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Behavioral Activation Log

A self-monitoring tool for supporters to track activities attempted with their loved one, ratings of pleasure and mastery, observed withdrawal signs, and small wins. This is a self-awareness tool, not a clinical document.

Standalone Tool

Daily Check-In (One Row Per Day)

Day
Activity Attempted
Pleasure Rating (0-10)
Mastery/Accomplishment Rating (0-10)
Withdrawal Sign Observed
Small Win Noticed

Skills I Used This Week

Validation (which level?)
Practiced Patience
Maintained Boundaries
Offered Gentle Encouragement
Self-Regulation Used

Weekly Reflection

The hardest moment this week was:
What I did that worked:
What I would do differently:
Self-care I actually did:
Additional Notes:

Example: Example: Sarah's Thursday Entry

Sarah is supporting her teenage son who has depression. This is what her Thursday entry looked like.

Day
Thursday
Activity Attempted
walked to mailbox together
Pleasure Rating (0-10)
3
Mastery/Accomplishment Rating (0-10)
5
Withdrawal Sign Observed
stayed in room until 2pm
Small Win Noticed
he laughed at the dog
© 2026 Linda Curran, BCPC, LPC, CAADC, CCDPD | The Supporter's Guide to Depression Coaching