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    Depression Self-Care Action Plan

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    sigal ardan
    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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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Depression Self-Care Action Plan

    Uploaded by

    sigal ardan
    39 views1 page
    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.

    Original Title

    Action Plan

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    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.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views1 page

    Depression Self-Care Action Plan

    Uploaded by

    sigal ardan
    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.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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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
    2
    3
    4
    5
    6
    7
    8
    9
    10
    Very Likely

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