Behavioral Activation Activity Planning Diary

The Behavioral Activation Activity Diary is a worksheet designed to support activity planning.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Behavioral activation (BA) is an effective treatment for depression. Different behavioral activation protocols include a variety of treatment components, but all contain steps of activity monitoring and activity planning / scheduling. The Behavioral Activation Activity Planning Diary is a worksheet designed for activity scheduling within BA. This diary is in a 7-day format and includes sections for: recording planned activity in the morning / afternoon / evening; prompts to help clients to record the most helpful kinds of information.

Why Use This Resource?

Behavioral Activation (BA) is a well-supported treatment for depression, focusing on increasing activity levels to break cycles of inactivity and low mood.

  • Assists in identifying meaningful activities that reflect client values.
  • Aids clients in planning and implementing activities that enhance their mood.
  • Promotes anticipation of potential obstacles and possible solutions.

Key Benefits

Structured

Offers a clear framework for planning daily activities.

Accessible

Easy for clients to use within and between sessions.

Adaptable

Can be integrated with various BA protocols.

Who is this for?

Depression and Low Mood

Ideal for mental health professionals working with clients struggling with depression and low mood.

Integrating it into your practice

01

Identify

Help clients identify activities aligned with their values.

02

Plan

Encourage clients to plan activities, including details about what, where, and with whom.

03

Predict

Prompt clients to anticipate obstacles and prepare strategies to overcome them.

04

Review

Discuss outcomes with clients to reinforce successes and plan future activities.

Theoretical Background & Therapist Guidance

Learning theories propose that depression is the result of losing touch with sources of positive reinforcement: falling into habits of inactivity (or the wrong kinds of activity) lead to a lowering of mood. Once people feel depressed they may lack motivation, become less active, experience less positive reinforcement, and the cycle repeats or exacerbates. A behavioral approach to overcoming the vicious cycle of depression is to increase one’s level of activity even in the absence of feelings of motivation. This approach is called behavioral activation (BA) and there is strong evidence that it is an effective treatment for depression (Ekers et al, 2014), with equivalent effect sizes to treatments such as cognitive therapy (Jacobson et al, 1996). Modern approaches to BA include Martell, Addis & Jacobson’s package Depression in context: Strategies for guided action (2001), and Lejuez, Hopko & Hopko’s package Brief Behavioral Activation Treatment For Depression (BATD: 2001).

Different behavioral activation protocols include a variety of treatment components, but all contain steps of activity monitoring and activity scheduling (Kanter et al, 2010). The function of activity scheduling within BA is to increase contact with sources of positive reinforcement in the individual’s environment. While early forms of BA focused on scheduling pleasant events, other variants of BA have begun to use alternative criteria for choosing activation targets (Kanter et al, 2010): Beck et al (1979) recommended targeting behaviors which resulted in sense of mastery (accomplishment) as well as pleasant events; Martell et al (2001) encourages the scheduling of activities as alternatives to avoidance and rumination; and Lejuez et al (2001) encourage a focus on scheduling activities that are in line with a client’s values.

This Behavioral Activation Activity Planning Diary is a worksheet designed for activity scheduling within BA. This diary is in a 7-day format and includes sections for: recording planned activity in the morning / afternoon / evening; prompts to help clients to record the most helpful kinds of information.

What's inside

  • Introduction to behavioral activation and activity planning.
  • Therapist guidance for using the resource with clients.
  • Key references and suggestions for further reading.
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FAQs

Behavioral activation is a therapeutic approach that helps individuals improve their mood by increasing engagement in meaningful activities.
Start by discussing the value of activity planning in overcoming depression and guide clients in developing their first plan for the week ahead.
Help them explore activities aligned with their values or experiment with new activities to discover potential sources of meaning and fulfilment.

How This Resource Improves Clinical Outcomes

Incorporating the Behavioral Activation Activity Planning Diary into therapy sessions enhances:

  • Client engagement with meaningful activities.
  • Reduction in depressive symptoms through increased activity.
  • Greater awareness of the relationship between activity and mood.
  • Motivation and accountability through planning and goal setting.

References And Further Reading

  • Ekers, D., Webster, L., Van Straten, A., Cuijpers, P., Richards, D., & Gilbody, S. (2014). Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis. PloS one, 9 (6).
  • Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., ... & Prince, S. E. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64 (2), 295.
  • Kanter, J. W., Manos, R. C., Bowe, W. M., Baruch, D. E., Busch, A. M., & Rusch, L. C. (2010). What is behavioral activation?: A review of the empirical literature. Clinical Psychology Review, 30 (6), 608-620.
  • Lejuez, C. W., Hopko, D. R., & Hopko, S. D. (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification, 25, 255-286.