Free Therapy Activity Template

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Free Therapy Activity Template

Therapy Activity

Client Name

Date

Location

Empower Your Mind, Transform Your Life.

Questions

Reflection

  • What emotions did you experience this week, and how did you respond to them?

  • How did your thoughts or beliefs influence your behaviors or decisions this week?

  • What are some things you’ve learned about yourself recently?

  • How do you typically cope with stress, and has it been effective?

  • In what areas of your life do you feel the most fulfilled? Why?

  • Are there any fears or concerns that are holding you back? How do they affect your daily life?

  • When you think about your future, what goals or aspirations come to mind?

  • What are some things you’ve learned about your boundaries in relationships?

  • How would you like to grow or change over the next few months?

  • What personal strengths or qualities have you discovered that help you in difficult situations?

Assessment:

Assessment Area

Client Progress/Outcome

Behavioral Goal Setting

Target Behavior(s)

Antecedents

Consequences

Coping Skills

Skill Development

Cognitive Factors

Self-Monitoring

Behavioral Repertoire

Behavioral Reinforcements

Therapeutic Alliance

Treatment Effectiveness


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