Scribd Logo
Upload

Welcome to Scribd!

  • 2K views

    Worksheets and Handouts ACTDailyJournal

    Uploaded by

    Larry Gauthier

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Worksheets and Handouts ACTDailyJournal

    Uploaded by

    Larry Gauthier
    2K views3 pages

    Original Title

    9781684037377 Worksheets and Handouts ACTDailyJournal

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views3 pages

    Worksheets and Handouts ACTDailyJournal

    Uploaded by

    Larry Gauthier

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ACT Daily Journal ACT Daily Action Plan

    ACT Daily Action Plan

    Step 1: What change do you want to make in an important domain (such as family, romantic partner, work, community,
    leisure, physical self-care, creative expression, spirituality, or the environment)?

    Step 2: What values motivate this change? 

    Step 3: What actions can you take to demonstrate your values? 

    Step 4: What inner and outer obstacles do you anticipate? What problem-solving skills and ACT processes will help you
    overcome them?

    Step 5: What contexts and cues can you create to support your actions? 

    Step 6: How will you reinforce your actions? What could you do to keep the flame alive?

    Step 7: Who’s on your support team? 

    Step 8: How can you flexibly respond when you find yourself off course? 

    © 2021 Diana Hill and Debbie Sorensen / New Harbinger Publications.


    Permission is granted to the reader to reproduce this form for personal use.
    ACT Daily Journal ACT Daily Planner

    ACT Daily Planner

    Today’s date:

    A message from my compassionate coach (e.g., “You are How can I practice real self-care today (e.g., take a break
    enough”): for lunch)?

    ACT Process Check:


    Being present: How can I slow down and be fully present?

    Cognitive defusion: What unhelpful thoughts might hook me?

    Acceptance: What TEAMS (thoughts, emotions, action tendencies, memories, sensations) have I been avoiding and am
    willing to have?

    Perspective taking: What self-story do I seem stuck in today, and what’s an alternative perspective?

    Values: What words describe the person I want to be today?

    Committed action: What small steps can I take toward building a meaningful life?

    © 2021 Diana Hill and Debbie Sorensen / New Harbinger Publications.


    Permission is granted to the reader to reproduce this form for personal use.
    ACT Daily Journal ACT Daily Planner

    Planning My Day

    Tasks for today that support my values: Something I’m looking forward to today (i.e., a moment
    to savor):

    Something I am avoiding that I could move toward:


    •

    A small habit to work on:


    •

    • Something bigger than myself that I can focus on today:

    You might also like