Therapy Session
Reflection & Homework
This worksheet helps you reflect on your experiences and become more
aware of your thoughts, emotions, and goals for therapy. Please complete it
before your next session.
Part 1: Therapy Goals Reflection
1. What made you decide to come again for the therapy?
Answer: ______________________________________________________________
2. What difficulties or concerns are you currently experiencing?
Answer: ______________________________________________________________
3. What changes would you like to see in your life?
Answer: ______________________________________________________________
4. If therapy is successful, how would your life be different?
Answer: ______________________________________________________________
Part 2: Mood & Emotion Journal (Example Included)
Situation / Event Emotion Intensity (1–10) Thoughts
Example: Anxiety 7 I might make
Presentation at mistakes
work
Part 3: Self-Care Activities
Write about 3 small self-care activities you will practice this week.
Example: 10-minute evening walk, listening to relaxing music, or drinking
enough water daily.
Self-Care Activity 1:
Self-Care Activity 2:
Self-Care Activity 3:
Notes / Reflection:
Suggested Self-Care Activities (Ideas)
Take a 10–15 minute walk
Practice slow breathing for 5 minutes
Listen to calming music
Write down 3 things you are grateful for
Limit social media for one evening
Spend time with a supportive friend or family member
Drink enough water during the day
Go to bed earlier and improve sleep routine
Do light stretching or exercise
Spend 10 minutes doing something you enjoy