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Depression Self-Care Action Plan

This document outlines a depression self-care action plan for a patient. It includes 5 steps for the patient to take to help manage their depression: 1) stay physically active daily, 2) make time for pleasurable activities daily, 3) spend time with supportive people weekly, 4) practice relaxation daily, and 5) set simple goals and break problems into small steps. For each step, the patient is instructed to identify specific activities and goals to work on over the next week.

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sigal ardan
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83 views1 page

Depression Self-Care Action Plan

This document outlines a depression self-care action plan for a patient. It includes 5 steps for the patient to take to help manage their depression: 1) stay physically active daily, 2) make time for pleasurable activities daily, 3) spend time with supportive people weekly, 4) practice relaxation daily, and 5) set simple goals and break problems into small steps. For each step, the patient is instructed to identify specific activities and goals to work on over the next week.

Uploaded by

sigal ardan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Depression Self-Care Action Plan

Patient: _____________________________________________
Provider: _____________________________________________
Clinic:

_____________________________________________

Phone Number: _____________________________

Depression is treatable!

1. Stay physically active.


Make sure you make time to address your basic physical needs, for example, walking for a certain amount
of time each day.
Every day during the next week, I will spend at least _______ minutes (make it easy, reasonable) doing
______________________________________________________________________.
2. Make time for pleasurable activities.
Even though you may not feel as motivated, or get the same amount of pleasure as you used to,
commit to scheduling some fun activity each day - for example, doing a hobby, listening to music, or
watching a video.
Every day during the next week, I will spend at least _______ minutes (make it easy, reasonable) doing
__________________________________________________________________.
3. Spend time with people who can support you.
It's easy to avoid contact with people when you're depressed, but you need the support of friends and
loved ones. Explain to them how you feel, if you can. If you can't talk about it, that's OK - just ask them
to be with you, maybe accompanying you on one of your activities.
During the next week, I will make contact for at least _______ minutes (make it easy, reasonable) with
______________________________ (name) doing/talking about _______________________________
______________________________ (name) doing/talking about _______________________________
______________________________ (name) doing/talking about _______________________________
4. Practice relaxing.
For many people, the changes that come with depression - no longer keeping up with our usual activities and
responsibilities, feeling increasingly sad and hopeless - leads to anxiety. Since physical relaxation can lead to
mental relaxation, practicing relaxing is another way to help yourself. Try deep breathing, or a warm bath, or
just finding a quiet, comfortable, peaceful place and saying comforting things to yourself (like "It's OK.")
Every day during the next week, I will practice physical relaxation at least _____ times, for at least
______ minutes each time. (make it easy, reasonable)
5. Simple goals and small steps.
It's easy to feel overwhelmed when you're depressed. Some problems and decisions can be delayed, but
others cannot. It can be hard to deal with them when you're feeling sad, have little energy, and not thinking
clearly. Try breaking things down in to small steps. Give yourself credit for each step you accomplish.
The problem is ________________________________________________________________________
______________________________________________________________________________
My goal is ____________________________________________________________________________
______________________________________________________________________________
Step 1: ______________________________________________________________________________
Step 2: ______________________________________________________________________________
Step 3: ______________________________________________________________________________

Not Likely

How likely are you to follow through with these activities prior to your next visit?
1
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Very Likely

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