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Depression · Behavioral

Anhedonia Reactivation Worksheet

Prediction vs actual pleasure

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Anhedonia — the flat, joyless quality of depression — rewires slowly and only through repeated exposure to what used to matter, even when it doesn't feel good yet.

Activities that used to bring pleasure
Two-week rebuild schedule
Day
Activity
Predicted pleasure 0–10
Actual pleasure 0–10
What I'm noticing
Where predictions and reality diverge — depression consistently under-predicts pleasure

Feeling follows repetition

The first three times will feel like nothing. Do them anyway. Feeling returns by way of the doing.

References & further reading

Conceptual background and further reading, not validation of this handout. Named instruments and methods belong to their original authors; custom prompts and trackers are not validated versions of those instruments.

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