therapy homework assignments

• Bipolar Disorder
• Therapy Center
• When To See a Therapist
• Types of Therapy
• Best Online Therapy
• Best Couples Therapy
• Best Family Therapy
• Managing Stress
• Sleep and Dreaming
• Understanding Emotions
• Self-Improvement
• Healthy Relationships
• Student Resources
• Personality Types
• Guided Meditations
• Verywell Mind Insights
• 2023 Verywell Mind 25
• Mental Health in the Classroom
• Editorial Process
• Meet Our Review Board
• Crisis Support

What Is Therapy Homework?

Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

Dr. Sabrina Romanoff, PsyD, is a licensed clinical psychologist and a professor at Yeshiva University’s clinical psychology doctoral program.

Astrakan Images / Getty Images

Types of Therapy That Involve Homework

If you’ve recently started going to therapy , you may find yourself being assigned therapy homework. You may wonder what exactly it entails and what purpose it serves. Therapy homework comprises tasks or assignments that your therapist asks you to complete between sessions, says Nicole Erkfitz , DSW, LCSW, a licensed clinical social worker and executive director at AMFM Healthcare, Virginia.

Homework can be given in any form of therapy, and it may come as a worksheet, a task to complete, or a thought/piece of knowledge you are requested to keep with you throughout the week, Dr. Erkfitz explains.

This article explores the role of homework in certain forms of therapy, the benefits therapy homework can offer, and some tips to help you comply with your homework assignments.

Therapy homework can be assigned as part of any type of therapy. However, some therapists and forms of therapy may utilize it more than others.

For instance, a 2019-study notes that therapy homework is an integral part of cognitive-behavioral therapy (CBT) . According to Dr. Erkfitz, therapy homework is built into the protocol and framework of CBT, as well as dialectical behavior therapy (DBT) , which is a sub-type of CBT.

Therefore, if you’re seeing a therapist who practices CBT or DBT, chances are you’ll regularly have homework to do.

On the other hand, an example of a type of therapy that doesn’t generally involve homework is eye movement desensitization and reprocessing (EMDR) therapy. EMDR is a type of therapy that generally relies on the relationship between the therapist and client during sessions and is a modality that specifically doesn’t rely on homework, says Dr. Erkfitz.

However, she explains that if the client is feeling rejuvenated and well after their processing session, for instance, their therapist may ask them to write down a list of times that their positive cognition came up for them over the next week.

"Regardless of the type of therapy, the best kind of homework is when you don’t even realize you were assigned homework," says Erkfitz.

Benefits of Therapy Homework

Below, Dr. Erkfitz explains the benefits of therapy homework.

It Helps Your Therapist Review Your Progress

The most important part of therapy homework is the follow-up discussion at the next session. The time you spend reviewing with your therapist how the past week went, if you completed your homework, or if you didn’t and why, gives your therapist valuable feedback on your progress and insight on how they can better support you.

It Gives Your Therapist More Insight

Therapy can be tricky because by the time you are committed to showing up and putting in the work, you are already bringing a better and stronger version of yourself than what you have been experiencing in your day-to-day life that led you to seek therapy.

Homework gives your therapist an inside look into your day-to-day life, which can sometimes be hard to recap in a session. Certain homework assignments keep you thinking throughout the week about what you want to share during your sessions, giving your therapist historical data to review and address.

It Helps Empower You

The sense of empowerment you can gain from utilizing your new skills, setting new boundaries , and redirecting your own cognitive distortions is something a therapist can’t give you in the therapy session. This is something you give yourself. Therapy homework is how you come to the realization that you got this and that you can do it.

"The main benefit of therapy homework is that it builds your skills as well as the understanding that you can do this on your own," says Erkfitz.

Tips for Your Therapy Homework

Below, Dr. Erkfitz shares some tips that can help with therapy homework:

• Set aside time for your homework: Create a designated time to complete your therapy homework. The aim of therapy homework is to keep you thinking and working on your goals between sessions. Use your designated time as a sacred space to invest in yourself and pour your thoughts and emotions into your homework, just as you would in a therapy session .
• Be honest: As therapists, we are not looking for you to write down what you think we want to read or what you think you should write down. It’s important to be honest with us, and yourself, about what you are truly feeling and thinking.
• Practice your skills: Completing the worksheet or log are important, but you also have to be willing to put your skills and learnings into practice. Allow yourself to be vulnerable and open to trying new things so that you can report back to your therapist about whether what you’re trying is working for you or not.
• Remember that it’s intended to help you: Therapy homework helps you maximize the benefits of therapy and get the most value out of the process. A 2013-study notes that better homework compliance is linked to better treatment outcomes.
• Talk to your therapist if you’re struggling: Therapy homework shouldn’t feel like work. If you find that you’re doing homework as a monotonous task, talk to your therapist and let them know that your heart isn’t in it and that you’re not finding it beneficial. They can explain the importance of the tasks to you, tailor your assignments to your preferences, or change their course of treatment if need be.

"When the therapy homework starts 'hitting home' for you, that’s when you know you’re on the right track and doing the work you need to be doing," says Erkfitz.

A Word From Verywell

Similar to how school involves classwork and homework, therapy can also involve in-person sessions and homework assignments.

If your therapist has assigned you homework, try to make time to do it. Completing it honestly can help you and your therapist gain insights into your emotional processes and overall progress. Most importantly, it can help you develop coping skills and practice them, which can boost your confidence, empower you, and make your therapeutic process more effective.

Get Help Now

We've tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you.

Conklin LR, Strunk DR, Cooper AA. Therapist behaviors as predictors of immediate homework engagement in cognitive therapy for depression . Cognit Ther Res . 2018;42(1):16-23. doi:10.1007/s10608-017-9873-6

Lebeau RT, Davies CD, Culver NC, Craske MG. Homework compliance counts in cognitive-behavioral therapy . Cogn Behav Ther . 2013;42(3):171-179. doi:10.1080/16506073.2013.763286

By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

• Free Therapy Techniques
• Anxiety Treatment
• Business and Marketing
• CBT Techniques
• Client Motivation
• Dealing With Difficult Clients
• Hypnotherapy Techniques
• Insomnia and Sleep
• Personal Skills
• Practitioner in Focus
• Psychology Research
• Psychotherapy Techniques
• PTSD, Trauma and Phobias
• Relationships
• Self Esteem
• Sensible Psychology Dictionary
• Smoking Cessation and Addiction
• The Dark Side of Your Emotional Needs
• Uncommon Philosophy

Top 10 CBT Worksheets Websites

The best cognitive behavioural therapy resources, activities and assignments all in one place.

Hi, it’s Rosie here, Uncommon Knowledge’s content manager.  I’ve been hearing a lot from practitioners who use Cognitive Behavioural Therapy (CBT) and are on the lookout for new resources, especially CBT worksheets.

So to flesh out our resources, I’ve had this list put together, which features ten of the best websites featuring CBT worksheets.

Where to find CBT worksheets

CBT  is one of the most widely used therapeutic treatment approaches in mental health today. Because it is an action-oriented approach, homework is a key aspect of the change process. And CBT tools such as worksheets, activity assignments, bibliotherapy and guided imagery can all be useful homework assignments.

But finding those clinically-sound, cost-effective and easy-to-access resources can be the therapist’s challenge. There’s not always time to sift through books or surf the ‘net looking for those CBT worksheets or teaching tools that are “just right”. Aside from staying on schedule, you want to spend time with your clients, helping them achieve their goals.

So here’s a list of ten of the best CBT resource sites for you to use as a reference point for your practice:

1. Therapist Aid

Free reframing book just subscribe to my therapy techniques newsletter below..

Download my book on reframing, "New Ways of Seeing", when you subscribe for free email updates

Click to subscribe free now

The site contains a huge selection of CBT worksheets as well as videos, guides and other resources. ‘The ABC model of CBT’ is a particularly good video to help clients understand the relationship between their thoughts, feelings and behaviours.

2. Psychology Tools

Psychology Tools is another one of those really great sites that has been created by practitioners for practitioners. It was designed as a way to share materials among therapists. The site offers a number of CBT-specific articles, assessments and tools for clinical use. There is also a self-help section.

One of the strengths of this site is that it offers resources for several other therapies including ACT, DBT and EMDR. Therapists can also submit their own worksheets or other resources for consideration of inclusion on the website.

3. Excel At Life

Guided imagery and mindfulness meditation are often used as part of a CBT approach to treatment. This site offers a range of free audio downloads for a variety of needs. These downloads can be used in the office or as part of a homework assignment.

This site offers several CBT resources for the practitioner as well as the client seeking self-directed support including informative articles and forms such as a mood diary and various questionnaires. This site is exceptionally user-friendly.

4. Living CBT

This site offers a number of worksheets and tools including diary forms, action plans and a number of helpful self-statements that are great for sharing with clients. The tools are mostly in PDF and are easy to download. The site also offers several self-help books for purchase.

Aside from the self-help section, this site also has a Free CBT Therapist Resources section. The tools available here are similar to those found in the general section but some are more appropriate for use in the clinical setting.

5. Veronica Walsh’s CBT Blog

This site is a great little gem chock full of CBT resources and downloads. Worksheets cover everything from a CBT journaling guide to incorporating mindfulness to using CBT with cyberbullying. Spend a little time on this site and you’ll find all kinds of useful tools that you and your client can work with. The owner of this site has put a lot of work into making a plethora of resources available to the user.

6. Specialty Behavioral Health

This site offers a variety of worksheets for the practitioner as well as worksheets specifically for CBT. They are well-designed and easily adapted to a variety of clients. Two worksheets to check out are the ‘Ways to Challenge Your Thoughts’ and the ‘Procrastination Profiles’, as well as accompanying ‘Task Master Worksheet (for Procrastination)’. These are nicely done and would be particularly useful with the client struggling to understand thought patterns and challenging negative thinking.

7. GetSelfHelp

This website provides a number of CBT self-help and therapy resources, including downloadable worksheets, information sheets and CBT formulations.

One of the standouts of this site is the 40-page CBT-based self-help course. It’s free and chock full of information and tools to help your clients understand and implement changes. You can find the course here.

8. Hertfordshire Partnership University NHS Foundation Trust

This is a 52-page fully downloadable CBT workbook from the Hertfordshire Partnership University NHS Foundation Trust. It is full of client-friendly descriptions, activities and tools for setting and achieving goals. This workbook is the kind of tool that can be used by the therapist with a client or as a self-help tool for self-motivated clients.

9. Martin CBT

This site is often mentioned when the question of CBT resources comes up. While not as extensive an offering as some sites, the forms and tools found here are well-produced, immediately usable and user-friendly.

One of the highlights is the ‘Cycle of Maladaptive Behavior’ sheet. Clients don’t always understand the cycle and how their behaviours manifest. This worksheet does a good job of describing the cycle and how it unfolds. The site also offers an excellent handout with examples and descriptions of cognitive distortions. Definitely worth a visit!

10. EPISCenter

A list of CBT worksheets would not be complete without including a few child specific resources. CBT has been shown to be effective with children, especially in trauma work.

This workbook is an excellent resource for CBT and trauma work with children. There are relatively few tools specifically designed for children. This workbook is particularly well-constructed and child-friendly.

So there you have it. Ten of the best sites out there for CBT resources and tools. Are there more out there? You bet! There are lots of great resources out there for every level of need and every type of problem. But these sites represent some of the best of what’s out there and will get you started in working with your clients using CBT worksheets. You’ll have more time with your clients and your clients will benefit from having some of the best tools out there.

Update: This post was so popular with readers we added another! Read 10 More Top CBT Worksheets Websites here .

Cognitive Behavioural Therapy is an important part of the treatment jigsaw and our co-founder Mark Tyrrell would want me to mention the following articles we already have available, in the spirit of setting it in a wider context:

• 3 Instantly Calming CBT Techniques for Anxiety
• The Sensible Psychology Dictionary defines CBT

Would you like to enhance your reframing skills?

Click here to read how my online course ‘Conversational Reframing’ shows you how to craft cunning reframes and slip them past your clients’ conscious criticisms.

About Mark Tyrrell

Psychology is my passion. I've been a psychotherapist trainer since 1998, specializing in brief, solution focused approaches. I now teach practitioners all over the world via our online courses .

You can get my book FREE when you subscribe to my therapy techniques newsletter. Click here to subscribe free now.

You can also get my articles on YouTube , find me on Instagram , Amazon , Twitter , and Facebook .

Related articles:

Read more CBT Techniques therapy techniques »

Search for more therapy techniques:

• Odnoklassniki
• Facebook Messenger
• LiveJournal

How Much Does Homework Matter in Therapy?

What research reveals about the work you do outside of therapy sessions..

Posted April 16, 2017 | Reviewed by Ekua Hagan

• What Is Therapy?
• Find a therapist near me

Homework is an important component of cognitive behavior therapy (CBT) and other evidence-based treatments for psychological symptoms. Developed collaboratively during therapy sessions, homework assignments may be used by clients to rehearse new skills, practice coping strategies, and restructure destructive beliefs.

Although some clients believe that the effectiveness of psychotherapy depends on the quality of in-session work, consistent homework during the rest of the week may be even more important. Without homework, the insights, plans, and good intentions that emerge during a therapy session are at risk of being buried by patterns of negative thinking and behavior that have been strengthened through years of inadvertent rehearsal. Is an hour (or less) of therapeutic work enough to create change during the other 167 hours in a week?

Research on homework in therapy

Research on homework in therapy has revealed some meaningful results that can be understood collectively through a procedure called meta-analysis. A meta-analysis is a statistical summary of a body of research. It can be used to identify the average impact of psychotherapy homework on treatment outcomes across numerous studies. The results of four meta-analyses listed below highlight the value of homework in therapy:

• Kazantzis and colleagues (2010) examined 14 controlled studies that directly compared treatment outcomes for clients assigned to psychotherapy with or without homework. The data favored the homework conditions, with the average client in the homework group reporting better outcomes than about 70% of those in the no-homework conditions.
• Results from 16 studies (Kazantzis et al., 2000) and an updated analysis of 23 studies (Mausbach et al., 2010) found that, among those who received homework assignments during therapy, greater compliance led to better treatment outcomes. The effect sizes were small to medium, depending on the method used to measure compliance.
• Kazantzis et al. (2016) examined the relations of both quantity (15 studies) and quality (3 studies) of homework to treatment outcome. The effect sizes were medium to large, and these effects remained relatively stable when follow-up data were collected 1-12 months later.

Taken together, the research suggests that the addition of homework to psychotherapy enhances its effectiveness and that clients who consistently complete homework assignments tend to have better mental health outcomes. Finally, although there is less research on this issue, the quality of homework may matter as much as the amount of homework completed.

To enhance the quality of homework, homework assignments should relate directly to a specific goal, the process should be explained with clarity by the therapist, its method should be rehearsed in session, and opportunities for thoughtful out-of-session practice should be scheduled with ideas about how to eliminate obstacles to completion.

To find a therapist, please visit the Psychology Today Therapy Directory .

Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in Cognitive and Behavioral Therapy: A meta‐analysis. Clinical Psychology: Science and Practice, 7(2), 189-202.

Kazantzis, N., Whittington, C., & Dattilio, F. (2010). Meta‐analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology: Science and Practice, 17(2), 144-156.

Kazantzis, N., Whittington, C., Zelencich, L., Kyrios, M., Norton, P. J., & Hofmann, S. G. (2016). Quantity and quality of homework compliance: a meta-analysis of relations with outcome in cognitive behavior therapy. Behavior Therapy, 47(5), 755-772.

Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research, 34(5), 429-438.

Joel Minden, Ph.D., is a clinical psychologist, author of Show Your Anxiety Who’s Boss , director of the Chico Center for Cognitive Behavior Therapy, and lecturer in the Department of Psychology at California State University, Chico.

• Find a Therapist
• Find a Treatment Center
• Find a Psychiatrist
• Find a Support Group
• Find Teletherapy
• United States
• Brooklyn, NY
• Chicago, IL
• Houston, TX
• Los Angeles, CA
• New York, NY
• Portland, OR
• San Diego, CA
• San Francisco, CA
• Seattle, WA
• Washington, DC
• Asperger's
• Bipolar Disorder
• Chronic Pain
• Eating Disorders
• Passive Aggression
• Personality
• Goal Setting
• Positive Psychology
• Stopping Smoking
• Low Sexual Desire
• Relationships
• Child Development
• Therapy Center NEW
• Diagnosis Dictionary
• Types of Therapy

Understanding what emotional intelligence looks like and the steps needed to improve it could light a path to a more emotionally adept world.

• Coronavirus Disease 2019
• Affective Forecasting
• Neuroscience

Empowering Recovery: Transformative Therapy Homework Assignments

The power of therapy homework.

Therapy homework is an integral part of the therapeutic process that extends the benefits of therapy beyond the therapy room. It involves assignments and activities that clients are encouraged to complete between therapy sessions to facilitate healing, growth, and recovery. By actively engaging in therapy homework, individuals can take ownership of their progress and empower themselves on their journey towards well-being.

What is Therapy Homework?

Therapy homework refers to the tasks, exercises, and activities assigned by therapists to their clients with the aim of reinforcing and extending the benefits of therapy. These assignments are tailored to address specific therapeutic goals and objectives, focusing on areas such as self-reflection, skill-building, and behavioral changes. Therapy homework can take various forms, including journaling, self-reflection exercises, mindfulness practices, and behavioral experiments.

Therapy homework serves as a bridge between therapy sessions, allowing individuals to apply the insights gained in therapy to their daily lives. It encourages active participation and engagement in the therapeutic process, enabling clients to develop a deeper understanding of themselves, their emotions, and their thought patterns. Through regular completion of therapy homework, individuals can cultivate new coping strategies, enhance self-awareness, and promote personal growth.

How Therapy Homework Can Support Recovery

Therapy homework plays a crucial role in supporting recovery by reinforcing the therapeutic work done during sessions. Here are some ways in which therapy homework can contribute to the recovery process:

• Continuity of Learning:  Therapy homework provides a continuous learning experience, allowing clients to build upon the insights gained during therapy sessions. It helps reinforce new skills, coping strategies, and perspectives, facilitating lasting change and growth.
• Application of Skills:  By engaging in therapy homework, individuals have the opportunity to apply the skills and techniques learned in therapy to real-life situations. This practical application helps strengthen and solidify new behaviors and thought patterns.
• Increased Self-Awareness:  Therapy homework encourages self-reflection and introspection, fostering a deeper understanding of one’s emotions, behaviors, and patterns of thinking. This increased self-awareness can lead to greater insight and personal growth.
• Empowerment:  Active participation in therapy homework empowers individuals to take charge of their own healing process. It allows them to be proactive in their recovery journey, develop a sense of agency, and take ownership of their progress.
• Consolidation of Progress:  Regular completion of therapy homework reinforces the progress made in therapy sessions. It helps maintain momentum, prevents relapse, and supports long-term recovery.

Therapy homework is a collaborative process between the therapist and the client. It involves setting realistic goals, tailoring assignments to suit individual preferences and needs, and providing ongoing support and feedback. By embracing therapy homework, individuals can enhance their therapeutic experience, accelerate their progress, and empower themselves on their path to recovery . To explore specific examples of therapy homework assignments, check out our articles on  therapy homework for anxiety  and  therapy homework for depression .

Types of Therapy Homework Assignments

Therapy homework assignments play a vital role in supporting the therapeutic process and helping individuals make progress towards their goals. There are several types of therapy homework assignments that therapists can assign to their clients. Here, we will explore three common types:  journaling and self-reflection exercises ,  behavioral and habit-forming assignments , and  mindfulness and meditation practices .

Journaling and Self-Reflection Exercises

Journaling and self-reflection exercises are powerful tools for promoting self-awareness and personal growth. Through the act of writing, individuals can explore their thoughts, emotions, and experiences in a structured manner. Journaling can help individuals gain insights into their patterns of thinking, identify triggers, and reflect on their progress.

Therapists may assign specific journaling prompts or provide worksheets to guide clients in their self-reflection journey. These exercises can focus on various topics, such as exploring emotions, identifying cognitive distortions, practicing gratitude, or tracking behaviors. Journaling can also be used as a platform for  therapy homework for self-expression  and  therapy homework for creativity .

Behavioral and Habit-Forming Assignments

Behavioral and habit-forming assignments are designed to help individuals make positive changes in their behavior and develop healthier habits. These assignments are often action-oriented and require individuals to practice new skills or engage in specific activities outside of therapy sessions.

For example, a therapist may assign tasks related to assertiveness training, stress management techniques, anger management strategies, or goal setting exercises. These assignments encourage individuals to actively apply the concepts discussed in therapy to their daily lives. By practicing new behaviors and breaking old patterns, individuals can work towards their therapeutic goals.

Mindfulness and Meditation Practices

Mindfulness and meditation practices are widely recognized for their ability to promote relaxation, reduce stress, and increase self-awareness. Therapists may assign mindfulness exercises and meditation practices as part of therapy homework to help individuals cultivate mindfulness in their daily lives.

These assignments can include guided meditations, breathing exercises, body scans, or mindful awareness activities. By incorporating mindfulness into their routine, individuals can learn to observe their thoughts and emotions without judgment, cultivate present-moment awareness, and develop a greater sense of calm and clarity.

By incorporating a variety of therapy homework assignments, therapists can cater to the unique needs of each individual and provide a well-rounded approach to therapy. It’s important for therapists to assess client goals and preferences when assigning homework, ensuring that the assignments are relevant, engaging, and align with the client’s therapeutic journey. For more therapy homework ideas, check out our article on  therapy homework ideas .

Customizing Assignments for Individual Needs

To ensure the effectiveness of therapy homework assignments, it is essential to  customize  them according to the  individual needs  of each client. This personalized approach allows therapists to address specific goals and objectives, tailoring the assignments to suit the client’s preferences and circumstances.

Assessing Client Goals and Objectives

Before creating therapy homework assignments, therapists must first  assess  their clients’ goals and objectives. By understanding what clients hope to achieve through therapy, therapists can design assignments that align with their desired outcomes. For example, if a client’s goal is to improve their communication skills, therapy homework assignments may focus on practicing active listening, assertiveness, or conflict resolution. By linking the assignments directly to the client’s goals, the therapeutic process becomes more targeted and effective.

Tailoring Assignments to Suit Individual Preferences

Each client is unique, and their preferences and learning styles should be taken into consideration when designing therapy homework assignments. Some clients may prefer written exercises and journaling, while others may be more receptive to artistic or creative expression . By tailoring the assignments to suit individual preferences, therapists can increase engagement and motivation, leading to a more productive therapeutic experience.

For example, a client who enjoys writing may find value in self-reflection exercises or the use of  writing and narrative therapy techniques . On the other hand, a client who is more visually oriented might benefit from artistic assignments or creative expression through art therapy. By incorporating activities that resonate with the client’s preferences, therapy homework becomes more enjoyable and meaningful.

By customizing therapy homework assignments, therapists can optimize the therapeutic process and enhance client outcomes. It ensures that assignments are directly aligned with the client’s goals and objectives, promoting a sense of ownership and motivation in their recovery journey. Additionally, tailoring assignments to suit individual preferences increases engagement and enjoyment, fostering a positive therapeutic alliance.

Remember to explore a variety of therapy homework ideas to meet the diverse needs of your clients. Whether it’s therapy homework for self-esteem, mindfulness, relaxation, or any other topic, the key is to create assignments that are relevant, meaningful, and effective. By providing personalized and tailored assignments, therapists can empower their clients in their recovery process.

Incorporating Creativity in Therapy Assignments

To enhance the therapeutic process and encourage self-expression, incorporating  creativity  into therapy assignments can be highly beneficial. Creative activities provide clients with a unique outlet for exploring their emotions, thoughts, and experiences. In this section, we will explore two popular approaches:  art therapy and creative expression  as well as  writing and narrative therapy techniques .

Art Therapy and Creative Expression

Art therapy involves using various artistic mediums to facilitate self-expression, reflection, and healing. Through painting, drawing, sculpting, or collage-making, clients can tap into their creativity and communicate their inner world visually. Art therapy can be particularly effective for individuals who struggle with verbal expression or find it challenging to articulate their emotions.

Engaging in art therapy allows clients to explore their thoughts and feelings in a non-threatening and non-judgmental manner. The creative process itself can be therapeutic, providing a sense of control, empowerment, and catharsis. Art therapists often guide clients in interpreting their artwork, helping them uncover deeper insights and gain a better understanding of themselves.

Integrating creative expression into therapy assignments can offer clients an opportunity to engage with their emotions in a different way. For example, a therapist might suggest creating a collage that represents their goals, dreams, or emotions. This visual representation can serve as a powerful tool for self-reflection and exploration. To learn more about incorporating art therapy into your practice, explore our article on  therapy homework for creative expression .

Writing and Narrative Therapy Techniques

Writing can be a powerful therapeutic tool that allows clients to explore their thoughts, emotions, and experiences. Narrative therapy techniques, such as journaling, letter writing, or storytelling, can help clients gain insight, process challenging events, and reframe their narratives.

Journaling is a widely used form of therapy homework that involves writing down thoughts, feelings, and experiences in a journal or diary. This practice provides an opportunity for self-reflection, self-expression, and problem-solving. Clients can explore their innermost thoughts, identify patterns, and track progress over time. To discover various journaling exercises for therapy, refer to our article on  therapy homework for journaling .

Another approach is letter writing, where clients address letters to themselves, others, or even abstract concepts like their fears or past traumas. This process can be cathartic and empowering, allowing clients to express emotions that may be difficult to articulate in person. Writing a letter can help clients gain closure, find forgiveness , or express gratitude. It provides a safe space for processing emotions and can be revisited as a source of reflection and growth.

By incorporating these creative techniques into therapy assignments, therapists can encourage clients to explore their inner worlds and gain new perspectives. It’s important to remember that creativity is a personal experience, and different clients may resonate with different forms of expression. As a therapist, offering a range of options and tailoring assignments to suit individual preferences can enhance the therapeutic process.

Maximizing the Benefits of Therapy Homework

To ensure the effectiveness of  therapy homework assignments , it’s important to implement strategies that maximize their benefits. By setting realistic expectations, providing ongoing support and feedback, and fostering collaboration between the therapist and client, therapy homework can become a powerful tool for transformation and growth.

Setting Realistic Expectations

When assigning therapy homework, it’s crucial to set realistic expectations for the client. This involves discussing the purpose, goals, and anticipated outcomes of the assignments. By clearly communicating the objectives and potential benefits, clients can better understand the value of their efforts and remain motivated throughout the process.

It’s important to emphasize that therapy homework is not a quick fix but rather a gradual process. Encourage clients to approach their assignments with patience and self-compassion , understanding that progress takes time. By managing expectations, clients are more likely to stay committed and experience the full benefits of therapy homework.

Providing Ongoing Support and Feedback

Support and feedback from the therapist play a crucial role in maximizing the benefits of therapy homework. Regular check-ins and discussions about the assignments allow clients to seek clarification, express concerns, and receive guidance. This ongoing support helps clients stay engaged and motivated, knowing that their therapist is there to provide assistance and encouragement.

Additionally, providing constructive feedback on completed assignments is essential for growth and improvement. Acknowledge the effort and progress made by the client, while also providing suggestions and insights to enhance their understanding and application of the concepts discussed in therapy. This feedback loop strengthens the therapeutic relationship and boosts the client’s confidence in their ability to succeed.

Collaboration Between Therapist and Client

Collaboration between the therapist and client is key to optimizing the benefits of therapy homework . By involving the client in the assignment selection process, therapists can tailor the tasks to suit the client’s individual needs, preferences, and therapeutic goals. This collaborative approach fosters a sense of ownership and empowerment, motivating clients to actively engage in their recovery journey.

Regular communication between therapy sessions is crucial for maintaining this collaboration. Clients should feel comfortable reaching out to their therapist for guidance, clarification, or support related to their assignments. This open line of communication ensures that the therapy homework remains aligned with the client’s evolving needs and allows for adjustments when necessary.

By setting realistic expectations, providing ongoing support and feedback, and fostering collaboration, therapists can help clients maximize the benefits of therapy homework. This approach not only enhances the effectiveness of the assignments but also empowers clients to take an active role in their own recovery journey. To explore a wide range of therapy homework ideas and resources, visit our article on  therapy homework ideas .

Download free guide (PDF)

Discover how to engage your clients on autopilot while radically scaling your coaching practice.

Coach, This Changes Everything (Free PDF)

Study record managers: refer to the Data Element Definitions if submitting registration or results information.

Search for terms

• Advanced Search
• See Studies by Topic
• See Studies on Map
• How to Search
• How to Use Search Results
• How to Find Results of Studies
• How to Read a Study Record

• Learn About Studies
• Other Sites About Studies
• Glossary of Common Site Terms

• Submit Studies to ClinicalTrials.gov PRS
• Why Should I Register and Submit Results?
• FDAAA 801 and the Final Rule
• How to Apply for a PRS Account
• How to Register Your Study
• How to Edit Your Study Record
• How to Submit Your Results
• Frequently Asked Questions
• Support Materials
• Training Materials

• Selected Publications
• Clinical Alerts and Advisories
• Trends, Charts, and Maps
• Downloading Content for Analysis

• ClinicalTrials.gov Background
• About the Results Database
• History, Policies, and Laws
• ClinicalTrials.gov Modernization
• Media/Press Resources
• Linking to This Site
• Terms and Conditions
• Search Results
• Study Record Detail

An Open Comparative Study of the Effectiveness and Incomparable Study of the Immunogenicity and Safety of the Vaccine (CoviVac) for Adults Aged 60 Years and Older

• Study Details
• Tabular View
• No Results Posted

Inclusion Criteria:

Volunteers must meet the following inclusion criteria:

Type of participants

• Healthy volunteers or volunteers with a history of stable diseases that do not meet any of the criteria for non-inclusion in the study.

Other inclusion criteria

• Written informed consent of volunteers to participate in a clinical trial
• Volunteers who are able to fulfill the Protocol requirements (i.e., fill out a self-observation Diary, come to control visits).

Exclusion Criteria:

SARS-CoV-2 infection • A case of established COVID-19 disease confirmed by PCR and/or ELISA in the last 6 months.

Diseases or medical conditions

• Serious post-vaccination reaction (temperature above 40 C, hyperemia or edema more than 8 cm in diameter) or complication (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions, accompanied or not accompanied by a feverish state) to any previous vaccination.
• Burdened allergic history (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, serum sickness in the anamnesis, hypersensitivity or allergic reactions to the introduction of any vaccines in the anamnesis, known allergic reactions to vaccine components, etc.).
• Guillain-Barre syndrome (acute polyradiculitis) in the anamnesis.
• The axillary temperature at the time of vaccination is more than 37.0 ° C.
• Acute infectious diseases (recovery earlier than 4 weeks before vaccination) according to anamnesis.
• Donation of blood or plasma (in the amount of 450 ml or more) less than 2 months before inclusion in the study.
• Severe and/or uncontrolled diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, gastrointestinal tract, liver, kidneys, hematopoietic, immune systems.
• Is registered at the dispensary for tuberculosis, leukemia, oncological diseases, autoimmune diseases.
• Any confirmed or suspected immunosuppressive or immunodeficiency condition in the anamnesis.
• Splenectomy in the anamnesis.
• Neutropenia (decrease in the absolute number of neutrophils less than 1000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin less than 80 g/l) according to anamnesis.
• Anorexia according to anamnesis.

Prior or concomitant therapy

• Vaccination with any vaccine carried out within 30 days before vaccination / the first dose of the studied vaccine or planned administration within 30 days after vaccination / the last dose of the studied vaccine.
• Prior vaccination with an experimental or registered vaccine that may affect the interpretation of the study data (any coronavirus or SARS vaccines).
• Long-term use (more than 14 days) of immunosuppressants or other immunomodulatory drugs (immunoregulatory peptides, cytokines, interferons, immune system effector proteins (immunoglobulins), interferon inducers (cycloferon) during the six months preceding the study, according to anamnesis.
• Treatment with systemic glucocorticosteroids (≥ 20 mg of prednisone, or an analog, for more than 15 days during the last month).
• Volunteers who received immunoglobulin preparations or blood transfusion during the last 3 months prior to the start of the study according to anamnesis.

Other non-inclusion criteria

• Participation in any other clinical trial within the last 3 months.

Exclusion criteria:

• Withdrawal of Informed consent by a volunteer;
• The volunteer was included in violation of the inclusion/non-inclusion criteria of the Protocol;
• Any condition of a volunteer that requires, in the reasoned opinion of a medical researcher, the withdrawal of a volunteer from the study;
• Taking unauthorized medications (see section 6.2);
• The volunteer refuses to cooperate or is undisciplined (for example, failure to attend a scheduled visit without warning the researcher and/or loss of communication with the volunteer), or dropped out of observation;
• For administrative reasons (termination of the study by the Sponsor or regulatory authorities), as well as in case of gross violations of the Protocol that may affect the results of the study.
• For Patients and Families
• For Researchers
• For Study Record Managers
• Customer Support
• Accessibility
• Viewers and Players
• Freedom of Information Act
• HHS Vulnerability Disclosure
• U.S. National Library of Medicine
• U.S. National Institutes of Health
• U.S. Department of Health and Human Services

Turn Your Curiosity Into Discovery

Latest facts.

13 Facts About Brain Tumor Awareness Month US May

13 Facts About Community Garden Week Apr 1st To Apr 7th

40 facts about elektrostal.

Written by Lanette Mayes

Modified & Updated: 02 Mar 2024

Reviewed by Jessica Corbett

Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

• Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
• With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy, materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes, offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development.

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy, with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

Was this page helpful?

Our commitment to delivering trustworthy and engaging content is at the heart of what we do. Each fact on our site is contributed by real users like you, bringing a wealth of diverse insights and information. To ensure the highest standards of accuracy and reliability, our dedicated editors meticulously review each submission. This process guarantees that the facts we share are not only fascinating but also credible. Trust in our commitment to quality and authenticity as you explore and learn with us.

Share this Fact:

23 Post Traumatic Growth Worksheets for Therapy (+PDF)

Post Traumatic Growth, or PTG, explains how trauma survivors can not only heal from their trauma, but can actually learn from the experience to become more resilient individuals.

In the mid-1990s, psychologists Richard Tedeschi and Lawrence Calhoun (Tedeschi & Calhoun, 1996) discovered that the severe psychological struggle that follows major life crises can result in positive growth and deepening resilience afterward.

While our other PTG article defines Post-Traumatic Growth with detail on the concept itself and the science behind it, this article provides you with practical tools to apply PTG with your clients or students.

Before you continue, we thought you might like to download our three Resilience Exercises for free . These engaging, science-based exercises will help you cope with difficult circumstances and give you the tools to improve the resilience of your clients, students, or employees.

This Article Contains:

A look at trauma therapy techniques, post traumatic growth worksheet, 6 ptsd worksheets (pdf), 3 common therapy techniques for trauma, 16 pdf trauma worksheets, activities for trauma therapy, positivepsychology.com resources, a take-home message.

There are many trauma therapy techniques mentioned in this article. In this section, we will explore how some of these techniques can be applied to promote post-traumatic growth (PTG) using the model developed by Stephanie D. Nelson, a Behavioral Science Officer from the United States Army.

In 2011, Nelson developed a posttraumatic growth path (PTGP) for veterans suffering from post-traumatic stress disorder ( PTSD ; Nelson, 2011). This pathway can also work with other types of trauma survivors.

The program comprises four stages for those struggling with PTSD symptoms (Nelson, 2011):

Evidence shows the techniques applied during each stage are beneficial for relieving specific PTSD symptoms in all types of trauma survivors and promoting post-traumatic growth (Ogilvie & Carson, 2021).

1. Deal – Writing a Trauma Narrative

This stage consists of writing a trauma narrative by focusing on the facts surrounding the incident(s), including the who, what, where, and when. Next, the client describes the thoughts and feelings that arose during the experience to create a comprehensive narrative.

Finally, the client is asked to write a paragraph reflecting on how they feel now, what they have learned, and if they have grown from the experience. Trauma survivors should complete this exercise with a therapist or counselor for support with any distressing feelings and sensations that may arise such as flashbacks, anxiety, or panic.

Once the trauma narrative is completed, the client proceeds to step 2.

2. Feel – Imaginal Exposure

The next step involves experiencing the feelings aroused by reading the trauma narrative aloud using imaginal exposure.

Exposure therapies work by exposing then desensitizing clients to any uncomfortable, distressing, and frightening feelings associated with the original trauma (Van Der Kolk, 2014).

Imaginal exposure entails revisiting the experience in the mind’s eye using the vivid sensory capacity of the imagination. Imaginary exposure to traumatic experiences using a trauma narrative, helps clients fully process their feelings with the support of a counselor or therapist.

This technique reconnects the client to their original emotional responses to the trauma which otherwise can become displaced onto other associated stimuli called ‘triggers’. Often, trauma survivors avoid emotional triggers which can lead to a narrowing of life experience and a lower quality of life.

For example, physical contact with their partner or spouse may trigger a rape survivor who withdraw or even freeze upon physical contact. This can destroy a survivor’s capacity for intimate relationships. Imaginal exposure allows a client to process any repressed feelings safely, and overcome avoidance.

3. Heal – Channeling PTG

Stage three helps the client reintegrate their feelings and thoughts about the original trauma to facilitate opportunities for learning and growth. The healing stage involves three phases.

• Freedom of choice During this phase, the therapist explains that while the client did not choose their traumatic experience, they can choose how to go forward. The narrative therapy technique of “rewriting the ending” can help the client create their own path.
• Finding meaning The client is encouraged to find meaning in their experience in whatever way is appropriate and workable for them.
• The hero archetype Finally, the therapist guides the client through the transformative journey of the Hero archetype by re-telling their story in the context of the client’s spiritual and cultural values to make the experience more meaningful. The client may also benefit from hearing stories where the hero experiences a significant trauma and becomes a much stronger person as a result.

Once these three techniques have been explored, the therapist can teach the client PTG channeling which involves redirecting their emotional energy away from avoiding triggers into productive, goal-oriented behavior. The therapist may assign the client homework exercises to help shift them from survival toward post-traumatic growth.

4. Seal – The mind as a filing cabinet

The last step of the post-traumatic growth path involves reorganizing the traumatic memory using the “mind as a filing cabinet” metaphor. This likens the memory of the traumatic experience to disorganized information scattered throughout the filing system of the mind.

Rather than the files being neatly ordered, numerous folders contain fragments of information that are confusing and disorientating.

The ‘sealing’ step reorganizes memories as files and stores them away safely. Files can be consulted in the future, but are no longer anything more than one of the many files that are stored in the cabinet of the mind.

The client may need to repeat this process of reorganizing further memories over the course of therapy.

For a moving true-life account of how traumatic childhood experiences can lead to post-traumatic growth and a rounded, fulfilling life, check out this TEDx talk by Martha Londagin below.

Here at PositivePsychology.com, we have several free worksheets that help clients deal with trauma.

However, we selected one as the ultimate post traumatic growth worksheet.

The worksheet start by identifying what is distressful, and causes avoidance.

Avoidance is a strategy trauma survivors often use to eliminate triggers and other associations with the original traumatic event. The problem with avoidance is that it constrains life by restricting options and prevents learning and growth.

The consequences of avoidance are an intensification of fear and restrictions that undermine quality of life .

It is possible to overcome avoidance through gradual exposure until desensitized to the triggering stimuli. Although this process is uncomfortable, it results in an increased sense of safety, widens options, and leads to a more fulfilling life (Collier, 2016).

The post-traumatic growth worksheet then assists with selecting and implementing healthier coping mechanisms than avoidance.

You can access the Conquering Avoidant Tendencies worksheet via the link.

The worksheets include identifying triggers, self-regulating emotions, grounding, decatastrophizing, and taking steps towards gratitude for the things they still enjoy and that support them as they heal.

1. What are your unique triggers?

Identifying triggers is an essential coping skill that can help a client manage their symptoms during their recovery. If a client is aware of their triggers this also helps in overcoming avoidance (Van Der Kolk, 2014).

Look at our What Are Your Unique Triggers? worksheet for guidance.

2. Letter of self-compassion

Cultivating self-compassion is crucial when recovering from a traumatic experience (Collier, 2016). All too often we expect way too much of ourselves and don’t give ourselves enough time and space to heal. Try our Letter of Self-compassion worksheet and read it aloud whenever the inner critic looms.

3. Skills for self-regulating emotions

An ability to self-regulate our emotions is an essential life skill in any context but this can be especially challenging after a traumatic experience when our emotions can become unpredictable or even numb (Van Der Kolk, 2014).

Try our Skills for Self-Regulating Emotions worksheet to help clients self-soothe.

4. Catastrophizing and decatastrophizing

Catastrophizing entails imagining the worst-case scenario every time we face a problem. It is rooted in a limbic brain response designed to protect us from danger, but following trauma, it can be a symptom of hypervigilance (Van Der Kolk, 2014).

Try our Decatastrophizing worksheet for practical support.

5. Countdown to calmness

Grounding ourselves is essential when feeling disconnected from our body or environment, or after catastrophizing (Van Der Kolk, 2014).

Try our Countdown to Calmness worksheet which uses radical acceptance to ground you by focusing on your five senses.

6. It could be worse

Despair and anger are natural responses to a traumatic experience that can rob our lives of meaning (Collier, 2016).

Download 3 Free Resilience Exercises (PDF)

These detailed, science-based exercises will equip you or your clients to recover from personal challenges and turn setbacks into opportunities for growth.

Download 3 Free Resilience Tools Pack (PDF)

By filling out your name and email address below.

Although there are various therapies that can be used for trauma therapy, including EMDR , the following are commonly known therapy types used.

Narrative Therapy

Narrative therapy was developed in the 1980s by Michael White and David Epston (White & Epston, 1990). We explained above how writing a trauma narrative can be used to process and integrate traumatic experiences.

White and Epston believed that separating a person from their problematic behavior was crucial for therapeutic success (White, 2011). Narrative therapy achieves this by helping clients externalize their experience in writing.

White and Epston (1990) formulated their model using three key principles:

• Narrative therapy is respectful.
• Narrative therapy is non-judgmental.
• Narrative therapy views the client as the expert on their problems.

Narrative therapy equips clients with story-telling skills to help separate their sense of personal identity from their trauma. When the client stops seeing their trauma as an integral part of their identity, resolving to learn and grow from the experience becomes easier (Van Der Kolk, 2014).

Art Therapy

Art therapy is a therapeutic practice that uses visual arts techniques to facilitate the therapeutic process and can be especially helpful given that many aspects of traumatic experiences are difficult to express in words (Malchiodi, 2020).

A client doesn’t need any artistic skills to take part in this type of therapy. Rather, the art therapist encourages the client to tap into their creative process to explore and express emotions and develop greater self-awareness. This can help with processing buried conflicts and unresolved trauma.

For a more detailed account of this approach to trauma therapy, we recommend these art therapy , and expressive arts therapies articles.

Play Therapy

Play therapy is typically used to facilitate psychotherapy with children but can also be used with adults. Play therapy requires movement which can help address unresolved trauma that is difficult to express in words, especially for children (Allen & Hoskowitz, 2017).

Play therapy incorporates many techniques such as sand and water play, role play, and the use of representational toys like dolls, trucks, and guns to create play that expresses the client’s traumatic experience. This helps the client externalize their trauma similar to narrative therapy and art therapy, making the experience easier to process (Allen & Hoskowitz, 2017).

We have grouped them into 5 themes for your convenience.

1. Strengths

Identifying a client’s strengths and previous experiences of overcoming difficulties helps with recovery from a traumatic experience. These two worksheets help clients identify their character strengths and recognize their capacity for post-traumatic growth.

• Exploring Character Strengths
• Exploring Past Resilience

2. Exposure

Exposure is an evidence-based approach to overcoming triggers and avoidance. These three worksheets can help guide clients through different types of exposure.

• For physiological symptoms of trauma try our Interoceptive Exposure worksheet,
• For traumatic memories try our Imagery Based Exposure worksheet
• For feared objects and situations try our Graded Exposure worksheet.

Fear and anxiety are common responses to trauma which can lead to dysfunctional thinking. These four worksheets are designed to help clients cope with the anxiety that often arises during and after trauma, and support them in moving on to post-traumatic growth.

• Challenging Catastrophic Thinking Worksheet
• Replacing ‘What if’ Statements
• Dysfunctional Thought Record
• FLARE for Anxiety and Fear

4. Grounding

Feeling far away or unreal is common following a traumatic experience. This is because of the dissociation and depersonalization that can occur as the body struggles to process sensory overload.

These three worksheets are designed to ground clients in the present moment using breathwork and radical acceptance.

• Yogic Breathing
• Anchor Breathing
• Focus on the Present for Radical Acceptance

Finally, these four worksheets have been designed using evidence-based interventions that promote post-traumatic growth.

Eye Movement Desensitization and Reprocessing (EMDR) involves coupling negative cognition with a chosen target image, selecting a positive replacement cognition, then reprocessing traumatic memories into more adaptive thoughts.

Download our EMDR Worksheet to find out more.

Meanwhile, our Imaginal Exposure worksheet uses the Subjective Units of Distress Scale (SUDS) to quantify the disturbance a client feels when revisiting their traumatic experience during therapy. It is especially useful for those who misuse substances to self-soothe.

Your clients can also try this Goal Planning and Achievement Tracker worksheet to monitor their progress during their post-traumatic growth journey.

Finally, our Growing Stronger From Trauma worksheet helps clients identify what they’ve learned from a traumatic experience, and appreciate the strengths they have developed as a result. This exercise helps clients cultivate a more balanced perspective on previous trauma and identify ways to manage future challenges.

The following activities aim at improving the reintegration of the mind, heart, and body connection that is often fragmented by a traumatic experience.

1. Psychoeducation

Psychoeducation is an important intervention to help trauma survivors understand they are experiencing a normal response to an abnormal experience. (Whitworth, 2016).

Our article on psychoeducation interventions explains more.

2. Self-soothing

Equipping a client with self-soothing skills will help support their recovery between sessions (Dreisoerner et al., 2021).

Look at our article 24 Best Self-Soothing Techniques and Strategies for Adults for more resources.

3. Expressive arts

Expressive arts activities can help to process blocked emotional responses to trauma through painting, drawing, clay modeling, photography, music, and movement (Malchiodi, 2020).

Check out our article Expressive Arts Therapy: 15 Creative Activities and Techniques for more resources.

4. Mindfulness

Mindful movement can support grounding when clients feel scattered or fragmented (Teut et al., 2013). Take a look at our articles on Mindful Yoga and Mindful Walking for further guidance.

5. Nature therapy

Ecotherapy interventions are deeply grounding for trauma survivors (Atkins & Snyder, 2017). Activities include forest bathing (Mao et al., 2012), walking in nature, or just gazing at the ocean (Cracknell, 2019).

17 Tools To Build Resilience and Coping Skills

Empower others with the skills to manage and learn from inevitable life challenges using these 17 Resilience & Coping Exercises [PDF] , so you can increase their ability to thrive.

Created by Experts. 100% Science-based.

Besides all the resources we’ve included above, consider our 6-module, science-based Realizing Resilience Masterclass© . It includes all the resources you’ll need to deliver high-quality resilience training and more.

We have other useful related articles with linked resources including:

• 7+ Trauma-Focused Cognitive-Behavioral Therapy Worksheets . Trauma-focused CBT comes highly recommended by the APA as a trauma treatment with a firm evidence base.
• What is Post-Traumatic Growth? (+ Inventory & Scale) examines the science behind PGT in detail.
• PTSD Treatment: How to Support Clients Dealing With Trauma includes psychoeducation tips and resources for working with children and groups.
• Military Counseling & Helping Veterans Deal With Trauma offers more specialized guidance on working with this client group after they have served in an active combat zone.

If you’re looking for more science-based ways to help others overcome adversity, this collection contains 17 Resilience & Coping Exercises . Use them to help others recover from personal challenges and turn setbacks into opportunities for growth.

We hope you find the resources in this article useful. Nobody wants to suffer, but we will inevitably face adverse experiences, whether it’s through loss and grief, sudden illness or injury, a natural calamity, or witnessing violence and extreme suffering in others.

If you struggle with trauma and its aftermath, remember that you have overcome obstacles in the past, and that you can draw on those experiences to cultivate the skills you need to process your experience, and become a wiser, more compassionate, and more resilient person as a result.

Finally, if you would like further inspiration about the potential for growth after trauma check out this short and powerful TED Talk by trauma survivor Charles Hunt. You won’t regret it!

We hope you enjoyed reading this article. Don’t forget to download our three Resilience Exercises for free .

• Allen, B. & Hoskowitz, N. A. (2017). Structured trauma-focused CBT and unstructured play/experiential techniques in the treatment of sexually abused children: A field study with practicing clinicians. Child Maltreatment 22(2) , 112-120.
• Atkins, S., & Snyder, M. (2017). Nature-based expressive arts therapy: Integrating the expressive arts and ecotherapy . Jessica Kingsley Publishers.
• Collier, L. (2016). Growth after trauma. Monitor on Psychology, 47(10).
• Cracknell, D. (2019). By the sea: The therapeutic benefits of being in, on, and by the water . Aster.
• Dreisoerner, A., Junker, N. M., Schlotz, W., Heimrich, J., Bloemeke, S., Ditzen, B., & van Dick, R. (2021). Self-soothing touch and being hugged reduce cortisol responses to stress: A randomized controlled trial on stress, physical touch, and social identity. Comprehensive Psychoneuroendocrinology, 8.
• Malchiodi, C. A. (2020). Trauma and expressive arts therapy: Brain, body, and imagination in the healing process. Guilford Press.
• Mao, G. X., Lan, X. G., Cao, Y. B., Chen, Z. M., He, Z. H., Lv, Y. D., Wang, Y. Z., Hu, X. L., Wang, G. F., & Yan, J. (2012). Effects of short-term forest bathing on human health in a broad-leaved evergreen forest in Zhejiang Province, China. Biomedical Environmental Science. 25(3) , 317-24.
• Nelson, S. D. (2011). The posttraumatic growth path: An emerging model for prevention and treatment of trauma-related behavioral health conditions. Journal of Psychotherapy Integration 21 , 1-42.
• Ogilvie, L. & Carson, J. (2021) Trauma, stages of change and post-traumatic growth in addiction: A new synthesis. Journal of Substance Use , 27 (2), 122-127.
• Tedeschi, R. G. & Calhoun L. G. (1996). The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress . 9(3), 455-71.
• Teut, M., Roesner, E. J., Ortiz, M., Reese, F., Binting, S., Roll, S., … Brinkhaus, B. (2013). Mindful walking in psychologically distressed individuals: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine , 1–7.
• Van Der Kolk, B. (2014). The body keeps the score . Penguin.
• Whitworth, J. D. (2016). The role of psychoeducation in trauma recovery: Recommendations for content and delivery. Journal of Evidence-Informed Social Work , 13(5), 442-51.
• White, M. & Epston, D. (1990). Narrative means to therapeutic ends . W. W. Norton & Company.
• White, M. (2011). Narrative practice: Continuing the conversations (D. Denborough, Ed.), W.W. Norton.

Share this article:

Article feedback

What our readers think.

A parent of a Marine that just had a tragic experience, and as a father would like to help in his recovery from PTSD from war ….

I’m a solution-focused narrative therapy and your PTG approach so resonates with me. Appreciate your work and resources and worksheets.

Thank you for the information!

Great information!

Great article. Interesting worksheets. Is there any link to these worksheets to download in pdf. Also looking for the ACTUAL PTG-24 tool link.

Hi Eulinda,

Glad you liked the article! If you click the hyperlinks in-text where the worksheet name is mentioned, they’ll take you to the PDF download. Also, I’m not finding a tool with this name in our Toolkit. Could you elaborate on what specifically the tool is about and perhaps I can help find what you’re looking for.

– Nicole | Community Manager

Thanks to share this wonderful articles.

Let us know your thoughts Cancel reply

Your email address will not be published.

Save my name, email, and website in this browser for the next time I comment.

Related articles

The Empty Chair Technique: How It Can Help Your Clients

Resolving ‘unfinished business’ is often an essential part of counseling. If left unresolved, it can contribute to depression, anxiety, and mental ill-health while damaging existing [...]

29 Best Group Therapy Activities for Supporting Adults

As humans, we are social creatures with personal histories based on the various groups that make up our lives. Childhood begins with a family of [...]

47 Free Therapy Resources to Help Kick-Start Your New Practice

Setting up a private practice in psychotherapy brings several challenges, including a considerable investment of time and money. You can reduce risks early on by [...]

Read other articles by their category

• Body & Brain (49)
• Coaching & Application (57)
• Compassion (26)
• Counseling (51)
• Emotional Intelligence (24)
• Gratitude (18)
• Grief & Bereavement (21)
• Happiness & SWB (40)
• Meaning & Values (26)
• Meditation (20)
• Mindfulness (45)
• Motivation & Goals (45)
• Optimism & Mindset (34)
• Positive CBT (28)
• Positive Communication (20)
• Positive Education (47)
• Positive Emotions (32)
• Positive Leadership (18)
• Positive Parenting (4)
• Positive Psychology (33)
• Positive Workplace (37)
• Productivity (17)
• Relationships (46)
• Resilience & Coping (36)
• Self Awareness (21)
• Self Esteem (38)
• Strengths & Virtues (32)
• Stress & Burnout Prevention (34)
• Theory & Books (46)
• Therapy Exercises (37)
• Types of Therapy (64)