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Worksheet I: Your Self-Care Blueprint

Creating a plan to maintain your own health and well-being.

Week 9
Appendix I

Burnout Assessment

Three signs of stress I'm currently experiencing are...
My energy level this week has been (low, medium, high)...

Self-Care and Boundaries

One self-care activity I will do this week is...
A boundary I need to set or reinforce is...
On a scale of 0-10, how consistently are you prioritizing your own self-care?
© 2026 Linda Curran, BCPC, LPC, CAADC, CCDPD | The Supporter's Guide to Bipolar II Coaching