Depression worksheets

Behavioral activation first — then everything else.

Ten depression worksheets covering the highest-evidence interventions: behavioral activation, cognitive triad work, Stanley-Brown safety planning, sleep-mood loop, and relapse prevention. Free, printable, client-facing.

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Behavioral
2p · PDF

Behavioral Activation Schedule

Two weeks of mastery, pleasure, connection

Daily schedule with three domains and mood ratings — the highest-evidence single intervention for depression.

MDD; persistent depressive disorder; low motivation; between-session homework.
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Skills
1p · PDF

Rumination Interrupt Protocol

Attention shift, not argument

Distinguish rumination from problem-solving; five-step interrupt with a tracking log.

Ruminative depression; post-event replay; overthinking that prevents sleep.
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Behavioral
1p · PDF

Anhedonia Reactivation Worksheet

Prediction vs actual pleasure

Two-week schedule of used-to-love activities with predicted vs actual pleasure ratings.

Anhedonic depression; recovery phase; joyless client presentations.
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Cognitive
1p · PDF

Cognitive Triad Worksheet

Self, world, future — depression's three lenses

Beck's triad in your own words, with a less-distorted rewrite of each.

Cognitive work in MDD; psychoeducation; adolescents and adults new to CBT.
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Safety
2p · PDF

Stanley-Brown Safety Plan

Highest-evidence brief suicide intervention

Six-step safety plan: warning signs, coping, distraction, help, professionals, means restriction.

Any suicidality; discharge planning; crisis stabilization; every depression intake.
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Behavioral
1p · PDF

Sleep-Mood Loop Worksheet

Fix wake time first

Track the bidirectional loop and commit to three non-negotiables that anchor circadian rhythm.

Depression with sleep disturbance; hypersomnia; morning fatigue as primary symptom.
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Values
1p · PDF

Values Reconnection Worksheet

Widen the narrow

Name five values, find the starved one, take three tiny actions in its direction this week.

Anhedonic or empty-feeling depression; existential presentations; recovery consolidation.
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Psychoeducation
1p · PDF

Depression Psychoeducation

What it is; what treatment does

Plain-language explanation of depression as a mood disorder with cognitive, behavioral, physical, and social effects.

Newly diagnosed; family psychoeducation; clients ashamed to name it.
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Relapse
1p · PDF

Depression Relapse Prevention Plan

Early warning signs + maintenance stack

Personal early-warning signs in order they appear, plus non-negotiable weekly maintenance stack.

Post-recovery; termination planning; recurrent depression history.
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Logging
2p · PDF

Activity-Mood Log

Data beats memory

Two weeks of activity and mood-before/after ratings to reveal what reliably moves mood.

Assessment; behavioral activation homework; identifying protective activities.
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Behavioral
1p · PDF

Depression Behavioral Experiment

Let mood data decide, not the prediction

Test depression's prediction with one small activity and compare predicted vs actual enjoyment and mastery.

Depression, anhedonia, learned hopelessness, low motivation.
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Behavioral
1p · PDF

Depression Morning Routine Plan

The lever that outperforms motivation

A five-step protected morning sequence — light, water, movement, contact, one small task — designed for depressed weeks.

Moderate to severe depression, morning heaviness, seasonal depression.
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Behavioral
1p · PDF

Pleasant Activities Menu & Schedule

Action pulls mood, not the other way around

Build a personalized menu of sparks, small mastery tasks, and sensory pleasures, then schedule the week.

Depression, anhedonia, behavioral activation, post-loss depression.
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Cognitive
2p · PDF

Depression Core Beliefs Worksheet

Weigh the absolute, draft a truer rule

Drag 'I'm worthless / nothing changes / I'm a burden' into the open, weigh evidence, and rewrite.

Chronic depression, low self-worth, post-episode consolidation.
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Safety
2p · PDF

Depression Safety Plan (Plain Language)

Written when steady, ready when you're not

Warning signs, internal coping, people, professionals, and environmental safety — the Stanley-Brown structure in plain English.

Any depression with passive or active suicidal ideation; discharge planning.
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Measurement
1p · PDF

PHQ-9 Weekly Tracker

8 weeks of PHQ-9 totals — the trend individual sessions can't show

An 8-row log of weekly PHQ-9 totals with severity band reference, plus reflection prompts on what changed the weeks the score dropped or rose. Includes the item-9 safety-trigger reminder.

Measurement-based care in depression treatment, response monitoring, medication trials, insurance documentation.
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Safety
2p · PDF

How to Create a Safety Plan

The six Stanley-Brown steps, in order

A step-by-step guide to building a suicide safety plan with a client: warning signs, internal coping, distraction, people to tell, professional contacts, and means restriction — with drafting space for each step and an end-of-session checklist.

First safety planning conversation; training and supervision; discharge planning; any client with current or recent suicidal ideation.
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Safety
2p · PDF

Safety Plan for Suicidal Ideation

What changes when ideation is current

Clinical guidance for safety planning with active suicidal ideation: the four ideation questions, a specific means-restriction agreement, responses when a client is reluctant, higher-risk periods, and a week of intent tracking.

Active suicidal ideation; post-discharge follow-up; medication changes; agitation or insomnia alongside low mood.
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Safety
1p · PDF

Crisis Plan vs Safety Plan

Two documents, two jobs

How a client-held safety plan differs from a shared crisis plan, a relapse prevention plan, and a no-suicide contract — plus advance preferences recorded while the client is well.

Care planning; multi-agency work; clients with previous admissions; termination and step-down planning.
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Frequently asked questions

What are depression worksheets used for?+

They target the two mechanisms with the strongest evidence behind them: behavioural activation, which schedules valued activity ahead of motivation rather than waiting for it, and cognitive work on the automatic thoughts that maintain low mood. Alongside those sit activity and mood tracking, rumination interruption, and — where risk is present — a safety plan.

Which depression worksheet should I start with?+

Behavioural activation, almost always. It is the single most effective self-help structure in depression and it does not require the client to think clearly first, which matters because concentration is usually impaired. Add a thought record once activity has lifted enough for cognitive work to be possible.

Why does behavioural activation come before thought records?+

Because depressed clients are often too cognitively slowed to argue with their own thinking, and because action produces the disconfirming evidence a thought record needs. Waiting to feel motivated before acting inverts the actual sequence — mood follows activity far more reliably than activity follows mood.

How do I use these with a client who won't complete anything?+

Shrink the ask until it is nearly trivial and do the first one in session. Non-completion in depression is usually the illness rather than resistance, so a page requiring five minutes and no decisions will land where a full week's schedule will not. Anhedonia means the reward for completing homework is missing, so build the reward into the session.

Do these replace medication or treatment for severe depression?+

No. They support psychological treatment and are not a substitute for it, and severe depression, psychotic features, or significant suicidality all warrant psychiatric involvement and consideration of a higher level of care.

Is the safety plan appropriate for any clinician to use?+

The Stanley-Brown Safety Planning Intervention is designed to be used across settings — ED, primary care, therapy. Any suicidality warrants collaboration with a qualified clinician and consideration of higher levels of care.

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