Weekly Depression Busters Checklist
S M T W T F S
__ __ __ __ __ __ __ Got up on time
__ __ __ __ __ __ __ Got dressed
__ __ __ __ __ __ __ Bathed
__ __ __ __ __ __ __ Engaged in pleasurable activities
__ __ __ __ __ __ __ Exercised
__ __ __ __ __ __ __ Used coping statements (ex. These bad feelings are temporary,
not permanent)
__ __ __ __ __ __ __ Used affirmations
__ __ __ __ __ __ __ Monitored self for negative thoughts
__ __ __ __ __ __ __ Wrote down negative thoughts
__ __ __ __ __ __ __ Challenged negative thoughts
__ __ __ __ __ __ __ Refused to dwell on things that bother you
__ __ __ __ __ __ __ Did self-help reading
__ __ __ __ __ __ __ Attended self-help meeting
__ __ __ __ __ __ __ Reflected what I did “Right” that day
__ __ __ __ __ __ __ Focused on things to be thankful for
__ __ __ __ __ __ __ Other (specify)
__ __ __ __ __ __ __ Other (specify)
__ __ __ __ __ __ __ Other (specify)
__ __ __ __ __ __ __ Suicidal thoughts (0-10)
__ __ __ __ __ __ __ Avg. Dep. (0-10)
__ __ __ __ __ __ __ Avg. Anx. (0-10)
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