These coping skills worksheets are written for your client and built for you, the therapist who assigns them. There are six, each a short list with lines to fill in: a personal coping skills inventory, a healthy vs unhealthy coping sort, a coping plan for a stress the client knows is coming, a coping card for a wallet or phone, a weekly practice log, and a shorter version for teens. Before them is a coping skills list of 56 skills, grouped by what each one does. Print this page or save it as a PDF from your browser, and fill in the first sheet together in session.
After the worksheets comes the part for you: what the research says about coping (problem-focused and emotion-focused coping, approach and avoidance, and why fitting the skill to the situation matters more than any one skill), how to assign and review the sheets, which one to use when, a worked example, how to adapt them for teens, clients who don't read easily and telehealth, when coping skills aren't enough, and how to note the work in a progress note.
About this page. The worksheets are our own wording and layout, built on the coping research cited at the end. For specific skills, such as grounding or DBT distress tolerance, this page links to our worksheets on those skills instead of repeating them.
Every client in this article is invented. Any resemblance to a real person is a coincidence.
How to print this page or save it as a PDF
- On a computer: press Ctrl+P on Windows or Cmd+P on a Mac.
- On a phone: open your browser's share menu and choose Print.
- To keep a PDF: in the print window, choose "Save as PDF" as the printer. Keep the file with your handouts, or send it to a client.
- To print only the client pages: in the print preview, find the pages from "A coping skills list" to "End of the worksheets", and enter just those pages as the page range.
- To print one worksheet: use the same method with that worksheet's pages. The coping card and the weekly log are the two most clients take home.
- If the cookie notice is still open, choose an option first, so it doesn't print across every page.
The lines are for a pen. A client who would rather type can copy the bold headings into a note on their phone and answer there.
Six coping skills worksheets for adults and teens
Before you start
Coping is whatever you do to get through stress: what you think, say and do when life asks more of you than feels manageable. Everyone already copes somehow. Some habits help. Some help for an hour and cost you later. Most people lean on the same few, whether or not they still work.
These worksheets help you see what you do now, sort what helps from what costs you, plan ahead for a stress you know is coming, keep a short reminder with you, and track what works. Fill in the first one with your therapist. There are no right answers, and nobody is grading you.
A coping skills list, by what each skill does
Circle any you already use. Put a star next to any you'd like to try. Different stresses need different kinds of coping, so aim to have at least one from most groups.
Group 1: Work on the problem. For the parts of a stress you can change.
- Write the problem down in one sentence
- Break it into small steps and do the first one
- List a few options, then pick one to try
- Ask someone for information or advice
- Talk directly with the person involved
- Say no to one extra demand
- Ask for help with a task
- Set a time to deal with it, and put it in my calendar
Group 2: Calm my body.
- Breathe out slowly, a little longer than I breathe in
- Go for a walk, or move for ten minutes
- Stretch, or tense and relax my muscles one group at a time
- Take a warm shower or bath
- Hold something cold, or splash cool water on my face
- Name what I can see, hear and feel around me right now
- Eat something, or drink a glass of water
- Lie down and rest, even for ten minutes
Group 3: Move my attention, on purpose. For a break, with a time limit.
- Listen to music I like
- Do a puzzle, a crossword or a game for a set time
- Cook or bake something
- Tidy one small space
- Watch one episode, then stop
- Read a few pages of a book
- Count backward from 100 by sevens
- Do something with my hands: draw, knit, fix something
Group 4: Look at it another way.
- Ask: what would I tell a friend in this situation?
- Ask: what's another way to explain what happened?
- Ask: will this matter in a week? In a year?
- Remember a hard time I got through before
- Look for one thing I can learn from it
- Write down the worried thought, then write a fairer answer
- Notice what's still going okay
- Find something funny in it, if I can
Group 5: Reach out to someone.
- Text or call a friend
- Spend time with family or someone I trust
- Tell someone what I need: to listen, to help, or to take my mind off it
- Ask for a hug
- Go to a group, a class or a place of worship
- Talk to a mentor, coach, teacher or faith leader
- Spend time with a pet
- Help someone else with something small
Group 6: Make room for what I can't change.
- Name the feeling: "Right now I'm feeling ___"
- Let the feeling be there without fighting it, and notice it rise and fall
- Tell myself: "This is hard, and I can get through it"
- Pray, meditate or sit quietly
- Write it all down, then close the notebook
- Decide what I'll let go of for today
- Cry if I need to
- Notice an urge and wait ten minutes before acting on it
Group 7: Look after the basics.
- Go to bed and get up at about the same time each day
- Eat regular meals
- Move my body most days
- Get outside, even for a few minutes
- Do one thing I enjoy each day
- Do one thing that matters to me
- Cut back on alcohol, caffeine or late-night screens
- Take any medicine as prescribed
My picks
- Skills I already use: ________________________
- Skills I'd like to try: ________________________
- The group I use least: ________________________
Worksheet 1: My coping skills inventory
Write what you really do when stress builds, not what you think you should do. Everyone has habits that help and habits that cost them later. This sheet is for noticing, not judging.
Part A: What I usually do
- When I'm worried, I usually: ________________________
- When I'm angry, I usually: ________________________
- When I'm sad or low, I usually: ________________________
- When I'm overwhelmed, I usually: ________________________
- When stress builds at work or school, I: ________________________
- At home in the evening, I: ________________________
- When I can't sleep, I: ________________________
- What people close to me notice I do when I'm stressed: ________________________
Part B: A closer look at three habits
Pick three habits from Part A that you use often.
Habit 1
- What I do: ________________________
- How many times a week: ________________________
- My stress right before, 0 to 10: ________
- My stress an hour later, 0 to 10: ________
- How I feel about it the next day: ________________________
- What it costs me, if anything (health, money, time, sleep, people): ________________________
- Keep it, use it less, or swap it for something else: ________________________
Habit 2
- What I do: ________________________
- How many times a week: ________________________
- My stress right before, 0 to 10: ________
- My stress an hour later, 0 to 10: ________
- How I feel about it the next day: ________________________
- What it costs me, if anything: ________________________
- Keep it, use it less, or swap it: ________________________
Habit 3
- What I do: ________________________
- How many times a week: ________________________
- My stress right before, 0 to 10: ________
- My stress an hour later, 0 to 10: ________
- How I feel about it the next day: ________________________
- What it costs me, if anything: ________________________
- Keep it, use it less, or swap it: ________________________
Part C: What has helped before
- A hard time I got through: ________________________
- What helped me then: ________________________
- Something that used to help that I've stopped doing: ________________________
- Something I've seen other people do that I'd like to try: ________________________
Part D: My mix
Look back at the coping skills list. Next to each group, write how often you use it: often, sometimes or rarely.
- Work on the problem: ________
- Calm my body: ________
- Move my attention, on purpose: ________
- Look at it another way: ________
- Reach out to someone: ________
- Make room for what I can't change: ________
- Look after the basics: ________
- The group I'd most like to add: ________________________
Worksheet 2: Healthy or unhealthy? Sorting my coping habits
Most habits aren't healthy or unhealthy in themselves. A walk can be a good break, or a way to avoid a talk you need to have. A glass of wine can be a small pleasure, or the only way you know to switch off. What matters is what a habit does for you and what it costs you. Ask four questions about each one:
- Does it help me feel better now?
- Does it cost me later: my health, money, sleep, time, work or relationships?
- Does it help me deal with the problem, or only put it off?
- Do I choose it, or does it feel hard to stop?
Next to each habit you use, write H if it helps and costs little, D if it depends on how much or when, and C if it costs more than it gives. Skip the ones you don't do.
- Going for a walk or exercising: ____
- Talking to a friend or family member: ____
- Scrolling on my phone: ____
- Watching TV or videos: ____
- Playing video games: ____
- Drinking alcohol: ____
- Using cannabis or other drugs: ____
- Smoking or vaping: ____
- Eating when I'm not hungry: ____
- Skipping meals: ____
- Sleeping much more than usual: ____
- Staying up late so tomorrow doesn't come: ____
- Working longer hours: ____
- Keeping busy so I don't have to think: ____
- Shopping or spending: ____
- Cleaning or tidying: ____
- Praying, meditating or going to a place of worship: ____
- Writing in a journal: ____
- Crying: ____
- Snapping at people or picking fights: ____
- Staying away from people, places or tasks: ____
- Putting things off until later: ____
- Going over and over what happened: ____
- One of my own: ________________________ ____
- One of my own: ________________________ ____
What I'll do with this
- Three habits that help me, which I want to keep: ________________________
- One habit I'd like to use less: ________________________
- When I usually reach for it (time, place, feeling): ________________________
- What I could do instead at that same moment: ________________________
- What would make the swap easier: ________________________
If a habit is hurting you. If any of your ways of coping include hurting yourself, or you've had thoughts of ending your life, please tell your therapist. In the US you can call or text 988 at any time to reach the 988 Suicide and Crisis Lifeline.
Worksheet 3: My coping plan for a stress I know is coming
Some stress you can see coming: a hard conversation, a family visit, a deadline, a medical appointment, an anniversary. Planning while you're calm makes it easier to cope in the moment. Start by splitting the situation into the part you can change and the part you can't.
The situation
- What it is: ________________________
- When and where it happens: ________________________
- Who is involved: ________________________
- How stressful I expect it to be, 0 to 10: ________
My early warning signs
- In my body: ________________________
- In my thoughts: ________________________
- What I feel like doing: ________________________
The part I can change
- What I could do something about: ________________________
- My first small step: ________________________
- When I'll do it: ________________________
The part I can't change
- What's out of my hands: ________________________
- What helps me get through it anyway: ________________________
My if-then plan
- If I notice ________________, then I will ________________
- If that doesn't help, then I will ________________________
- If I need someone, I'll contact ________________ by ________________
- Afterward, to recover, I will ________________________
What might get in the way
- Something that could stop my plan: ________________________
- What I'll do if that happens: ________________________
After it's over
- My stress before, 0 to 10: ________
- My stress after, 0 to 10: ________
- What helped: ________________________
- What I'd change next time: ________________________
Worksheet 4: My coping card
Stress makes it harder to remember what helps. A coping card is a short reminder you write now, while you're calm, and read when you need it. Fill it in, then cut it out and keep it in your wallet, or take a photo of it for your phone.
Front of the card
- When I notice: ________________________
- First I'll try: ________________________
- Next I'll try: ________________________
- If I need more: ________________________
- A reminder that helps me: ________________________
Back of the card
- Someone I can reach: ________________________
- Their number: ________________________
- If I don't feel safe: I'll use my safety plan, or call or text 988.
Where to keep it. Somewhere you'll see it when you need it: your wallet, by your bed, at your desk, or in a note on your phone. Anyone near you can see a phone's lock screen, so keep the photo in an album or a notes app if you'd rather it stayed private.
Worksheet 5: My week of coping practice
A skill gets easier the more you use it, and easiest when you've practiced it on small stresses first. Each day, write down one stressful moment and what you tried. Rate your stress before and after, from 0 (none) to 10 (the most you can imagine). A skill that takes you from 7 to 5 is working.
Day 1
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
Day 2
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
Day 3
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
Day 4
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
Day 5
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
Day 6
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
Day 7
- What happened: ________________________
- Stress before, 0 to 10: ________
- What I tried: ________________________
- Stress after, 0 to 10: ________
My week in review
- The skill that helped most: ________________________
- A skill that didn't help, and why I think it didn't: ________________________
- What I noticed about when my stress goes up: ________________________
- One thing to try next week: ________________________
- What I want to talk about next session: ________________________
Worksheet 6: My coping toolkit (for teens)
Everybody gets stressed: by school, friends, family, money, the news, or things that are hard to explain. Coping skills are what you do to get through it. Some work fast. Some help for a while and make things worse later. This sheet helps you figure out what works for you.
What stresses me out
- At school: ________________________
- At home: ________________________
- With friends or online: ________________________
- Something else: ________________________
How I can tell I'm getting stressed
- What my body does: ________________________
- What my mood is like: ________________________
- What I start doing: ________________________
What I usually do now
- When I'm stressed, I usually: ________________________
- Does it help right away? ________________________
- Does it make anything worse later? ________________________
My calm-down moves. Circle the ones that work for you, and add your own.
- Music
- A walk or a run
- A shower
- Drawing or writing
- Time with a pet
- Slow breathing
- A cold drink
- A game, with a timer set
- Talking to a friend
- My own: ________________________
My fix-it moves. For problems I can do something about.
- Ask a teacher or coach for help with: ________________________
- Break a big task into small steps, starting with: ________________________
- Talk it out with: ________________________
- My own: ________________________
My people
- An adult at home I can go to: ________________________
- An adult at school I can go to: ________________________
- A friend I can text: ________________________
Watch out for these. Things that feel good now but make things worse later, like staying up all night, skipping school, snapping at people, vaping, or scrolling for hours.
- Mine: ________________________
My go-to plan
- When I notice ________________, I'll ________________
- If that doesn't work, I'll ________________ and tell ________________
If you ever feel unsafe, or think about hurting yourself, tell an adult you trust, or call or text 988.
End of the worksheets.
What coping is: Lazarus and Folkman's model
Most coping skills worksheets skip the theory. A few minutes of it changes how you use them.
Richard Lazarus and Susan Folkman's Stress, Appraisal, and Coping (1984) is still the starting point. In their model, stress isn't a property of an event. It comes from how a person appraises it: what's at stake (harm already done, a threat, or a challenge), and whether they have what it takes to deal with it. Coping is what the person then does: the changing thoughts and actions they use to manage demands they judge to be taxing or beyond their resources. Folkman and Moskowitz's later review keeps the same core: coping is "the thoughts and behaviors used to manage the internal and external demands of situations that are appraised as stressful."
Three ideas from the model shape these worksheets:
- Coping is a process, not a trait.The same person copes differently with a deadline, a breakup and a diagnosis, and differently at the start of a stressful stretch than at the end. An inventory is a snapshot, worth repeating.
- Coping is effort.It is what someone does on purpose, which is why it can be taught, planned and practiced. Compas and colleagues make the same point: controlled processes can be changed more readily than automatic ones through interventions that teach coping skills.
- Coping is defined by the effort, not the result.A habit that backfires is still coping. That's why Worksheet 2 asks what a habit does and what it costs, instead of starting from a fixed list of good and bad.
Problem-focused vs emotion-focused coping
Lazarus and Folkman sorted coping by its goal:
- Problem-focused coping tries to change the source of stress: defining the problem, weighing options, making a plan, acting on it, asking for information.
- Emotion-focused coping tries to manage the distress itself: seeking comfort, reframing, distraction, acceptance, venting, avoidance.
Neither is better in general. The goodness-of-fit idea holds that problem-focused coping suits the parts of a situation a person can change, and emotion-focused coping suits the parts they can't. Folkman (1984) argued that control is more complicated than "feeling in control helps": believing an event is controllable doesn't always reduce stress, and believing it isn't doesn't always raise it. Park, Folkman and Bostrom (2001) followed caregivers and men with HIV for two years and found support for the fit idea for problem-focused coping and, to a lesser extent, for emotion-focused coping. When a person's fit changed over time, their mood changed with it, while differences in fit between people weren't linked to mood. That suggests teaching clients to ask the control question each time, rather than looking for their "coping style".
Most real stressors have both parts. A layoff has parts a person can work on (the budget, the job search) and parts they can't (the decision itself). That split is the backbone of Worksheet 3: it asks what can change and what can't before the client chooses what to do.
Approach and avoidance coping
A second classic split is by direction. Roth and Cohen (1986) described approach coping, which moves toward the stressor (gathering information, taking action, talking about it), and avoidance coping, which moves away from it (distraction, denial, withdrawal, numbing). They argued that each has benefits and costs. Avoidance can lower distress in the short term and buy time. As a long-term habit, it leaves problems unsolved and, in anxiety, keeps fear going.
Hofmann and Hay (2018) push back on the idea that avoidance is always the problem. They conclude that behavior that counts as avoidance coping "can be adaptive, especially in the short-term, if a situation is perceived as uncontrollable," and that whether it helps depends on its function. Taking a twenty-minute break from an argument is not the same as never having the conversation. That's why Worksheet 2 has a "depends" mark, and why it asks whether a habit helps the client deal with the problem or only puts it off.
What newer research adds
The two splits are useful for teaching and blunt for research. Five findings shape how these worksheets are built.
Specific strategies matter more than the broad label. Compas and colleagues (2017) pooled 212 studies of 80,850 children and adolescents. Problem solving, emotional expression and modulating emotion (grouped as primary control coping), and reappraisal, acceptance and distraction (secondary control coping) were linked to fewer internalizing symptoms, such as anxiety and depression, and fewer externalizing symptoms, such as aggression and rule-breaking. Disengagement coping (avoidance, denial, wishful thinking) and emotional suppression were linked to more. The broad problem-focused category had only small links with symptoms, and emotion-focused coping none that were significant. Most of the studies were cross-sectional, so these are associations, not proof that a skill causes change.
There are hundreds of ways to cope. Skinner and colleagues (2003) reviewed 100 coping measures, compiled about 400 ways of coping, and recommended that researchers stop using problem- vs emotion-focused, approach vs avoidance, and cognitive vs behavioral as top-level categories, because so many strategies do more than one thing. They proposed families of coping grouped by what each does, and identified 13 candidates. The seven groups on the coping skills list above are a client-friendly version of the same idea.
In adults, the situation changes what works. Penley, Tomaka and Wiebe (2002) pooled studies of adults outside clinical settings. Problem-focused coping was linked to better health outcomes, while avoidance, wishful thinking and several other strategies, including seeking social support, were linked to worse ones. The type of stressor, how controllable it was and how long it lasted changed many of these links.
Fit beats a long list. Cheng, Lau and Chan (2014) meta-analyzed coping flexibility across 58,946 participants and found a small to moderate link with better adjustment (r = .23). The link was moderate when flexibility meant a good fit between strategy and situation, or a person's sense that they could cope with change, and small when it meant simply having a broad repertoire. More skills help less than knowing which one to use when.
Trying not to think a thought can backfire. In Wegner and colleagues' (1987) "white bear" experiments, people told not to think about something thought about it more afterward. People given a specific thing to think about instead were less preoccupied later. That's why the list says "move my attention, on purpose" with a set focus and time limit, and has no "stop the thought" item.
Five principles behind these worksheets
- Sort coping by what it does and what it costs, not by a fixed list of good and bad. Worksheet 2 does this.
- Ask which part can change. Problem-focused steps for that part, emotion-focused ones for the rest. Worksheet 3 does this.
- Build a range across groups, then practice matching. Part D of the inventory shows the gaps.
- Plan specifics in advance, as if-then plans. Gollwitzer and Sheeran's (2006) meta-analysis found that if-then plans had a medium-to-large effect on reaching goals (d = .65 across 94 independent tests). Worksheets 3 and 4 use the same "if I notice this, then I'll do that" shape.
- Practice on small stresses and track it. In Kazantzis and colleagues' (2016) meta-analysis of 17 CBT studies with 2,312 clients, both how much homework clients did and how well they did it were related to outcome. Worksheet 5 records both.
How to assign coping skills worksheets
- Start with the inventory in session. It is an assessment as much as a handout: you learn what the client already does, what it costs, and where risk sits.
- Pick one worksheet to send home, not six. The client should leave knowing exactly which sheet and which part.
- Fill in the first part together, using a real moment from the client's week rather than a made-up example.
- Agree on when and where. Tie it to something they already do: after dinner, on the bus home, before bed.
- Make it small. One log entry a day, or one plan for one situation.
- Ask what might get in the way, and plan for that too.
- Ask them to explain the task back in their own words. This is teach-back, and it checks your explanation, not their intelligence.
- Say you'll start next session by looking at it, and then do.
Some clients hear "homework" and think of school. "Practice" or "trying it out" lands better for many adults.
How to review the worksheets next session
- Look at it first, before the week's news takes over the session. Clients notice when a sheet they filled in is never asked about.
- Ask what they noticed, not whether they did it. "What happened when you tried it?" opens more than "Did you do the log?"
- Credit the attempt, especially a partial one. Three entries out of seven still show what works.
- Read the ratings. A drop from 7 to 5 counts. If ratings don't move, look at timing before deciding the skill doesn't work.
- When a skill didn't help, check four things: was it used too late (at 9 out of 10 instead of 5), used only in a crisis and never practiced on small stresses, the wrong kind for the situation (calming down about a problem that needed action, or problem-solving something out of the client's hands), or done in a hurry?
- When the sheet comes back blank, find out why without blame: too big, unclear, no privacy at home, shame about what it would show, or low mood. Shrink it, or fill it in together now.
- When the client lists only healthy habits, they may be telling you what they think you want to hear. "Most people have a few that cost them" makes the costly ones easier to name.
- Update the coping card with what worked, and drop what didn't.
If you want a standard measure of coping style alongside the sheets, the Brief COPE (Carver 1997) is a short form of the COPE inventory with two items per scale. Check its terms before you use it.
Which worksheet to use when
- A new client, or coping is a treatment goal: the coping skills list and Worksheet 1.
- The client relies on a habit that costs them: Worksheet 2.
- A known stressor is coming, such as a court date, a holiday visit, a medical procedure or an anniversary: Worksheet 3.
- The client forgets their skills when stressed: Worksheet 4.
- Building a habit, or checking what works: Worksheet 5.
- A client of about 12 to 17: Worksheet 6.
- Grounding during panic or flashbacks: the 5-4-3-2-1 grounding worksheet.
- Noticing when arousal is too high or too low: the window of tolerance worksheet.
- Distress tolerance skills such as STOP and TIPP: the DBT worksheets, and the DBT skills list for every skill by module.
- Naming, rating and choosing a strategy for an emotion: the emotional regulation worksheets.
- Low mood and withdrawal: the behavioral activation worksheet.
- A thought that keeps driving the stress: the CBT thought record.
- Suicidal thoughts or self-harm: a safety plan, not a coping card.
A worked example: one invented client's coping plan
Rosa, 38, is an invented client who works in a hospital billing office. For a year, the quarterly review with her manager has meant three bad nights beforehand, and she called in sick before the last two. On Worksheet 2 she marked calling in sick and staying up late before reviews as C. Her Worksheet 3, started two weeks before the next review and finished the day after it:
Her coping card read: "When I notice my chest tighten: breathe out slowly, look at my notes, text my sister at lunch. Reminder: one meeting, not my whole job."
What the plan does: preparation is problem-focused coping for the part Rosa controls, and paced breathing with a coping statement is emotion-focused coping for the part she doesn't. Going to the meeting at all is approach coping, after two rounds of avoidance. "She's going to fire me" is a thought to take into a thought record next.
Adapting the worksheets for teens
Worksheet 6 is a shorter version for clients of about 12 to 17, and older teens often do well with the adult sheets.
- What the evidence suggests. In Compas and colleagues' meta-analysis, problem solving, reappraisal, acceptance and distraction were linked to fewer symptoms in young people, and avoidance, denial and suppression to more. Social support coping showed no clear link in their pooled studies, and the authors suggest the measures may miss how young people actually use their social networks. So ask concretely who a teen goes to, and how: in person, by text, online.
- Confidentiality first. Before a teen fills in the inventory, explain what you share with parents and what you don't. The honest answers may include vaping, drinking, self-harm or a secret relationship.
- Caregivers. With the teen's agreement, share the go-to plan so adults at home know how to help, and what not to do. A short joint session works well for this.
- School. If the teen agrees, a copy of the go-to plan can go to a school counselor.
- Phones. Most teens keep the coping card as a photo or a note. Go over the lock-screen privacy point together.
- Younger children need pictures, fewer words and a caregiver's help; Worksheet 6 isn't written for them.
For starting conversations with a teen who says "I don't know", see our therapy questions for teens.
Adapting the worksheets for clients who don't read easily
Many adults hide difficulty with reading, so offer these options to everyone, not only to clients you suspect need them. "Some people like to fill this in themselves, and some like to talk it through while I write" gives everyone a way in.
- Read each item aloud and write the client's own words.
- Use one part of a sheet per session. Part A of the inventory is enough for a first go.
- Let them circle, tick or draw instead of writing. A sketch of a walk is a fine answer.
- Swap the log for voice notes: what happened, the number before, what they tried, the number after.
- Use the 0 to 10 scale with fingers or a drawn line if numbers on paper are a barrier.
- Check understanding with teach-back, as described in AHRQ's teach-back tool. AHRQ's toolkit also has a tool for choosing easy-to-understand materials.
- Offer the sheets in the client's preferred language, and work with a qualified interpreter when you don't share one.
Using the worksheets in telehealth
- Share your screen with this page and fill in a copy together, typing the client's words, or have the client write on paper as you go.
- Send the link so the client can print the pages or save them as a PDF at home.
- Ask the client to hold the finished page up to the camera instead of sending a photo by text or personal email. If they do send something, use the secure channel your practice uses.
- Check privacy at home. A coping card or log left on a kitchen table can be read by others, and a teen may not want a parent to see it.
- Practice body-based skills on camera. You can see shoulders drop and breathing slow, and coach in real time.
Our telehealth consent form covers what to agree with clients before video sessions start.
When coping skills aren't enough
Coping worksheets support treatment. They don't replace treatment of a disorder, and some answers on them call for more than a new skill.
- Self-harm or thoughts of suicide on the inventory or the sort: assess risk, and build a safety plan with the client. A coping card is for everyday stress, not a crisis.
- Alcohol or drugs as the main way of coping: screen with the AUDIT-C, and consider whether substance use treatment is needed.
- Symptoms that are high or not changing: measure with the PHQ-9 or the GAD-7, and revisit your formulation.
- Anxiety disorders: calming skills used to escape a feared situation can turn into safety behaviors that keep fear going. Hofmann and Hay's point cuts both ways: whether a behavior helps depends on its function. In exposure work, agree with the client in advance which skills to use and when.
- Trauma: calming and grounding skills can help a client stay within their window of tolerance while trauma-focused work goes on. They're a support for that work, not a substitute.
- Ongoing danger, such as abuse or unsafe housing: the problem isn't the client's coping. The problem-focused steps may be safety planning, advocacy and referrals.
How to note coping skills work in a progress note
"Discussed coping skills" tells a reviewer almost nothing. A useful note names the worksheet, ties it to a treatment goal and records what the client did.
- The worksheet and the skill: "coping plan for a known stressor (if-then plan)", "coping skills inventory".
- The treatment goal it serves.
- What you did: reviewed, taught, rehearsed, completed together.
- The client's ratings before and after, from session and from the log.
- Habits the client named as costly, and any they chose to change.
- Risk: what you asked and what the client said, when you asked.
- Any measure and its previous score.
- The plan: which sheet goes home, and what you'll review.
An example in DAP format for Rosa, the session after her review:
A treatment plan objective this note supports: "Within 8 weeks, client will use a written coping plan before 3 of 4 identified work stressors and attend them rather than calling in sick, with self-rated stress 2 or more points below her prediction." Our treatment plan template shows how to build goals and objectives around a skill.
Phrases you can adapt:
- "Completed coping skills inventory; client identified 3 habits used most and their short- and long-term effects."
- "Client sorted 20 coping habits; marked drinking after work as costly and chose it as the 1 to reduce."
- "Developed an if-then coping plan for [stressor]; client separated controllable and uncontrollable parts."
- "Client wrote a coping card with 3 strategies and 1 support contact."
- "Reviewed practice log: 6 entries, average stress 7/10 before and 4/10 after."
- "Client reported using a strategy at 5/10, before stress peaked, for the first time."
The same content fits other formats. In a BIRP note, what you did goes in Intervention and the ratings go in Response. The DAP notes examples show where each piece of a session goes, and the progress notes cheat sheet lists clinical words for interventions and client response.
How to describe this work on your practice website
People looking for a therapist rarely search for "coping skills". They search for help with stress that won't let up, with drinking to switch off, or with dreading the week ahead. Plain words on your practice website help the right clients recognize themselves. A starting point for the section where you describe how you work:
Name the therapy you use (CBT, DBT-informed skills, ACT) only if you're trained in it.
How this works in TranqBay
TranqBay is practice software for therapists in private practice: a practice website, online booking, video sessions and session notes in one place. Here's where these worksheets fit.
- Your practice website is where someone looking for help with stress reads how you work. The wording above would go in the section where you describe your approach or your services.
- Online booking lets a client book the follow-up session where you review their log. You can confirm each booking yourself or let clients book straight away, and returning clients book their next session themselves.
- Services can be individual or couples sessions, each with its own length and fee, and you can offer packages.
- Video sessions are end-to-end encrypted and HIPAA-ready. TranqBay provides a Business Associate Agreement that applies when you accept the Terms, with no separate document to sign. You can check your camera, mic and speakers before joining, invite others to a session (a parent joining a teen's session to go over the go-to plan, for example), or meet by audio or in person.
- Session notes come in BIRP, DAP, SOAP or GIRP format, or as a blank note in your own words. The structured formats are part of the advanced note templates, which some plans include.
- Forms for a session. The form library has ready-made templates you can send a client for a session, including intake, consent to treat, telehealth consent, release of information, the PHQ-9, the GAD-7 and more. The client fills them in online and the answers wait with the session. TranqBay doesn't score them; the calculators linked above do the math.
- The worksheets live on this page, not in the form library. Send your client the link, or print them.
At practice.tranqbay.health you can browse the practice website designs and sample sites, see where you'd describe skills-based work, and look at the booking page a new client would use.
Frequently asked questions about coping skills worksheets
Is there a coping skills worksheet PDF I can print?
This page works as one. Print it, or choose "Save as PDF" in your browser's print window, and set the page range to the client pages if you only want the list and the worksheets. There's nothing to sign up for, and you can give the printed sheets to your clients.
What are coping skills worksheets used for in therapy?
To find out how a client copes now, to choose and plan new strategies, to give them a reminder for hard moments, and to track practice between sessions, so skills learned in the room get used in daily life. The inventory doubles as an assessment: it often turns up drinking, avoidance or self-harm that a client hadn't mentioned.
What are examples of healthy and unhealthy coping skills?
Usually healthy: going for a walk, talking with someone you trust, slow breathing, breaking a problem into steps, a regular sleep routine, and looking at a situation another way. Usually costly: drinking or using drugs to cope, self-harm, cutting off from people, long-term avoidance, going over and over what happened, and lashing out. Many depend on how much and when: TV, games, keeping busy, shopping, sleep. That's why Worksheet 2 sorts habits by what they do and cost rather than by a fixed list.
What's the difference between problem-focused and emotion-focused coping?
Problem-focused coping tries to change the source of stress, for example by making a plan or talking to the person involved. Emotion-focused coping tries to manage the distress, for example by reframing, seeking comfort or accepting what can't change. The terms come from Lazarus and Folkman (1984). Problem-focused coping tends to fit what a person can change and emotion-focused coping what they can't, and most situations need some of both.
What are the main types of coping skills?
There's no single agreed list. Lazarus and Folkman used two types (problem-focused and emotion-focused), Roth and Cohen two directions (approach and avoidance), and Skinner and colleagues proposed 13 families. Lists of "7 types of coping skills" online are practical groupings, not a research standard. Ours uses seven groups by what a skill does: work on the problem, calm the body, move attention on purpose, look at it another way, reach out, make room for what can't change, and look after the basics.
What is a coping card?
A small card, on paper or a phone, that lists a client's early warning signs, two or three strategies, a reminder statement and someone to contact. It's a familiar CBT tool: in a Beck Institute guide to anxiety, Judith Beck and Robert Hindman describe a client who practiced with her therapist and read "coping cards" they had composed in therapy. A coping card is for everyday stress; a client at risk of suicide needs a full safety plan.
Are these coping skills worksheets for adults or teens?
Worksheets 1 to 5 and the coping skills list are written for adults and work for most older teens. Worksheet 6 is a shorter version for about ages 12 to 17. Younger children need simpler words, pictures and a caregiver's help.
Why isn't thought stopping on the coping skills list?
Trying to push a thought away tends to bring it back. In Wegner's "white bear" experiments, people told not to think of something thought about it more afterward, and people given a specific alternative to focus on did better. So the list has planned, time-limited attention shifts instead, and for a thought that keeps driving distress, the CBT thought record works with it rather than against it.
How many coping skills does a client need?
There's no set number. A few from different groups is a good target: something for problems the client can change and something for ones they can't, something for when they're alone and something for when they're with others. Research on coping flexibility suggests that matching the skill to the situation matters more than the length of the list.
Before your next session
Pick one client whose stress keeps outrunning their coping. Go through the coping skills list and Part A of the inventory together, choose one stressor that's coming up, and build a Worksheet 3 plan for it. Send them home with a coping card, and look at it first next time.
If you're building a practice around skills-based work, see how TranqBay works for private practice: you can browse the practice website designs, including sample sites for a trauma therapist and a child and family therapist, and see the booking page your clients would use to book the session where you review their plan. If you're deciding whether to join, this page explains how joining TranqBay works.
Sources
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