Anxiety Worksheets


Latest Anxiety Worksheets For Therapists

What Is A Panic Attack? Worksheet

What Is A Panic Attack? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When working with clients who suffer from panic attacks, it is important to ensure that you explain what a panic attack is and how it can affect a person. A panic attack is a scary and uncomfortable experience, especially when you do not understand what is happening or why you are suddenly feeling uncomfortable. Panic […]

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Stress Management Tips Worksheet

Stress Management Tips Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Stress can be difficult to cope with sometimes, especially when dealing with prolonged stressors or life challenges that are not easily resolved. Stress is a normal part of life, so knowing how to manage stress is an important skill to teach a client in therapy. Healthily managing stress can help with several different mental health […]

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Mindfulness Activities For Kids

Mindfulness Activities For Kids Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Children can benefit from learning and practicing mindfulness skills. Mindfulness can help kids cope with uncomfortable feelings and calm their minds. It can also help with improving concentration. Mindfulness can be used as an aid in improving behavior at school and home, as well as reducing reactivity caused by stress. Mindfulness activities help children prepare […]

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What Is Domestic Violence? Worksheet

What Is Domestic Violence? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Domestic violence is a serious issue that compromises the safety and well-being of vulnerable people. Education and awareness about domestic violence is an important part of intervention and keeping clients safe. Victims in domestic violence situations often feel pressure to not speak up. They feel trapped in the cycle of violence and fearful of the […]

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Challenging Negative Thoughts Worksheet

Challenging Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Therapists who are trained in cognitive-behavioral therapy (CBT) find value in teaching their clients how to cope with automatic negative thoughts (ANTs). ANTs can be catalysts for negative behavior like lashing out at others and self-destructive habits. They also cause negative emotions and hurt feelings that may not necessarily fit the situation that caused the […]

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Signs Of Burnout Worksheet

Signs Of Burnout Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Burning out is normal- we all burn out sometimes. It is a form of prolonged stress and is most often applied to someone who is overworked with little opportunity breaks or recovery time. The stress that leads to burnout could come from work, school, home, or in other areas of life. Over time, stress can […]

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What Is Cognitive Behavioral Therapy? Worksheet

What Is Cognitive Behavioral Therapy? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive behavioral therapy (CBT) is a therapeutic approach that is used for different types of mental health challenges. It can help a client who is struggling with different experiences, including a depressed mood, anxiety, ruminating thoughts, low self-esteem, poor impulse control, anger management issues, and more. CBT is an effective form of treatment that can […]

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Bedtime Thought Log Worksheet

Bedtime Thought Log Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

There are many reasons why a person may have trouble sleeping. Among the most common challenges that come with sleep issues is having racing or anxious 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 demand their attention. […]

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My Fears And Strengths Worksheet

My Fears And Strengths Worksheet

GinaMarie Guarino, LMHC 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. A fearful child will have a hard time developing the confidence they need to face their fears, but helping […]

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Understanding Emotions For Kids Worksheet

Understanding Emotions For Kids Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Working with children is as challenging as it is rewarding. Children see and understand their world very differently than adults. As they grow, they learn more about their lives and how they are influenced by their experiences and feelings. While children grow, their emotions become more complex and difficult to understand. This can often make […]

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Positive Activities For Behavioral Activation Worksheet

Positive Activities For Behavioral Activation Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It can be difficult for clients who suffer from emotional issues like depression and anxiety to keep from falling into bad habits, like isolating and cutting off things that bring them joy. With such mental health challenges, it can be difficult for a client to enjoy the moment without having to deal with uncomfortable symptoms. […]

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Grounding Techniques Worksheet

Grounding Techniques Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Managing uncomfortable feelings can be challenging at times, but it is not always so tedious when you have the right tools. Coping skills are important because they teach you what to do in the moment when you are feeling uncomfortable or triggered. Knowing how to calm yourself down can help you feel more comfortable, manage […]

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Passive, Aggressive And Assertive Communication Worksheet

Passive, Aggressive And Assertive Communication Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A common cause of challenges with relationships is how a person communicates. Communication skills can affect a person in different ways, whether they are struggling with relationship issues, social anxiety, self-esteem, or other issues. Being able to communicate well helps with a person’s mental health in several ways, including boosting confidence, working through emotional challenges, […]

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Daily Mood Chart Worksheet

Daily Mood Chart Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Sometimes we get caught up in the day and forget to focus on what we are feeling. This can cause us to miss important signs of our changing mood, which can affect our ability to use healthy coping skills. When we are struggling with understanding our mood patterns it helps a great deal to have […]

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What Is Mindfulness? Worksheet

What Is Mindfulness? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A pivotal part of therapy is learning coping skills. Coping skills are what a client will use to build a sense of authority over their mental health. Coping skills help clients learn how to manage their symptoms and develop healthier ways of thinking, feeling, behaving, and living. Mindfulness offers many different types of helpful coping […]

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Weekly Mood Chart Worksheet

Weekly Mood Chart Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Many clients seek therapy because they struggle with regulating their moods. They go through mood swings that may cause them to easily feel stressed. People who struggle with managing their moods can often feel overwhelmed, which makes it difficult for them to understand and manage what they are feeling throughout the week. A weekly mood […]

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Anticipatory Anxiety Automatic Thought Record Worksheet

Anticipatory Anxiety Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anticipatory anxiety is a struggle for many people. It is a type of anxiety that occurs when thinking about something that will be happening or may happen in the future. A person who is struggling with anticipatory anxiety may find themselves in thinking patterns like catastrophizing or imagining the worst-case scenario.  When it comes to […]

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Face Your Fears Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Fears can hold us back in many ways. It can develop for different reasons and can cause us to react with unhealthy behaviors, like overcompensating, avoiding, and resisting things that may be good for us. Facing fears is an important part of personal growth, so learning how to overcome your fears can make a difference […]

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Challenging Cognitive Distortions Automatic Thought Record Worksheet

Challenging Cognitive Distortions Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

After learning what cognitive behavioral therapy is, how it works, and how components like cognitive distortions, automatic negative thoughts, core beliefs, 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 distortions is the automatic […]

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Cognitive Distortions Worksheet

Cognitive Distortions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

In cognitive behavioral therapy, a therapist will often work with their client to identify their cognitive distortions. Cognitive distortions are patterns in thinking that typically make someone think in the negative and have negative expectations. This can be detrimental to the client for many reasons, the biggest being it holds them back from growing mentally […]

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Healthy Vs. Unhealthy Coping Strategies Worksheet

Healthy Vs. Unhealthy Coping Strategies Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Having coping strategies is an important part of maintaining good mental health, but sometimes a person can develop unhealthy coping strategies without realizing the impact they have on their quality of life. Unhealthy coping strategies may be effective, but that does not necessarily mean that they should be used to cope with life stressors. There […]

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Core Beliefs Worksheet

Core Beliefs Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Core beliefs are the strong and withstanding beliefs that a person has about themselves and how they relate to others, the world, and their future. These beliefs are based on what a person has learned through life experiences and begin being formed during childhood. The way a person sees each aspect of their life is […]

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Automatic Thought Record Worksheet

Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Thoughts can be upsetting sometimes, but the thoughts that upset us are not always healthy or realistic. We often have thoughts in reaction to situations that we may not fully understand or are interpreted through our feelings. Upsetting thoughts can affect how we feel about ourselves, our behaviors, and our emotions, so it is important […]

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Identifying Triggers For Anxiety Worksheet

Identifying Triggers For Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anxiety is a powerful emotion that can take a toll on a person. It can affect a person’s self-esteem, stress management skills, relationships, and performance at work and school. Anxiety can be difficult to live with but gaining an understanding of what anxiety is and how it affects a person can be a great way […]

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Understanding Anxiety Worksheet

Understanding Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anxiety is a common feeling people have, but when it is happening on a chronic basis it can impact a person’s quality of life. A person in therapy needs 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, which […]

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What Is Trauma? Worksheet

What Is Trauma? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Trauma can affect a person in different and unexpected ways. People can suffer from different symptoms without realizing that they are from the traumatic event they experienced. Helping a person get in touch with their trauma can help them understand how they are feeling and learn what to expect from the experience. Going through trauma […]

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Fight-Or-Flight Response Worksheet

Fight-Or-Flight Response Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Everyone reacts differently when faced with a high-stress situation. It can be confusing for people to know why they reacted to such situations the way they did when reflecting, but there is a theory that suggests that when a person is faced with danger, they will react in one of three ways. They will either […]

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Stages Of Change Worksheet

Stages Of Change Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Change takes time. Change can be challenging for people to accomplish, and it is often something that people resist. Change is scary, but can also be exciting, healthy, and liberating. Some changes cause pain while others cause relief. Whatever the need is for change, it can be difficult for a client to facilitate change in […]

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Time Management Skills Worksheet

Time Management Skills Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Life gets stressful for everyone. Managing all of the responsibilities that come in a day can be challenging, and it is not uncommon for people to struggle with managing time and stress. Whether a person takes on too much at once or has unexpected changes in their lives, time management is not always easy and […]

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Vicious Cycle Worksheet

Vicious Cycle Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Managing symptoms of mental health conditions can be challenging, especially for clients who prolonged mental illness or clients who are new to managing their mental health and wellness. It is common for clients to give in to their symptoms and allow them to take control, which can feel good at the moment, but causes a […]

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Cognitive Distortions: Jumping To Conclusions

Cognitive Distortions: Jumping To Conclusions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Jumping to conclusions can have a major effect on how a person relates to others and feels about themselves. When people jump to conclusions, they draw conclusions based on part of the whole picture they see. This causes them to assume things that may not be true and can prevent them from handling a situation […]

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Cognitive Distortions: Personalization Worksheet

Cognitive Distortions: Personalization Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Learning about cognitive distortions can be helpful for a person in therapy. A cognitive distortion is a pattern of unhealthy thinking. When a person thinks through cognitive distortions, they are not able to see a situation clearly. This can impact their judgment and how they view themselves and the world around them. A cognitive distortion […]

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Worry Coping Cards Worksheet

Worry Coping Cards Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Between sessions, clients need to practice coping skills. Worries happen each day of a person’s life, but they should not be strong enough to consume a person. That is why it is important to remember to use coping skills each day. A great way to make sure a client remembers to use coping methods to […]

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Wellness Assessment Worksheet

Wellness Assessment Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A major component of mental health is promoting wellness in day to day life. Without proper attention to wellness, a person can feel lost and lack direction in their life. People who struggle with wellness often struggle with anxiety, depressed mood, and trouble with stress management. Well is not a state of mind, but rather […]

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Cognitive Distortions: Generalizing Worksheet

Cognitive Distortions: Generalizing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

An important skill to have when managing negative thoughts is learning how to identify cognitive distortions. A cognitive distortion is a pattern of unhealthy thinking. Identifying cognitive distortions is an important part of cognitive-behavioral therapy, which helps you learn how to challenge and rethink unhealthy thoughts. One type of cognitive distortion is called generalizing. The […]

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Cognitive Distortions: Emotional Reasoning Worksheet

Cognitive Distortions: Emotional Reasoning Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Emotional reasoning can be a major barrier in a client’s progress in therapy. When a client uses emotional reasoning to understand the world around them, they develop a poor self-image and distrust for people around them. Emotional reasoning can cause a client to have unrealistic expectations and misunderstand the reality of the challenging situations they […]

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Coping Skills: Anxiety Worksheet

Coping Skills: Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anxiety is an emotion that everyone feels sometimes. Whether a person is seeking therapy for an anxiety disorder or something that is causing them to feel anxious, it is important to understand what anxiety is and how it can affect a person. Anxiety can cause many uncomfortable symptoms. It is a different experience for everyone, […]

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Basic Emotion Assessment Worksheet

Basic Emotion Assessment Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A big part of therapy is learning how to experience one’s own emotions. It can be hard to experience emotions and learn how to be comfortable with feeling them. It is not uncommon for people in therapy to struggle with identifying and embracing how they feel. This can cause them to transfer all of their […]

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Cognitive Restructuring: Thoughts On Trial Worksheet

Cognitive Restructuring: Thoughts On Trial Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Negative thoughts can have a significant impact on how we feel and how we react to challenging situations. They can cause us to act out of character, and get down on ourselves for reasons that are not fair to us. When we give in to our negative thoughts, we set ourselves up for feeling anxious, […]

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Wheel Of Emotions For Kids Worksheet

Wheel Of Emotions For Kids Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is important to encourage children to understand and embrace their emotions at an early age. Children who develop emotional intelligence can learn how to cope with uncomfortable feelings at an early age. That way, they develop a level of identity and self-awareness that will help them develop a healthy relationship with themselves and with […]

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Cognitive Restructuring: Socratic Questioning Worksheet

Cognitive Restructuring: Socratic Questioning Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is important to teach clients how to challenge their negative thoughts. Negative thoughts lead to negative self-talk, which can affect a client’s self-esteem. It can also affect how they relate to people around them, and have a negative effect on their ability to build relationships with others. Cognitive restructuring is a process that involves […]

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Cognitive Distortions: Catastrophizing

Cognitive Distortions: Catastrophizing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A great method of helping a client overcome their anxiety is educating them about cognitive distortions. Cognitive distortions are patterns of negative thinking that make the client have unrealistic expectations or perceptions of a situation. Cognitive distortions can cause a person to view the world and themselves in a negative light, which prevents them from […]

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Cognitive Distortions: Mind Reading Worksheet

Cognitive Distortions: Mind Reading Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive distortions are a major source of mental and emotional strain on a person’s day-to-day life. Everyone struggles with cognitive distortions sometimes. They are natural patterns that our brain develops to understand how the world affects us. The challenge with cognitive distortions is they warp the way we see the world and how it relates […]

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Cognitive Distortions: All Or Nothing Thinking Worksheet

Cognitive Distortions: All Or Nothing Thinking Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Awareness about your own cognitive distortions is an important part of therapy. It is a step toward correcting thinking errors. A cognitive distortion is a pattern in negative thoughts. It is an error in thinking that causes many challenges in a person’s life. Understanding cognitive distortions is a part of the process of cognitive behavioral […]

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Wise Mind Worksheet

Wise Mind Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It can be challenging to have a balanced and healthy perspective on life’s challenges. Clients often struggle to understand how they think and feel, and how their thoughts and feelings can affect a situation. When a client is being negatively impacted by their behavior, it is important to help them take a step back. A […]

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Self-Exploration Sentence Completion Worksheet

Self-Exploration Sentence Completion Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Self-image is an important part of understanding who you are as a person. Many people who seek therapy struggle because they do not have a good relationship with themselves. They do not understand who they are, and that can be for many reasons. Sometimes people are so distracted with who they want to be they […]

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Cycle Of Anxiety Worksheet

Cycle Of Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anxiety is an oppressive emotion for people to feel. People with chronic anxiety tend to suffer from cycles of anxiety, panic and avoidance. It is not uncommon for these people to not realize the cycle of anxiety they fall into, nor how the cycle affects them. In order to learn how to manage anxiety, a […]

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Where Do I Feel? Worksheet

Where Do I Feel? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Children often struggle to explain how they are feeling. During childhood, they are actively developing their understanding of their own emotions. Feelings can be confusing for a child, and in that confusion they can struggle to express themselves. Children often do not realize their physical symptoms of feelings like anxiety, anger, fear and sadness are […]

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OCD Exposure Hierarchy Worksheet

OCD Exposure Hierarchy Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Obsessive-compulsive disorder (OCD) is an oppressive condition to live with each day. It causes many daily challenges, and can cause a client to feel helpless to ever get better. OCD causes a lot of obsessive thoughts, compulsive behaviors and irrational fears that can be difficult to manage. It creates many challenges as a person tries […]

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ABC Model For REBT Worksheet

ABC Model For REBT Worksheet

GinaMarie Guarino, LMHC 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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Boundaries Exploration Worksheet

Boundaries Exploration Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A huge part of having a healthy lifestyle is having proper boundaries with yourself and the people in your life. Boundaries promote healthy relationships with others and a good sense of self-esteem. They are very important, but can sometimes be difficult to maintain. Everyone’s boundaries are different. Each person has their own unique needs and […]

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Triggers And Coping Skills Worksheet

Triggers And Coping Skills Worksheet

GinaMarie Guarino, LMHC 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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Relaxation Techniques Worksheet

Relaxation Techniques Worksheet

GinaMarie Guarino, LMHC 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 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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Cognitive Distortions: Predicting The Future Worksheet

Cognitive Distortions: Predicting The Future Worksheet

GinaMarie Guarino, LMHC 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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Cognitive Restructuring: Decatastrophizing Worksheet

Cognitive Restructuring: Decatastrophizing Worksheet

GinaMarie Guarino, LMHC 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 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 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 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 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 GinaMarie Guarino, LMHC

A huge part of using Cognitive Behavioral Therapy to help clients cope with their triggers is teaching them about cognitive distortions. Cognitive distortions are patterns of thinking errors, and they affect a person’s thoughts, feelings, and reactions to upsetting situations. It is not uncommon for a person in therapy to turn to cognitive distortions like […]

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Past Vs. Present Worksheet

Past Vs. Present Worksheet

GinaMarie Guarino, LMHC 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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Social Anxiety Hierarchy Worksheet

Social Anxiety Hierarchy Worksheet

GinaMarie Guarino, LMHC 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 GinaMarie Guarino, LMHC

Our thought patterns make a difference in how we interpret challenging situations. When we practice healthy thinking patterns we can control how we react to upsetting issues. When we have errors in thinking, or cognitive distortions, we can misunderstand a challenging situation and behave in a way that may not fit our character.  Cognitive distortions […]

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Reflections: Communication Skills For Confrontation Template

Reflections: Communication Skills For Confrontation Worksheet

GinaMarie Guarino, LMHC 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 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 GinaMarie Guarino, LMHC

Emotions can be challenging to understand. Sometimes they have concrete reasons for being felt, and sometimes we are not sure why we are feeling a certain way. When we feel emotions we do not understand, we can struggle to understand how to cope. People who struggle to understand how to identify and cope with their […]

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Thinking Errors Worksheet

Thinking Errors Worksheet

GinaMarie Guarino, LMHC 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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Cognitive Distortions: Labeling Worksheet

Cognitive Distortions: Labeling Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive distortions, or errors in thinking, can cause a person to misinterpret situations and see themselves in a negative light. They are powerful and can have effects on a person’s sense of self-esteem, mood, and reactions to challenging situations. Teaching a client in therapy about how cognitive distortions may be impacting their mental health can […]

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Protective Factors Worksheet

Protective Factors Worksheet

GinaMarie Guarino, LMHC 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 GinaMarie Guarino, LMHC

Being aware of a client’s triggers is a critical component of learning how to cope with symptoms of mental health challenges. Triggers are situations that can cause a person to react in an unwanted or unhealthy way.  Triggers can cause a person to struggle with unwanted thoughts, feelings, and impulses. They are especially challenging when […]

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Positive Journal Worksheet

Positive Journal Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Many people in therapy struggle to see their daily lives from a healthy perspective. It can be a challenge for people in therapy to remove the lens of negativity that causes them to feel anxious, depressed, or angry. While it is unrealistic to expect someone always to see things positively, it can help to balance […]

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Countering Anxiety Thought Log Worksheet

Countering Anxiety Thought Log Worksheet

GinaMarie Guarino, LMHC 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 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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Sleep Diary Worksheet

Sleep Diary Worksheet

GinaMarie Guarino, LMHC 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 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 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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My Strengths Worksheet

My Strengths Worksheet

GinaMarie Guarino, LMHC 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 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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Recognizing Stress Worksheet

Recognizing Stress Worksheet

GinaMarie Guarino, LMHC 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 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 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 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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My Needs Pyramid Worksheet

My Needs Pyramid Worksheet

GinaMarie Guarino, LMHC 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 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 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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Thought Log Worksheet

Thought Log Worksheet

GinaMarie Guarino, LMHC 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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Gratitude Exercises Worksheet

Gratitude Exercises Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Gratitude can create healthy habits that help clients cope with several mental health challenges. Gratitude provides balance to negative thoughts and feelings, so a client can benefit from learning about gratitude and the types of exercises they can use to boost gratitude and mindfulness practices. Teaching a client how to practice gratitude exercises helps them […]

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Balancing Logic And Feelings Worksheet

Balancing Logic And Feelings Worksheet

GinaMarie Guarino, LMHC 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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Positive Belief Record Worksheet

Positive Belief Record Worksheet

GinaMarie Guarino, LMHC 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 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 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 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 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 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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Mindfulness Meditation Worksheet

Mindfulness Meditation Worksheet

GinaMarie Guarino, LMHC 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 GinaMarie Guarino, LMHC

We all know that sometimes life can get overwhelming. Stress at work, home, or from unexpected circumstances causes us to feel overwhelmed when not properly managed. It is important to know how to manage the feelings of anxiety, fatigue, and depressed mood that can come with prolonged and unmanaged stress. Because life can be so […]

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Emotion Regulation Skills: PLEASE Worksheet

Emotion Regulation Skills: PLEASE Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Learning how to regulate emotions is an important part of mental health. People in therapy often work on their emotional regulation skills, as it is a significant factor in their ability to cope with uncomfortable feelings and experiences. Emotional regulation can be challenging to learn at first, but when taught effective coping skills, a client […]

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Emotion Regulation Skills: Opposite Action Worksheet

Emotion Regulation Skills: Opposite Action Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Emotional regulation is an important part of mental health, and it is often a part of a client’s treatment plan. Learning how to regulate emotions can be challenging, but is an important skill set. Teaching clients how to regulate their emotions helps them understand how their emotions affect their reactions to difficult things in life. […]

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Positive Steps To Wellbeing Worksheet

Positive Steps To Wellbeing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Teaching a client in therapy how to maintain healthy habits for mental health is an important part of the therapeutic process. Clients learn a great deal while in therapy, and making sure that they learn skills to cope with life challenges helps ensure the client’s success. It is also important to guide the client in […]

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Steps To Challenge Automatic Negative Thoughts Worksheet

Steps To Challenge Automatic Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Negative thoughts can be powerful and have a big impact on a client’s mental health, especially when they are dealing with issues like anxiety, grief, and depression. Without proper tools for managing negative thoughts, a client’s process for healing may be challenging. When a client is struggling with negative thoughts, they are seeing the world […]

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Meditate To De-Stress Worksheet

Meditate To De-Stress Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It can be easy to get wrapped up in the moment of a stressful situation and instantly feel overwhelmed. Without direction or hopes of finding a resolution, that overwhelmed feeling can turn into helplessness or hopelessness, and make you lose touch with your authority over how the situation affects you. Each person reacts to stress […]

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Goal Planning Worksheet

Goal Planning Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Planning the best methods for achieving goals is an important skill that can be used in therapy and other parts of a client’s life. Without proper planning, working toward a goal can quickly become overwhelming. This is especially the case for people in therapy- whether planning for their therapy or life goals. A common hurdle […]

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List Of Emotions Worksheet

List Of Emotions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It can sometimes be tough for clients to know what words to use to express what they are feeling. Emotions are complex and can be uncomfortable and overwhelming to talk about without proper guidance and support. When a client struggles to articulate their feelings, it can be helpful to provide a tool to help them […]

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Setting Life Goals Worksheet

Setting Life Goals Worksheet

GinaMarie Guarino, LMHC 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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Building Happiness Worksheet

Building Happiness Worksheet

GinaMarie Guarino, LMHC 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 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 GinaMarie Guarino, LMHC

Children in therapy often have a hard time healthily expressing their emotions. Emotions can be overwhelming for kids, and their ability to express what they are feeling depends on different factors. It is not uncommon for a child in therapy to struggle with understanding, identifying, and expressing their emotions. In such cases, a visual aid […]

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How I Feel Worksheet

How I Feel Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

There are several reasons why a person in therapy may struggle to express their feelings. Many grow up learning that they need to silence or suppress their uncomfortable feelings, which can affect the way they relate to their emotional needs. People can also struggle to understand how they feel when they suffer from mood disorders, […]

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DBT Interpersonal Effectiveness Skills DEARMAN Worksheet

DBT Interpersonal Effectiveness Skills DEARMAN Worksheet

GinaMarie Guarino, LMHC 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 passivity when dealing with confrontation. Sometimes, it can be difficult for someone in therapy to know which road to take- whether to be assertive, aggressive, or submissive, […]

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Challenge Your Worries Worksheet

Challenge Your Worries Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Worrying consumes more time and energy than we may realize. It is a feeling that is often hard to shake, especially when struggling with anxiety and stress, or feeling out of control. Clients often struggle to cope with worrying, and may not even realize how severely they are affected by their worrisome thoughts. Teaching a […]

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Distress Tolerance Skills: Radical Acceptance Worksheet

Distress Tolerance Skills: Radical Acceptance Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Accepting things that are outside of our control is challenging. Many clients in therapy struggle with accepting the limits of control and being tolerant of the things that are outside of their control. Experiences like chronic pain, grief, loss, anxiety, and depression can cause a great deal of suffering, but being able to accept the […]

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DBT Interpersonal Effectiveness Skills: FAST Worksheet

DBT Interpersonal Effectiveness Skills: FAST Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

One common cause of stress for clients in therapy 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 clients struggle with such challenges, it helps to assist them […]

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Behavior Chart Worksheet

Behavior Chart Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When it comes to teaching children healthy behavior it helps a great deal to have a system in place in which the child can watch their progress grow. Such tools for positive reinforcement help motivate children to continue to grow and work hard to learn healthy behaviors and responsibility. Especially when working with children who […]

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Balancing Negative Thoughts Worksheet

Balancing Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Negative thoughts can control the way people perceive 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. In turn, negative feelings contribute to harmful behavior and can worsen mood disorders. That is why it is important to know how […]

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Positive Traits For Kids Worksheet

Positive Traits For Kids Worksheet

GinaMarie Guarino, LMHC 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 the positive traits that make […]

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