DBT Worksheets


Latest DBT Worksheets For Therapists

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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Values Discussion Questions Worksheet

Values Discussion Questions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Exploring values can be a rewarding experience in therapy. Everyone deals with life experiences, and similar life experiences between people can help facilitate shared life values. Sharing your values with others can help people in therapy learn about how to build strong value systems, and how those value systems can help with promoting good mental […]

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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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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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Positive Experiences Worksheet

Positive Experiences Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When working with clients who fixate on the negative it is difficult to break away from the cycles of negativity and shift focus onto good and hopeful thoughts and feelings. Therapists will often work with a client who does not acknowledge anything besides the negative in their life, which not only is detrimental to their […]

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Why I Am Grateful Worksheet

Why I Am Grateful Worksheet

GinaMarie Guarino, LMHC 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 things that they appreciate in their lives. When clients focus only on the challenging or painful parts of their life, it is hard to imagine a life […]

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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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Gratitude Journal Worksheet

Gratitude Journal Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

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

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Coping Skills: Depression Worksheet

Coping Skills: Depression Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A depressed mood can affect most areas of a person’s life. Sometimes depression is chronic or consistent, and sometimes it can come and go in waves. Depression can impact how a person can cope with life stressors, which is why it is important to know how to handle it in the moment. A person does […]

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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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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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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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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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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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Values: Self-Exploration Worksheet

Values: Self-Exploration Worksheet

GinaMarie Guarino, LMHC 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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Family Mindfulness Schedule Worksheet

Family Mindfulness Schedule Worksheet

GinaMarie Guarino, LMHC 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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Relationship Gratitude Tips Worksheet

Relationship Gratitude Tips Worksheet

GinaMarie Guarino, LMHC 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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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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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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Self-Care Assessment Worksheet

Self-Care Assessment Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Practicing effective self-care techniques is a very 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 to practice self-care when struggling with mental illness. This is because self-care helps to promote skills to maintain good coping strategies and […]

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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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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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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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Life Story Worksheet

Life Story Worksheet

GinaMarie Guarino, LMHC 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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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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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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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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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. 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 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 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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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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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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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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Relationship Conflict Resolution Worksheet

Relationship Conflict Resolution Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is common for couples in therapy to struggle with communicating and resolving conflict. Conflict poses challenges for people in relationships because it impacts communication, which is an important part of socializing, bonding, and getting along with others. When a person in therapy struggles with communicating, their self-esteem, ability to relate to others, and overall […]

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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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