Lesson Plan
Inner Light Session 1 Lesson Plan
Build rapport with the student while introducing the concept of hope. The student will reflect on positive experiences, articulate their personal definition of hope, and rate their current emotional state using the Emotion Thermometer.
Establishing trust and a shared understanding of hope provides a foundation for reducing self-harm thoughts and building resilience. Early reflection on positive moments helps redirect focus toward future possibilities.
Audience
Individual Tier 3 Student Support
Time
35 minutes
Approach
Guided discussion and reflection activities
Materials
Prep
Prepare for Session
15 minutes
- Review the student’s background, previous session notes, and any safety plans.
- Print copies of Hope Reflection Worksheet, Emotion Thermometer Scale, and ensure a journal is available (Student Journal).
- Arrange a private, comfortable space free of distractions.
Step 1
Warm-up
5 minutes
- Greet the student warmly and check in on how they’re feeling today.
- Engage in brief, casual conversation (hobbies, weekend) to build rapport.
Step 2
Explore Hope Concept
8 minutes
- Ask the student: “What does hope mean to you?”
- Guide a discussion on times they’ve felt hopeful in the past.
- Affirm their insights and validate their experiences.
Step 3
Hope Reflection Activity
12 minutes
- Introduce the Hope Reflection Worksheet.
- Invite the student to list 2–3 moments when they felt hope and describe associated feelings and outcomes.
- Offer support and positive reinforcement as they share.
Step 4
Emotion Identification
5 minutes
- Present the Emotion Thermometer Scale.
- Ask the student to rate their current emotional state (1–10) and discuss why they chose that number.
- Validate their feelings and normalize emotional fluctuations.
Step 5
Reflection and Journal
3 minutes
- Encourage the student to write a brief entry in the Student Journal about today’s insights.
- Prompt: “How does reflecting on hope make you feel?”
Step 6
Closing and Next Steps
2 minutes
- Summarize key strengths and hopeful moments identified today.
- Set a simple daily goal: note one hopeful thought each day.
- Confirm the time and date for the next session.
use Lenny to create lessons.
No credit card needed
Discussion
Hope and Resilience Discussion
Session Objective
To explore personal definitions of hope, recall moments of resilience, and identify strengths that support well-being.
Discussion Guidelines
- This is a safe, non-judgmental space.
- You may share as much or as little as you feel comfortable with.
- I will listen actively and validate your experiences.
- Everything we discuss here stays between us.
Discussion Prompts
-
What does “hope” mean to you?
-
Think of a specific time when you felt hopeful. Describe what happened and how it made you feel.
-
What personal strengths or support from others helped you experience that hope?
-
On a scale of 1–10, how hopeful do you feel right now? Use the Emotion Thermometer Scale. What led you to choose that number?
-
What is one small action you could take this week to nurture a sense of hope or resilience?
Reflection and Next Steps
- Choose one hopeful thought from today’s discussion and write a short entry in your Student Journal.
- Complete the Hope Reflection Worksheet to capture your insights and refer back to them when you’re feeling low.
Supportive Reminders
- You are not alone—hope can be found even in difficult times.
- We’ll build on these reflections in our next session.
Worksheet
Hope Reflection Worksheet
Name: ____________________________ Date: _______________
1. What does “hope” mean to you?
Write your own definition of hope in your own words.
2. Moment When You Felt Hopeful #1
a. What happened?
b. How did it make you feel?
c. What was the outcome?
3. Moment When You Felt Hopeful #2
a. What happened?
b. How did it make you feel?
c. What was the outcome?
4. Moment When You Felt Hopeful #3 (Optional)
a. What happened?
b. How did it make you feel?
c. What was the outcome?
5. What personal strengths or support from others helped you experience hope in these moments?
Consider qualities, skills, people, or resources that played a role.
6. How can you remind yourself of these hopeful moments when you’re feeling low?
List strategies or steps you could take.
Next Steps: Keep this worksheet somewhere you can easily revisit—on your desk, in your locker, or as an image on your phone. Refer back to it whenever you need a reminder of the hope you’ve felt and the strengths you’ve used.
Journal
Student Journal: Session 1 Reflection
Date: ____________________________
1. How does reflecting on hope in today’s session make you feel?
2. Describe one moment from today that felt hopeful to you.
3. What is one thought or image you want to carry with you this week to remind yourself of hope?
4. Write down one small goal or hopeful thought you have for today.
5. Any other thoughts, questions, or feelings you’d like to note?
Lesson Plan
Inner Light Session 2 Lesson Plan
Help the student recognize personal triggers and introduce simple grounding strategies to manage distress. During this session, the student will identify 3–5 common self-harm triggers and practice one grounding technique.
Awareness of triggers empowers the student to anticipate distress and use coping skills before urges escalate. Grounding techniques offer immediate tools to reduce anxiety and self-harm thoughts.
Audience
Individual Tier 3 Student Support
Time
35 minutes
Approach
Discussion, identification activity, skill demonstration
Prep
Prepare for Session
10 minutes
- Review notes from Session 1, including the student’s hope reflection and weekly goal.
- Print copies of Trigger Identification Worksheet and Grounding Techniques Guide.
- Set up a calm, private space with any grounding props (stress ball, textured item).
Step 1
Warm-up & Emotion Rating
5 minutes
- Greet the student and check in: “How have you felt since our last session?”
- Present the Emotion Thermometer Scale and ask the student to rate today’s feelings.
Step 2
Review Weekly Goal
3 minutes
- Ask about the daily hopeful thought goal: “Were you able to note one hopeful thought each day? How did that feel?”
- Provide encouragement and validate any challenges.
Step 3
Discuss Triggers
8 minutes
- Explain the importance of identifying triggers: “Knowing our triggers helps us prepare coping tools.”
- Ask: “What situations, thoughts, or feelings tend to lead to self-harm urges for you?”
- Listen actively and validate responses.
Step 4
Trigger Identification Activity
12 minutes
- Introduce the Trigger Identification Worksheet.
- Guide the student to list 3–5 triggers and note associated sensations or thoughts.
- Have them rate each trigger’s intensity (1–10).
- Discuss any common patterns you notice together.
Step 5
Introduce Grounding Techniques
5 minutes
- Present the Grounding Techniques Guide.
- Demonstrate one technique (e.g., 5-4-3-2-1 sensory method).
- Practice it together for one minute.
Step 6
Reflection & Next Steps
2 minutes
- Encourage the student to write a brief entry in the Student Journal: “Which grounding technique felt most helpful?”
- Set a goal: practice the chosen grounding exercise at least once daily when noticing distress.
Discussion
Triggers and Coping Discussion
Session Objective
To identify your personal self-harm triggers and explore coping strategies—especially grounding techniques—to manage distress before urges escalate.
Discussion Guidelines
- This is a confidential, non-judgmental space.
- Share only what you feel comfortable with.
- I will listen actively and validate whatever you share.
- Everything we discuss stays between us.
Discussion Prompts
-
Since our last session, have there been moments when self-harm thoughts came up? What was happening right before or during those moments?
-
What specific situations, thoughts, or emotions tend to trigger strong urges for you?
-
How do you usually notice when a trigger is happening? (For example, certain physical sensations, images in your mind, or patterns of thought.)
-
On a scale of 1–10, how intense are your urges right now? Use the Emotion Thermometer Scale. What led you to choose that number?
-
What coping strategies have you tried in the past when you felt distressed (e.g., talking with someone, distraction, grounding)? Which felt most helpful, and why?
-
Let’s try one grounding exercise together from the Grounding Techniques Guide. We’ll do the 5-4-3-2-1 sensory method:
- Name 5 things you can see
- Name 4 things you can touch
- Name 3 things you can hear
- Name 2 things you can smell
- Name 1 thing you can taste
How did this feel for you? Would you be able to use it when a trigger arises?
Reflection and Next Steps
-
Write a quick entry in your Student Journal: “Which grounding skill felt most helpful today, and when will I practice it this week?”
-
Complete the Trigger Identification Worksheet to record your top triggers, rate their intensity, and plan specific coping steps. Keep it somewhere accessible and review it whenever you notice distress.
Worksheet
Trigger Identification Worksheet
Name: ____________________________ Date: _______________
1. Identifying Your Triggers
Trigger #1
a. Describe the trigger (situation, thought, or feeling):
b. What sensations or thoughts do you notice when this happens?
c. Intensity of urge (1–10):
d. Coping strategy you could try (see Grounding Techniques Guide):
Trigger #2
a. Describe the trigger (situation, thought, or feeling):
b. What sensations or thoughts do you notice when this happens?
c. Intensity of urge (1–10):
d. Coping strategy you could try (see Grounding Techniques Guide):
Trigger #3
a. Describe the trigger (situation, thought, or feeling):
b. What sensations or thoughts do you notice when this happens?
c. Intensity of urge (1–10):
d. Coping strategy you could try (see Grounding Techniques Guide):
Optional Triggers #4 & #5
Use the same prompts above if you notice more triggers.
2. Patterns and Insights
Are there any common themes or patterns across your triggers?
3. Coping Plan Summary
For each trigger you listed, choose one strategy you'll practice this week. Write your plan here:
Next Steps:
- Keep this worksheet somewhere you can access it easily.
- Review and update it as you notice new triggers.
- Practice your chosen strategies whenever you feel distress.
Reading
Grounding Techniques Guide
Grounding techniques help you stay present in the moment when distressing thoughts or urges arise. By focusing on your senses, breath, or body, you can interrupt overwhelming feelings and calm your mind. Practice these methods regularly so they become natural tools when you need them.
Why Grounding Helps
- Shifts attention away from painful thoughts or self-harm urges
- Activates your body’s natural relaxation response
- Provides a simple, immediate way to feel safe and in control
1. 5-4-3-2-1 Sensory Method
Use your five senses to anchor yourself in the present:
- Name 5 things you can see around you.
- Name 4 things you can touch (e.g., the texture of your clothing, a stress ball).
- Name 3 things you can hear (e.g., clocks ticking, distant voices).
- Name 2 things you can smell (e.g., a pen, fresh air).
- Name 1 thing you can taste (e.g., gum, a sip of water).
Practice this slowly, noticing every detail.
2. Deep Breathing Exercises
Box Breathing
• Inhale for 4 counts
• Hold for 4 counts
• Exhale for 4 counts
• Hold for 4 counts
Repeat 4–6 times.
Belly Breathing
• Place one hand on your chest and one on your stomach.
• Breathe in through your nose, filling your belly first.
• Exhale slowly through your mouth.
Focus on the rise and fall of your hand on your abdomen.
3. Physical Grounding
- Stretch or gentle yoga: Reach arms overhead, roll shoulders, or touch toes.
- Walk mindfully: Notice each step, how your feet feel on the ground.
- Change temperature: Hold a cold object (ice cube), run cool water on your wrists.
Choose what feels most accessible and calming.
4. Mental Distraction
- Count backward from 100 by sevens.
- Recite a favorite poem or song lyrics in your head.
- Name categories: types of animals, countries, or movie titles.
Engaging your mind in a simple task can block distressing thoughts.
5. Safe Place Visualization
- Close your eyes and imagine a place where you feel completely safe and calm (real or made-up).
- Picture the colors, sounds, smells, and textures of this place.
- Spend 1–2 minutes exploring it in your mind.
When you open your eyes, carry the sense of safety with you.
Tips for Success
- Practice daily—when you’re calm and relaxed—to build confidence.
- Keep a reminder (e.g., index card, phone note) with one favorite technique.
- Combine methods (e.g., breathing plus 5-4-3-2-1) for extra grounding power.
- Use your Emotion Thermometer Scale before and after to track how grounded you feel.
You can use any of these techniques anytime you notice distress or self-harm urges. Over time, grounding becomes a reliable way to soothe difficult feelings and regain control.
Lesson Plan
Inner Light Session 3 Lesson Plan
Guide the student to expand their personal coping toolbox by identifying diverse strategies and practicing a new self-soothing technique.
Developing a varied set of coping skills enhances the student’s ability to manage distressing thoughts, reduces reliance on self-harm, and builds emotional resilience.
Audience
Individual Tier 3 Student Support
Time
35 minutes
Approach
Collaborative exploration and experiential practice
Prep
Prepare for Session
10 minutes
- Review notes from Session 2, including identified triggers and grounding practice feedback.
- Print copies of Coping Skills Worksheet and Self-Soothing Strategies Guide.
- Gather any props needed for self-soothing exercises (e.g., soft blanket, stress ball, calming music).
Step 1
Warm-up & Emotion Check
5 minutes
- Greet the student and check in: “How are you feeling today?”
- Use the Emotion Thermometer Scale to rate current feelings.
Step 2
Review Grounding Practice
5 minutes
- Ask about their daily grounding practice: “Which technique did you use this week, and how did it help?”
- Validate effort and note any challenges or successes.
Step 3
Introduce Coping Toolbox
5 minutes
- Explain the concept: a toolbox of skills to turn to when distressed.
- Discuss different types of coping strategies (physical, emotional, mental, social).
Step 4
Coping Skills Identification Activity
10 minutes
- Distribute the Coping Skills Worksheet.
- Brainstorm and list 2–3 coping skills in each category:
• Physical (e.g., exercise, stretching)
• Emotional (e.g., journaling, art)
• Mental (e.g., positive self-talk, puzzles)
• Social (e.g., calling a friend, support group) - Discuss what feels realistic and appealing to try.
Step 5
Practice Self-Soothing Technique
7 minutes
- Introduce the Self-Soothing Strategies Guide.
- Choose one technique (e.g., progressive muscle relaxation, guided imagery) and demonstrate it.
- Guide the student through a 5-minute practice session.
Step 6
Reflection & Next Steps
3 minutes
- Encourage a journal entry in the Student Journal: “Which new coping skill felt most helpful, and when will I practice it?”
- Set a goal: use at least two new strategies this week and note reactions.
Reading
Self-Soothing Strategies Guide
Self-soothing involves using gentle, comforting activities to calm your body and mind when you’re feeling distressed. By engaging your senses or nurturing your emotional needs, you can reduce tension, interrupt self-harm urges, and restore a sense of safety. Below are a variety of strategies—organized by sense and activity type—for you to explore and practice regularly.
1. Visual Soothing
• Soft lighting or colors: Sit in a space with warm, dim lights or look at calming colors (e.g., blues, greens).
• Watch gentle videos: Choose short nature clips (waves, forests, sunsets) or slow-motion art compilations.
• Create or view art: Sketch simple mandalas, color in a coloring book, or browse soothing artwork online.
How to practice: Spend 2–3 minutes observing details—shapes, movements, and hues. Notice what feels most peaceful.
2. Auditory Soothing
• Calming music or sounds: Listen to instrumental tracks, nature sounds (rain, ocean waves), or white noise.
• Guided meditations: Use an app or a recording that guides you through a short, mindful pause.
• Humming or chanting: Gently hum a comforting tune or repeat a soft mantra under your breath.
How to practice: Close your eyes and focus fully on what you hear. Let the sounds wash over you, naming each one if it helps you stay present.
3. Tactile Soothing
• Textured objects: Hold a soft blanket, plush toy, smooth stone, or stress ball.
• Warm or cool sensations: Wrap yourself in a warm scarf or hold a cool washcloth on your wrists.
• Gentle self-massage: Rub your shoulders, scalp, or hands with slow, circular motions.
How to practice: Notice the weight, temperature, and texture. Breathe deeply as you explore these sensations with your fingers or palms.
4. Olfactory Soothing
• Aromatherapy: Inhale scents like lavender, chamomile, citrus, or peppermint from essential oils, candles, or lotions.
• Comforting smells: Brew a cup of herbal tea (chamomile or mint), or carry a small sachet of dried herbs.
How to practice: Take 3–5 slow, deep breaths, inhaling through your nose and letting the aroma fill your awareness. Notice how the scent changes as it warms.
5. Gustatory Soothing
• Sipping warm beverages: Enjoy a small cup of tea, hot cocoa, or warm milk.
• Tasting something simple: Slowly eat a piece of fruit, a mint, or a piece of dark chocolate.
How to practice: Focus on the flavor, texture, and temperature. Chew or sip mindfully, noticing each subtle change in taste.
6. Movement-Based Soothing
• Gentle stretching or yoga: Roll your shoulders, reach overhead, or practice a simple neck stretch.
• Walk mindfully: Take a slow, deliberate walk—notice how your feet lift and land.
• Rhythmic motion: Rock in a chair, sway side to side, or dance softly to a slow song.
How to practice: Pay attention to how your muscles feel as they move and release tension. Match your breathing to each movement.
7. Imaginative Soothing
• Safe-place visualization: Close your eyes and picture a place—real or imaginary—where you feel completely calm. Explore it with all your senses.
• Positive memory recall: Remember a moment when you felt loved or proud. Relive that feeling in your mind.
How to practice: Spend 1–2 minutes immersed in your chosen scene or memory. Notice colors, sounds, textures, and the emotions that arise.
Tips for Success
- Practice these techniques when you’re feeling calm so they become easy to use in distress.
- Keep a small kit with your favorite item(s)—a smooth stone, essential oil roller, or comfort photo—so it’s ready when needed.
- Combine methods (e.g., listen to calming music while holding a textured object) for extra soothing power.
- Use your Emotion Thermometer Scale before and after each practice to track your emotional shift.
Reflection: Which self-soothing techniques feel most appealing or effective for you? Consider trying one new strategy each day and noting your experience in your Student Journal.
Discussion
Coping Toolbox Discussion
Session Objective
To explore and expand your personal coping toolbox by reflecting on strategies you've tried, sharing what felt most helpful, and selecting new skills to practice regularly.
Discussion Guidelines
- This is a confidential, non-judgmental space.
- Share what you feel comfortable with—there are no right or wrong answers.
- I will listen actively and validate your experiences.
- Everything discussed here stays between us.
Discussion Prompts
-
Looking back on the techniques you’ve used so far (grounding, self-soothing, journaling, etc.), which one felt most effective for you, and why?
-
We’ve categorized coping skills into Physical, Emotional, Mental, and Social. For each category, name one strategy you tried and describe how it felt (e.g., stretching, drawing, puzzles, talking with someone).
• Physical:
• Emotional:
• Mental:
• Social:
-
What challenges or barriers have you experienced when trying to use a coping skill (e.g., not enough time, feeling uncomfortable, forgetting)?
-
Review the Self-Soothing Strategies Guide. Which new technique stands out to you, and what makes you interested in trying it?
-
How might you integrate these strategies into your daily routine or plan for moments of distress? For example, setting a reminder, creating a small kit, or scheduling a regular check-in.
Reflection and Next Steps
- Complete your Coping Skills Worksheet (Coping Skills Worksheet) by noting which strategies you’ll practice this week and when.
- In your Student Journal, write:
“This week, I will practice ______________ and ______________ on _______________ (time/place). I will remind myself by ______________.”
Supportive Reminder: You’re building a personalized toolkit—some skills will fit better than others. It’s okay to experiment and adjust as you learn what works for you.
Lesson Plan
Inner Light Session 4 Lesson Plan
Support the student in setting future-focused, realistic goals and creating a personalized hope plan—identifying short- and long-term goals, breaking them into actionable steps, and mapping supports.
Focusing on future possibilities enhances hope, motivation, and a sense of purpose, counteracting self-harm thoughts by highlighting personal potential and clear pathways forward.
Audience
Individual Tier 3 Student Support
Time
35 minutes
Approach
Goal-setting and planning activities
Prep
Prepare for Session
10 minutes
- Review notes from Sessions 1–3, including journal entries and progress on coping skills.
- Print copies of Future Goals Worksheet and Hope Map Template.
- Have the Emotion Thermometer Scale visible and the Student Journal ready.
Step 1
Warm-up & Emotion Check
5 minutes
- Greet the student and ask how they’re feeling this week.
- Use the Emotion Thermometer Scale to rate their current emotional state.
Step 2
Review Progress
5 minutes
- Discuss which coping strategies and goals they’ve practiced so far.
- Celebrate successes and troubleshoot any barriers.
Step 3
Introduce Future Orientation
5 minutes
- Explain how setting both short- and long-term goals can build hope.
- Clarify definitions: short-term (next month), long-term (1–5 years).
Step 4
Future Goals Activity
10 minutes
- Distribute the Future Goals Worksheet.
- Guide the student to list 2–3 short-term goals and 1–2 long-term goals, noting why each matters.
- Talk through feelings and meaning behind each goal.
Step 5
Hope Map Planning
8 minutes
- Introduce the Hope Map Template.
- Choose one goal and break it into 3–4 smaller steps with approximate timelines and supports.
- Identify people or resources that can help for each step.
Step 6
Reflection & Next Steps
2 minutes
- Encourage a journal entry in the Student Journal: “Which step will I work on first and when?”
- Set a weekly action: complete at least one step and note reflections.
Worksheet
Future Goals Worksheet
Name: ____________________________ Date: _______________
1. Short-Term Goals (Next Month)
List 2–3 concrete goals you’d like to achieve in the next month. For each, explain why it matters to you and how it could support your sense of hope.
Goal #1:
Why this goal matters:
Goal #2:
Why this goal matters:
Goal #3 (Optional):
Why this goal matters (Optional):
2. Long-Term Goals (1–5 Years)
Identify 1–2 bigger-picture goals you’d like to work toward over the next few years. Describe why each is important for your future well-being and hope.
Long-Term Goal #1:
Why this matters:
Long-Term Goal #2 (Optional):
Why this matters (Optional):
3. Reflection
How does thinking about these short- and long-term goals make you feel? What gives you motivation or energy when you imagine reaching them?
4. Next Steps
Choose one goal above and use the Hope Map Template to break it into smaller steps, timelines, and supports. Briefly note below which goal you’ll map first:
Tip: Keep this worksheet where you can see it often. Revisit your goals regularly and celebrate each step you complete!
Activity
Hope Map Template
Name: ____________________________ Date: _______________
1. Selected Goal
Which of your short- or long-term goals will you map today?
2. Action Steps
Break your goal into 3–4 clear, manageable steps. For each step, note when you’ll do it, who or what can support you, and any challenges you anticipate.
Step 1:
- What I will do:
- Timeline (when?):
- Support/Resource (who or what?):
- Potential Challenges:
- Coping Strategies if challenged:
Step 2:
- What I will do:
- Timeline (when?):
- Support/Resource (who or what?):
- Potential Challenges:
- Coping Strategies if challenged:
Step 3:
- What I will do:
- Timeline (when?):
- Support/Resource (who or what?):
- Potential Challenges:
- Coping Strategies if challenged:
Step 4 (Optional):
- What I will do:
- Timeline (when?):
- Support/Resource (who or what?):
- Potential Challenges:
- Coping Strategies if challenged:
3. Reflection
How confident do you feel about completing these steps? What keeps you motivated?
4. Next Steps & Reminders
- First Step to Start:
- Date/Time to Begin:
- Reminder Strategy: (e.g., set an alarm, sticky note, ask a friend)
Tip: Keep this plan where you can see it—on your desk, in your journal, or as a digital note. Review and update it each week, and celebrate every step you complete!
Lesson Plan
Inner Light Session 5 Lesson Plan
Consolidate progress by reflecting on coping skills learned, identify relapse warning signs, and develop a personalized maintenance plan to sustain resilience and prevent self-harm.
Reflecting on growth and planning for potential challenges empowers the student to recognize early warning signs and apply coping strategies proactively, reducing self-harm thoughts long-term.
Audience
Individual Tier 3 Student Support
Time
35 minutes
Approach
Reflective discussion and collaborative planning
Prep
Prepare for Session
10 minutes
- Review notes and journal entries from Sessions 1–4 to track progress.
- Print copies of Relapse Prevention Plan Worksheet and Maintenance Plan Template.
- Ensure Emotion Thermometer Scale and Student Journal are available.
- Arrange a private, comfortable space to discuss sensitive topics.
Step 1
Warm-up & Emotion Check
5 minutes
- Greet the student and ask how they’re feeling today.
- Use the Emotion Thermometer Scale to rate current emotions and discuss changes since the first session.
Step 2
Review Progress
5 minutes
- Reflect on the coping skills practiced over the last sessions.
- Ask: “Which strategies have you found most helpful? What progress do you notice?”
- Validate successes and acknowledge challenges.
Step 3
Introduce Relapse Prevention
7 minutes
- Explain the concept: identifying warning signs helps prevent relapse into self-harm thoughts.
- Ask: “What early signs or triggers might indicate you’re at risk of relapse?”
- Discuss internal (thoughts, feelings) and external (situations) warning signals.
Step 4
Relapse Prevention Planning
10 minutes
- Introduce the Relapse Prevention Plan Worksheet.
- Guide the student to list their top warning signs and map out specific coping strategies and support people for each.
- Confirm understanding and readiness to use the plan.
Step 5
Develop Maintenance Plan
5 minutes
- Present the Maintenance Plan Template.
- Collaborate on setting a schedule for daily/weekly check-ins, ongoing skill practice, and support contacts.
- Note reminders or tools to keep this plan visible.
Step 6
Reflection & Next Steps
3 minutes
- Encourage a brief entry in the Student Journal: “How confident do I feel about this maintenance plan, and when will I review it next?”
- Confirm any follow-up steps or supports needed after the series concludes.
Worksheet
Relapse Prevention Plan Worksheet
Name: ____________________________ Date: _______________
1. Recognizing Warning Signs
Internal Warning Signs (thoughts, feelings, physical sensations):
External Warning Signs (situations, people, places, events):
2. Coping Strategies for Early Warning Signs
For each warning sign above, list one or more coping strategies you’ve practiced (e.g., grounding, self-soothing, distraction).
| Warning Sign | Coping Strategy |
|---|---|
| 1. ____________________________ | ____________________________ |
| 2. ____________________________ | ____________________________ |
| 3. ____________________________ | ____________________________ |
3. Support Network and Resources
Who can you contact when you notice these warning signs? List people or services (phone, text, in-person) and how to reach them.
| Person/Service | Contact Info or Method |
|---|---|
| 1. ________________________ | _________________________________ |
| 2. ________________________ | _________________________________ |
| 3. ________________________ | _________________________________ |
4. Emergency Plan
If coping strategies and initial supports are not enough, what will you do?
- Step 1: Call or text ____________________________
- Step 2: Go to ____________________________
- Step 3: Contact crisis line ____________________________
5. Tracking Your Progress
Use the Emotion Thermometer Scale to rate how you feel before and after using your plan. How has your emotional state changed?
Before: _____ After: _____
6. Reflection and Next Steps
- What felt most helpful about this plan?
- When and where will you keep a copy of this worksheet so it’s easy to access?
Tip: Review and update this plan regularly—especially after you try it. Celebrate small successes and stay connected to your support network.
Activity
Maintenance Plan Template
Name: ____________________________ Date: _______________
1. Daily Check-Ins
Use your Emotion Thermometer Scale to track how you feel each day. Record morning and evening ratings below:
• Morning (upon waking): _____
Reasons/Notes:
• Evening (before bed): _____
Reasons/Notes:
2. Ongoing Skill Practice
Schedule times this week to use the coping strategies you’ve found helpful. Write your plan below:
| Day | Time | Skill/Activity | Where/How |
|---|---|---|---|
| Monday | ____________ | ______________________________________ | ______________________________________ |
| Wednesday | ____________ | ______________________________________ | ______________________________________ |
| Friday | ____________ | ______________________________________ | ______________________________________ |
3. Support Contacts
Plan regular check-ins with people or services you trust. List below:
| Person/Service | Check-In Schedule | Contact Method |
|---|---|---|
| 1. ________________________ | _________________________ | _________________________________ |
| 2. ________________________ | _________________________ | _________________________________ |
| 3. ________________________ | _________________________ | _________________________________ |
4. Reminder Strategies
How will you keep this plan visible and top of mind? (e.g., phone alarm, sticky note, calendar reminder)
5. Plan Review & Reflection
- Next Review Date: _______________
- What has gone well?
- What would I adjust?
Journal Entry
In your Student Journal, write:
“I feel most supported when _________. This week I will focus on ________ and check in with ________ on ________.”
Tip: Keep this template where you can see it daily. Consistent check-ins and practice help maintain the gains you’ve made and support your ongoing well-being.