a child feels is important. An emotion that is especially important to be able to […]

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Life Story Worksheet

Life Story Worksheet

GinaMarie Guarino, LMHC

When it comes to certain cases, clients may find it difficult to grasp an understanding of the struggles they are going though. Whether dealing with trauma, anger, anxiety, depression or otherwise, it can be a challenge for many clients to understand how they came to become who they are. Sometimes it is not easy to […]

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Recognizing Stress Worksheet

Recognizing Stress Worksheet

GinaMarie Guarino, LMHC

The first step to managing stress is learning how to recognize stress. Most people who experience symptoms of stress do not realize that it is a physiological reaction. They also do not realize how often daily occurrences can be triggers for stress. When working with a client who is struggling with stress-related issues, it is […]

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Distress Tolerance Skills: ACCEPTS Worksheet

Distress Tolerance Skills: ACCEPTS Worksheet

GinaMarie Guarino, LMHC

Dialectical behavioral therapy is particularly useful when it comes to teaching a client how to handle distressing or upsetting situations. DBT teaches coping skills for stress tolerance, emotional regulation, and the reduction of mood swings and panic attacks. DBT provides several different tools that help a person learn how to cope with upsetting emotions like […]

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Challenging Anxious Thoughts Worksheet

Challenging Anxious Thoughts Worksheet

GinaMarie Guarino, LMHC

When working toward learning steps to manage anxiety, it is important to learn how to challenge anxious thoughts. Anxious thoughts can stem from anywhere, and can affect a client at any time. Being sure that your client is well-equipped with coping strategies to manage anxious thoughts will have a major impact on how he or […]

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Cognitive-Behavioral Model Worksheet

Cognitive-Behavioral Model Worksheet

GinaMarie Guarino, LMHC

The Cognitive-Behavioral model is used in cognitive-behavioral therapy (CBT). It is a model used to explain the process of how CBT works and how it is helpful to utilize while in counseling. Often clients struggle to understand the meaning behind concepts in CBT, so it is helpful to have a visual aid that explains the […]

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Relapse Prevention Plan Worksheet

Relapse Prevention Plan Worksheet

GinaMarie Guarino, LMHC

When in recovery, it is important to have a safety plan. Patients who are in recovery will face many challenges, and most of them will be unexpected. This is why helping our patients be prepared for triggers, cravings and obstacles is critical for recovery. About This Worksheet This is the Relapse Prevention Plan worksheet. This […]

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My Needs Pyramid Worksheet

My Needs Pyramid Worksheet

GinaMarie Guarino, LMHC

At some point in a client’s journey, he or she will need to take a step back to evaluate how he or she is managing self-care. It is important for a client to be well-aware of what he or she needs to be able to maintain self-care, and to understand a hierarchy in which the […]

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Self-Esteem Sentence Completion Worksheet

Self-Esteem Sentence Completion Worksheet

GinaMarie Guarino, LMHC

Building self-esteem is an essential part of child development. Without developing a high self-esteem, a child has a higher risk of struggling with anxiety, depression, relationship issues, body image and many other challenges. These challenges will affect the quality of how the child lives his or her life. In order to be able to develop […]

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My Fears Worksheet

My Fears Worksheet

GinaMarie Guarino, LMHC

It is not uncommon for a child to struggle with verbalizing his or her fears. It can be a challenge for a child to face his or her fears, but setting up a child in a safe setting to express and explore the fears that he or she struggles with can facilitate growth and development […]

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Therapy Goals Worksheet

Therapy Goals Worksheet

GinaMarie Guarino, LMHC

It is important to have a list of goals and objectives for the client and therapist to work toward when beginning a new therapeutic relationship. Setting goals creates a foundation that helps the client and therapist stay on track when helping a client feel better. Setting goals also empowers a client to stay on track […]

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Thank You Worksheet

Thank You Worksheet

GinaMarie Guarino, LMHC

When working with kids and adolescents, especially those who have behavioral problems, it can be a challenge to teach empathy and healthy socialization skills. Being able to express gratitude and appreciation for others helps a child relate to children and how to identify positive qualities within themselves. When a child is able to express appreciation, […]

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Thought Log Worksheet

Thought Log Worksheet

GinaMarie Guarino, LMHC

Sometimes a client will struggle to overcome racing or ruminating thoughts. These thoughts can be frustrating for a client, and can prevent him or her from staying productive throughout the day. If a client is struggling with racing thoughts, it is important for him or her to learn skills to manage those thoughts. Managing the […]

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Fair Fighting Rules Worksheet

Fair Fighting Rules Worksheet

GinaMarie Guarino, LMHC

Arguments are never easy, but it is important to know how to effectively argue to keep lines of communication open. Often when people struggle with arguments the point of the argument is lost, which prevents the partners to find resolution. This is why it is important to learn how to effectively argue to find resolution […]

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Gratitude Exercises Worksheet

Gratitude Exercises Worksheet

GinaMarie Guarino, LMHC

In recent studies, it has been found that practicing gratitude exercises and positive affirmations have been effective in helping people manage stress, anxiety, depression, and an array of other types of mental health disorders. Teaching a client how to practice gratitude exercises helps him or her learn how to acknowledge and appreciate the good. This […]

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Love Yourself And Others Worksheet

Love Yourself And Others Worksheet

GinaMarie Guarino, LMHC

Promoting self-love is an important part of therapy, but sometimes can be a challenge for clients. It is a lesson that is dynamic, and should be treated as such. For a client to learn to love himself or herself, he or she must also learn how to love and appreciate those around him or her. […]

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My Relationship Needs Pyramid Worksheet

My Relationship Needs Pyramid Worksheet

GinaMarie Guarino, LMHC

Working on communication in relationships is an integral part in strengthening the bond between a couple. Often, people who are struggling in a relationship have a hard time expressing their needs in an open and effective way. This can often cause tension in a relationship and cause a rift between partners. About This Worksheet This […]

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Balancing Logic And Feelings Worksheet

Balancing Logic And Feelings Worksheet

GinaMarie Guarino, LMHC

It is important for clients to have an understanding of where logic meets feelings. These are two opposite elements that play a major role in how a client perceives a situation. They are strong forces that facilitate how a client will react to a situation. In order to ensure behavior is healthy, appropriate, and promotes […]

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Self-Reflection Worksheet

Self-Reflection Worksheet

GinaMarie Guarino, LMHC

When working with clients on how to modify behavior, it is important to teach how to be self-reflective and aware of his or her behavior in reaction to the people places and things around them. When clients learn how to be self-reflective, they are able to learn how to slow down reactions, think situations through, […]

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Positive Belief Record Worksheet

Positive Belief Record Worksheet

GinaMarie Guarino, LMHC

A major part of learning how to cope with feelings and emotions in therapy is to understand how negative thoughts affect our thoughts and emotions. When a person is feeling a great deal of negative emotion, like anxiety, depression or anger, that person will also have negative thoughts. A major way to learn how to […]

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How To Talk About Your Feelings For Kids Worksheet

How To Talk About Your Feelings For Kids Worksheet

GinaMarie Guarino, LMHC

Teaching emotional intelligence skills is important when working with young children. Often children have feelings they may not understand, which makes it difficult for them to express how they are feeling and if they are upset. This struggle can prevent caretakers and parents from being able to understand the child’s needs, and can further complicate […]

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What You See In The Mirror Worksheet

What You See In The Mirror Worksheet

GinaMarie Guarino, LMHC

It is not uncommon to have a client pass through your doors who has low self-esteem and a poor awareness of who he or she is and how he or she fits into the world. This can cause a great deal of unpleasant feelings and anxiety within a person, as he or she struggles to […]

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Your Safe Space Worksheet

Your Safe Space Worksheet

GinaMarie Guarino, LMHC

Many of the clients that pass through therapy offices struggle a great deal with feeling safe in their own skin. Whether it is due to a history of trauma, personal insecurities, or just a general suspicion or lack of self-awareness, people often develop symptoms of anxiety and panic when confronted with different challenges. Sometimes, this […]

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How To Create A Mantra Worksheet

How To Create A Mantra Worksheet

GinaMarie Guarino, LMHC

Creating mantras is a great way to help your client learn how to cope and self-soothe when going about their day-to-day life. A mantra is a saying or phrase that is created and used by a person in times of distress, discomfort, sadness or anger. Mantras derive from meditative practices and have been found to […]

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Recipe For Happiness Worksheet

Recipe For Happiness Worksheet

GinaMarie Guarino, LMHC

When we are kids, we have a good grasp of what it means to experience those staple emotions: Happy, sad, angry, excited, etc. We learn about emotions slowly, what they mean, and how to manage them. As we develop, our brain expands, and our understanding of emotions and how we feel becomes more complex. For […]

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Punishment And Reinforcement Worksheet

Punishment And Reinforcement Worksheet

GinaMarie Guarino, LMHC

There are many reasons why rewarding systems and operant conditioning strategies can be beneficial for a client. Whether it is to learn new parenting skills, communication skills, or leadership skills, understanding the process of reinforcement and punishment styles can be instrumental in a client’s therapeutic process. While helpful skills to learn, understanding the difference between […]

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Mindfulness Meditation Worksheet

Mindfulness Meditation Worksheet

GinaMarie Guarino, LMHC

When confronted with a difficult situation or an uncomfortable feeling that is not easily resolved, it can be easy to fall into a pattern of ruminating over the discomfort. It creates an urgent need to resolve a situation or find a solution to help you feel better. As we move through life, we learn that […]

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Deep Breathing Worksheet

Deep Breathing Worksheet

GinaMarie Guarino, LMHC

We all know that sometimes life can get overwhelming. Whether it is stress at work, home, or from an unexpected circumstance that causes us to feel overwhelmed. Whatever the case, it is important to know how to manage the feelings of stress, anxiety, fatigue, and depressed mood that comes with difficult circumstances. We all have […]

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Emotion Regulation Skills: PLEASE Worksheet

Emotion Regulation Skills: PLEASE Worksheet

GinaMarie Guarino, LMHC

Emotional regulation is an important thing to learn when in therapy. Each of us experiences different feelings and different emotions for a wide array of reasons, and sometimes it can feel overwhelming and can be difficult to keep those feelings and emotions in check. Sometimes, these difficult emotions can lead to chronic feelings of depression, […]

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Emotion Regulation Skills: Opposite Action Worksheet

Emotion Regulation Skills: Opposite Action Worksheet

GinaMarie Guarino, LMHC

One of the hardest things for a client to work on is how to learn how to understand, regulate and control their emotions. Emotions are tough, and can often lead clients to behave in a way that is detrimental to themselves and others. A major goal for most clients is to learn how to regulate […]

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Positive Steps To Wellbeing Worksheet

Positive Steps To Wellbeing Worksheet

GinaMarie Guarino, LMHC

In successful therapeutic processes, there will come a point in which a client needs to learn how to maintain a healthy, positive lifestyle that promotes mental health and wellness. Clients learn a great deal while in therapy, and making sure that the skills they learn is important to ensuring the client’s successful completion. It is […]

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Steps To Challenge Automatic Negative Thoughts Worksheet

Steps To Challenge Automatic Negative Thoughts Worksheet

GinaMarie Guarino, LMHC

The way we think is a huge component that contributes to the way we feel, behave and react to situations. People develop habits in thinking. Sometimes those habits are healthy, but often people can develop erroneous patterns of thought that affect the way they perceive the world and their place in it. These thoughts are […]

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Meditate To De-Stress Worksheet

Meditate To De-Stress Worksheet

GinaMarie Guarino, LMHC

It can be easy to get wrapped up in the moment of a stressful situation and instantly feel overwhelmed and without direction or hopes of finding resolution. When dealing with stress it is important to keep in mind that it will trigger anxiety, and each person reacts to anxiety in different ways. It is important […]

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Goal Planning Worksheet

Goal Planning Worksheet

GinaMarie Guarino, LMHC

Sometimes when it comes to working on goals, it is difficult for a client to really understand what it means to set a goal and how to go about working toward that goal. Often times we think of goals as the end result, without considering the means to which we achieve the goal itself. Sometimes […]

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List Of Emotions Worksheet

List Of Emotions Worksheet

GinaMarie Guarino, LMHC

Sometimes it can be tough for our clients to know what words to use to express what they are feeling. Feelings and emotions are complex, and can sometimes be uncomfortable and overwhelming. When our clients struggle to articulate their feelings it can be helpful to provide a guide to help navigate them through the words […]

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Setting Life Goals Worksheet

Setting Life Goals Worksheet

GinaMarie Guarino, LMHC

Sometimes we have clients who struggle with finding motivation. They may struggle to find motivation in developing a career, accomplishing a goal, or moving on to the next phase in life. There are a number of reasons why a person may struggle with achieving a goal. This is why it is important that the client […]

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Values Clarification Worksheet

Values Clarification Worksheet

GinaMarie Guarino, LMHC

As therapists, we know that most issues and concerns our clients face are more dynamic and intricate than the client may realize. Many components contribute to presenting issues with our clients, and often there is more than meets the eye. When working with clients on issues like emotional regulation, mood disorders, anxiety, and self-esteem, it […]

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Building Happiness Worksheet

Building Happiness Worksheet

GinaMarie Guarino, LMHC

Sometimes clients struggle with learning how to feel happy and fulfilled in their lives. Whether it is due to depression, low self-esteem, or motivation issues, it is not uncommon for clients in therapy to struggle to find traction toward happiness or contentment. These clients will ultimately feel lost and sometimes hopeless in their efforts to […]

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CBT For Anxiety Worksheet

CBT For Anxiety Worksheet

GinaMarie Guarino, LMHC

When teaching a client how to use cognitive behavioral therapy (CBT) for managing anxiety it helps a great deal to provide a visual aid. Clients who suffer from severe or chronic anxiety struggle to maintain control over anxious thoughts and resulting anxious feelings and behavior. It is important to teach clients in CBT treatment to […]

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Printable Emotion Faces Worksheet

Printable Emotion Faces Worksheet

GinaMarie Guarino, LMHC

Sometimes our clients have a hard time expressing how they feel to their therapist and others. There could be several reasons for this, like the client was not brought up to express their emotions, they struggled to relate to how others feel, or they simply struggle to make the connection between feeling and expressing their […]

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How I Feel Worksheet

How I Feel Worksheet

GinaMarie Guarino, LMHC

There are a number or reasons why our clients develop a tendency of stunting their emotional expression. Many grow up in homes where they learn to silence their feelings, some suffer from mood disorders that cause unfamiliar feelings, and some come from traumatic, abusive, or negligent situations that prevent them from being able to understand […]

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Self-Esteem Journal Worksheet

Self-Esteem Journal Worksheet

GinaMarie Guarino, LMHC

Helping a patient build self-esteem can be a challenging process. Many patients suffer from poor self-esteem, and that poor self-esteem contributes to their presenting concerns. It also will hold patients back from reaching their full therapeutic potential and feeling confident in themselves to make the changes in their lives that will help them improve their […]

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DBT Interpersonal Effectiveness Skills DEARMAN Worksheet

DBT Interpersonal Effectiveness Skills DEARMAN Worksheet

GinaMarie Guarino, LMHC

Interpersonal issues like assertiveness, aggression, and confrontation are often things people struggle to know how to handle. There is a fine line between assertiveness and aggression, hostility, and submission, when dealing with confrontation. Sometimes it can be difficult to know which road to take, whether to be assertive, aggressive or submissive, and the confusion can […]

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Challenge Your Worries Worksheet

Challenge Your Worries Worksheet

GinaMarie Guarino, LMHC

We all know that worrying consumes time and energy, and is a feeling that is often hard to shake. Patients often struggle to cope with worrying, and may not even realize how severely they are affected by their worrying. do not quite understand that they have the power to control how their thoughts affect their […]

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Relationship Conflict Resolution DBT Relationship Effectiveness Worksheet

Relationship Conflict Resolution Worksheet

GinaMarie Guarino, LMHC

When working with patients who struggle with relationship issues and communication issues, it is important to be sure the patient understands the core elements needed in developing relationships. Patients often struggle with building relationships, getting to know people, being open to others, and communicating. When patients struggle with these issues it is important to teach […]

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Distress Tolerance Skills: Radical Acceptance Worksheet

Distress Tolerance Skills: Radical Acceptance Worksheet

GinaMarie Guarino, LMHC

Many patients will struggle with a major issue that all people are best coming to terms with: we cannot control what happens around us. Wanting to remain in control is a natural thing for people, but it can sometimes be difficult for a patient to understand that they cannot control the environment or a situation, […]

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DBT Interpersonal Effectiveness Skills: FAST Worksheet

DBT Interpersonal Effectiveness Skills: FAST Worksheet

GinaMarie Guarino, LMHC

One major cause for stress for patients is understanding how to handle confrontation and interactions with others. Sometimes people struggle with being assertive, controlling their temper, or simply expressing how they are feeling or what they are thinking in a given situation. When patients struggle with such challenges it helps to help them understand social […]

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Combat Cravings Action Plan Worksheet

Combat Cravings Action Plan Worksheet

GinaMarie Guarino, LMHC

Cravings to engage in dangerous or indulgent behaviors like drinking, using drugs, overeating, or sex are a difficult thing for a patient to work through. Each time a patient experiences a craving or a trigger to engage in something they know is not good for them they are confronted with the conflict between doing what […]

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Behavior Chart Worksheet

Behavior Chart Worksheet

GinaMarie Guarino, LMHC

When it comes to teaching children proper behavior it helps a great deal to have a reward system in place in which the child can watch his or her progress grow. Such positive reinforcement helps with keeping children motivated to keep growing and working hard to learn good behavior and responsibility. Especially when dealing with […]

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Balancing Negative Thoughts Worksheet

Balancing Negative Thoughts Worksheet

GinaMarie Guarino, LMHC

Negative thoughts have the potential to control the way people perceive and interpret almost every aspect of their lives. Some may have negative thoughts about themselves, others, or the way of the world. Negative thoughts generate negative feelings, and negative feelings contribute to negative behavior and mood disorders. That is why it is important to […]

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Positive Traits For Kids Worksheet

Positive Traits For Kids Worksheet

GinaMarie Guarino, LMHC

It is important for children to feel empowered and confident in themselves. Confidence helps a child feel proud, motivates them to learn and engage with others, and helps them build social skills and resilience that will be useful in the real world. Unfortunately, many children find it difficult to identify their positive qualities and what […]

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Anger Warning Signs Worksheet

Anger Warning Signs Worksheet

GinaMarie Guarino, LMHC

It is sometimes difficult for to control anger. Whether it is an isolated situation or a long-term problem , triggers for anger have the potential to cause the affected to react in alarming and sometimes dangerous ways. Those who suffer from anger management issues find it difficult to understand and control their anger. That is […]

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Challenging Negative Thoughts Worksheet

Challenging Negative Thoughts Worksheet

GinaMarie Guarino, LMHC

It is important for therapists who are trained in cognitive behavioral therapy (CBT) to teach their patients how to deal with automatic negative thoughts (ANTs). ANTs are huge catalysts for negative behavior like lashing out at others and self-destructive behaviors. If a patient is able to identify and understand how ANTs are able to affect […]

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What Is Cognitive Behavioral Therapy? Worksheet

What Is Cognitive Behavioral Therapy? Worksheet

GinaMarie Guarino, LMHC

Cognitive behavioral therapy (CBT) is a very popular and effective treatment modality that is used for many different types of cases. Whether the patient has depression, anxiety, borderline personality, low self-esteem, poor impulse control, anger management issues or otherwise. CBT is an excellent form of treatment that provides the patient with tools needed to identify […]

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Exploring Values Worksheet

Exploring Values Worksheet

GinaMarie Guarino, LMHC

A major reason why patients suffer from low self-esteem or emotional issues is a poor sense-of-self. There are many reasons for a person to develop a poor sense-of-self, but one common reason being aware of or understanding the things they value in life. Helping a patient discover what is important to them and their moral […]

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Bedtime Thought Log Worksheet

Bedtime Thought Log Worksheet

GinaMarie Guarino, LMHC

There are many reasons why people tend to have trouble sleeping. Among the most common symptoms of insomnia or sleep issues is having racing thoughts right before going to sleep. Many clients will struggle with falling asleep because as they try to fall asleep they are overwhelmed with thoughts that seem to demand their attention. […]

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Food Journal Worksheet

Food Journal Worksheet

GinaMarie Guarino, LMHC

People who suffer from eating disorders have a difficult time staying on track with a healthy diet. Whether they are inclined to eat too much or not enough, it can be a difficult keep track of the progress they are making in their journey back to health. Often when a patient is first starting out […]

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Grief Sentence Completion For Kids Worksheet

Grief Sentence Completion For Kids Worksheet

GinaMarie Guarino, LMHC

Grief is one of the most difficult things in life that we have to go through. It is confusing, upsetting, painful, and sometimes traumatic. A child is especially affected by grief and loss because they do not understand they may not understand what it means to lose someone, and certainly do not understand how to […]

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My Fears And Strengths Worksheet

My Fears And Strengths Worksheet

GinaMarie Guarino, LMHC

Children find it hard to cope with things they do not understand. There are many people, places and things in the world that scare children, and when children are afraid they feel lost, alone and vulnerable. Children who are fearful have a hard time developing the confidence they need to face their fears, but if […]

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Understanding Emotions For Kids Worksheet

Understanding Emotions For Kids Worksheet

GinaMarie Guarino, LMHC

Working with children is as challenging as it is rewarding. As we know, children perceive and interpret their world very differently than adults. As children develop they begin to understand their lives and their influence on it in different ways. While they grow their understanding and expression of their emotions become more complex, which makes […]

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Positive Activities For Behavioral Activation Worksheet

Positive Activities For Behavioral Activation Worksheet

GinaMarie Guarino, LMHC

When patients suffer from more debilitating emotional issues like depression and severe anxiety it can be difficult for them to keep from falling into bad habits like isolating and cutting off things that bring them joy. Of course this is understandable, as with such mental illnesses it can be difficult for a patient to enjoy […]

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Intervention Checklist

Intervention Checklist

GinaMarie Guarino, LMHC

When we are confronted with a situation in which a patient is expressing to us that he or she is in danger of causing harm to himself or herself or is in danger of being harmed by someone it is important that as clinicians we do all we can do to keep our patient safe. […]

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Suicide Risk Assessment Worksheet

Suicide Risk Assessment Worksheet

GinaMarie Guarino, LMHC

It is always alarming when a patient comes into our office and begins to express plans or thoughts about harming himself or herself. We are trained as professionals to take any and all reports like this seriously and need to be able to collect all of the information we need to effectively and safely assess […]

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Positive Experiences Worksheet

Positive Experiences Worksheet

GinaMarie Guarino, LMHC

When we are confronted with patients who are fixated on the negative it is difficult to break away from the bad and shift focus on the good. Often we will have a patient who does not acknowledge anything besides the negative in his or her life which not only is detrimental to their overall health, […]

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Safety Plan Worksheet

Safety Plan Worksheet

GinaMarie Guarino, LMHC

One of the most important things we do as therapists is screen our patients to make sure they are safe after they leave our office. Whether the patient is struggling with depression, anger, eating disorders, substance abuse, family issues, abuse, or suicidal ideation, it is imperative that we make sure our patients are safe and […]

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My Stages Of Grief Worksheet

My Stages Of Grief Worksheet

GinaMarie Guarino, LMHC

In 1969, Dr. Elisabeth Kübler-Ross developed the 5 stages of grief. This is where the grieving process is broken down into 5 stages. These stages include denial, anger, bargaining, depression and acceptance. Each stage is a part of the difficult process of grieving that almost everyone who experiences loss faces. Although the theory behind the […]

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Why I Am Grateful Worksheet

Why I Am Grateful Worksheet

GinaMarie Guarino, LMHC

Sometimes when people suffer from low self-esteem, low confidence, or mood disorders like anxiety and depression it is easy to focus on the negative and forget about the positive that they have in their lives. When patients focus only on the negative it is hard to imagine a happy and positive life that has hope, […]

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People, Places And Things Worksheet

People, Places And Things Worksheet

GinaMarie Guarino, LMHC

When starting with recovery from substance use it is so important that the patient be able to identify and understand the people, places and things to avoid. The more a patient learns about sobriety and themselves the more they realize the patterns that people, places and things cause and how detrimental it is to their […]

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Substance Abuse Assessment Worksheet

Substance Abuse Assessment Worksheet

GinaMarie Guarino, LMHC

When a substance abuser first starts therapy it is important for both the therapist and patient to have a full understanding of the history and progression of the substance abuse. Such details as reasons behind first use, point in time where use increased, and difficulty with stopping use can be very telling when trying to […]

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Daily Mood Chart Worksheet

Daily Mood Chart Worksheet

GinaMarie Guarino, LMHC

When we are struggling with understanding our mood and emotions it helps a great deal to use a mood journal to keep track of daily activities, triggers from the day, and how we managed out feelings. Sometimes we get caught up in the day and forget to focus on what we are feeling, which causes […]

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Goal Sheet Worksheet

Goal Sheet Worksheet

GinaMarie Guarino, LMHC

Patients who are suffering from a mental illness can often feel discouraged from being able to achieve their goals. Sometimes their ambitions and efforts are cut off by thoughts like “why bother?”, “it’s too much, I won’t be able to do it” or “I will start tomorrow”. It helps a great deal to draft a […]

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Gratitude Journal Worksheet

Gratitude Journal Worksheet

GinaMarie Guarino, LMHC

Utilizing gratitude skills with clients in therapy is a great way to help clients learn how to cope with stress and frustration in their lives. With all the responsibilities we have each day, it is all too easy to get wrapped up in the stress of the moment and miss out on the things we […]

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Weekly Mood Chart Worksheet

Weekly Mood Chart Worksheet

GinaMarie Guarino, LMHC

Many clients seek therapy because they struggle to regulate their mood. They go through mood swings, and feel stressed easily. People who struggle with managing their mood can feel overwhelmed often, and the feeling makes it hard to understand and manage their moods throughout the week. A weekly mood chart is a great tool to […]

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Anger Thermometer Worksheet

Anger Thermometer Worksheet

GinaMarie Guarino, LMHC

An important step to understanding your anger is understanding how intense it can become and the situations that make it as intense as it can be. Patients with anger management issues sometimes find it difficult to assess a situation and their reaction to the situation. An anger thermometer is a good way to help patients […]

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Understanding Anger Worksheet

Understanding Anger Worksheet

GinaMarie Guarino, LMHC

Anger is a difficult feeling to understand and control. When a patient suffers from anger management issues it is easy for them to identify through the feeling and behavior. Of course, holding on to anger is not a healthy habit, so we want to teach our patients a healthier way to handle emotions. In order […]

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Anticipatory Anxiety Automatic Thought Record Worksheet

Anticipatory Anxiety Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC

Anticipatory anxiety is a struggle for many people. Often we see things like catastrophizing when people experience anxiety about upcoming events. When it comes to anticipatory anxiety the thought of the worst case scenario is enough to have a patient be overcome with worry, which will sometimes affect performance and their mental and emotional health. […]

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Pocket Support Worksheet

Pocket Support Worksheet

GinaMarie Guarino, LMHC

In therapy, a client learns a lot about their emotions and issues that create challenges in their lives. Through their own self-exploration, they begin to learn different ways to cope with different challenges. Therapy teaches coping skills that help clients relieve their symptoms in real life situations. They learn valuable life skills in therapy. It […]

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Daily Mood Journal Worksheet

Daily Mood Journal Worksheet

GinaMarie Guarino, LMHC

Patients often have a pattern of how their mood affects them. Throughout the day there are certain triggers based on responsibilities, encounters, etc. that may cause a patient’s mood to fluctuate. It helps a patient prepare for triggers when they are aware of when and where they are likely to encounter a trigger, along with […]

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Setting Goals To Combat Depression Worksheet

Setting Goals To Combat Depression Worksheet

GinaMarie Guarino, LMHC

People with depression can lose sight on what is important to them. Depression is mentally, emotionally, and physically debilitating. When a client is depressed and does not understand what they can do to manage their depression, they will feel hopeless about life and the future. It is important to encourage clients to find strength within […]

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Triggers And Coping Strategies For Depression Worksheet

Triggers And Coping Strategies For Depression Worksheet

GinaMarie Guarino, LMHC

Depression is a mental health disorder that can severely affect a person. Many people with depression struggle to cope with their symptoms each day. They do not fully understand how their depression affects them, so they do not understand how to help themselves feel better. Like all mood disorders, it is important for the patient […]

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Understanding Depression Worksheet

Understanding Depression Worksheet

GinaMarie Guarino, LMHC

Depression is an oppressive disorder that affects a person on a daily basis. Many people with depression truly believe that they cannot get better, and therefore tend to not be very hopeful in therapy at first. It is because of this belief that so many people with depression are sometimes resistant to internalize the things […]

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Challenging Cognitive Distortions Automatic Thought Record Worksheet

Challenging Cognitive Distortions Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC

After learning what cognitive behavioral therapy (CBT) is, how it works, and how com-ponents like cognitive distortions, automatic negative thoughts, emotions and behavior all contribute to our perceptions, it is important to learn how to challenge negative thoughts and cognitive distortions. A great tool to learn how to challenge cognitive dis-tortions is the automatic thought […]

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Cognitive Distortions Worksheet

Cognitive Distortions Worksheet

GinaMarie Guarino, LMHC

Cognitive distortions (CDs) are important for people to understand when they are learning to challenge their thoughts and behavior. CDs are patterns in thinking that typically make someone think in the negative and have negative expectations. This can be detrimental to the affected person for many reasons, the biggest being it holds them back from […]

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Core Beliefs Worksheet

Core Beliefs Worksheet

GinaMarie Guarino, LMHC

A huge part of cognitive behavioral therapy (CBT) is understanding what core beliefs are and how they affect people. Core beliefs are the perceived conclusions a person makes about themselves, the world, and their future, based on what they have learned through life experiences. The way a person sees each aspect of their world is […]

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Automatic Thought Record Worksheet

Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC

Arguably the most popular and useful therapeutic exercise for cognitive behavioral therapy (CBT) is the automatic thought record (ATR). Automatic thought records are useful because they help the client take a look at themselves and reflect on their own reactions to a given situation. This empowers the client to reflect and identify their own errors […]

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Identifying Triggers For Anxiety Worksheet

Identifying Triggers For Anxiety Worksheet

GinaMarie Guarino, LMHC

Anxiety may feel as though it is happening for no reason sometimes, but there is always a trigger for the symptoms of anxiety. It is important for clients to be able to identify their own triggers. When clients are able to identify and understand their triggers, they can learn how to manage their triggers. They […]

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Understanding Anxiety Worksheet

Understanding Anxiety Worksheet

GinaMarie Guarino, LMHC

It is important for a client to understand what anxiety is and how it affects their life. Often people do not fully understand what anxiety is or how it affects them. Sometimes people do not even realize that they have anxiety until they speak about their symptoms with a professional. That’s why it is important […]

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