Trauma Worksheets
Trauma Worksheets
Trauma is a devastating experience and can affect every aspect of life. This workbook is designed to
address different areas that can contribute to or help manage the effects of trauma. By engaging with
these worksheets, you can take active steps toward better mental health and well-being.
Self-Care Inventory
Self-care is crucial for managing the effects of trauma. This worksheet will guide you in identifying and
implementing activities that nurture your physical, emotional, and mental well-being.
Cognitive Restructuring
Trauma can lead to negative thought patterns that significantly impact your well-being. This worksheet helps you
identify and challenge these negative thoughts, replacing them with more balanced and positive thoughts.
Overcoming Shame
This worksheet provides tools to help you confront feelings of shame that developed after your trauma. By working
through self-reflection exercises, this worksheet guides you in identifying where shame arises and how it affects
your self-esteem.
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Identifying Your Trauma Triggers
Trauma triggers refer to specific people, places, or other stimuli that remind you of past
traumatic experiences. Some triggers will be readily apparent to you, but others may be very
subtle and difficult to identify. Getting to know your triggers will help you to avoid them and
learn to cope with them in healthy ways.
You may already know some of your triggers. List them below:
Sounds
Sights
Smells
Emotions
Locations
Situations
What thoughts ran through your mind when the trigger occurred?
3
Note any specific thoughts, beliefs, or memories that surfaced in that moment.
Were there people, sounds, smells, or sights involved that seemed to make the reaction stronger?
5
Look for specific sensory details that may have amplified the trigger.
Are there specific people, places, or environments that frequently make you feel distressed?
Do you notice any particular memories that often come up in these moments?
Are there any early warning signs or cues that help you recognize when you're being triggered?
How can you remind yourself that you are safe when you’re experiencing a trigger?
Take some deep breaths. Try to inhale Do something that occupies your mind, like
through your nose for a count of 4, hold counting backward, drawing, playing a game,
your breath for a count of 7, and then or listening to music. This can help shift your
exhale slowly through your mouth for a focus away from the trigger and provide a
count of 8. Repeat 5 times. distraction.
Ground yourself with the 5-4-3-2-1 Gradually tense and then relax different
method. Identify 5 things you can see, 4 muscle groups in your body, from head to toe,
things you can touch, 3 things you can hear, to release physical tension and promote
2 things you can smell, and 1 thing you can relaxation.
taste.
Remind yourself that you are safe and that
Picture a safe place in your mind—a place the trigger is only a reminder of the past, not a
where you feel calm and at ease. Visualize current threat. Repeat positive affirmations
yourself there and focus on the details of like, “I am safe,” or, “This will pass.”
this safe space.
If possible, go to a place where you feel
Carry an item like a small stone, piece of comfortable and secure. Sometimes a change
fabric, or bracelet that helps calm you when in environment can help you regain a sense of
you touch or look at it, reminding you of control.
comfort and stability.
Regulating your nervous system means finding ways to help your body feel calm, safe, and grounded, even in the
face of stress. It's about using techniques that help you shift out of states of high alert or shutdown and move
toward a place where you feel more stable and centered. By learning to regulate your nervous system, you can
improve your ability to cope with life's challenges, experience more emotional balance, and feel more connected to
yourself and others.
This worksheet will guide you in recognizing how your emotions show up as physical sensations, like tension,
fluttering, or heaviness. Understanding these sensations is the first step in managing stress and emotions more
effectively. You'll learn to tune into your body's signals and practice techniques to help calm or soothe these
responses, giving you tools to handle stress and emotional challenges in a healthier way.
Headache
Eye twitch
Furrowed brow
Clenched jaw
Tears
Tight shoulders
Neck tension
Lump in throat
Unable to speak
Tightness in chest
Changes to breathing
(fast, shallow)
Heaviness
Knot in stomach Clenched fists
Nausea Fidgeting
Fluttering Sweaty palms
Feeling hot or cold
Muscle tension
Leg shaking
Clenched toes
Foot tapping
Ranking
Tense and relax each muscle group in your body starting with the toes and working up
You will be asked to rank each activity on a scale from 1-3 to determine how well you are currently engaging in
these practices. After ranking, you can “star” the activities you would like to do more often. The goal of this
worksheet is to help you recognize the different types of self-care available to you, identify what you are doing
well, and pinpoint areas where you can improve to feel better overall.
Ranking
Engaging in regular physical activity such as walking, running, yoga, or strength training.
Ensuring you get enough restful sleep each night to rejuvenate your body.
Eating a balanced and nutritious diet, including plenty of fruits, vegetables, and grains.
Maintaining good hygiene practices such as bathing, brushing teeth, and grooming.
Attending regular check-ups and following medical advice from healthcare professionals.
Taking time to relax and unwind, through activities like taking a bath and getting a massage.
Spending time outdoors in natural sunlight to enhance vitamin D levels and improve mood.
Paying attention to your body’s needs, such as stretching when tense or resting when tired.
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Self-Care for Trauma
1 2 3 Emotional Self-Care: Processing & expressing your emotions.
Participating in activities you enjoy to boost your mood and provide a sense of fulfillment.
Spending time with friends and family to build support and reduce feelings of isolation.
Writing down thoughts and feelings to process emotions and gain insights.
Expressing your emotions through art, music, writing, or other creative outlets.
Set achievable goals and celebrate your progress, no matter how small.
Regular sessions with a therapist or counselor to explore and address emotional challenges.
Spending time with people you like and make you feel good about yourself.
Asking for help from friends or family when you’re feeling down or overwhelmed.
Participating in support groups to gain insight and emotional support from others.
Participating in clubs or organizations that align with your interests to meet new people.
Giving your time to help others in your community to foster connection and purpose.
Going to social gatherings, parties, or community events to build your social network.
Actively listening when talking with others, which helps strengthen your relationships.
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Self-Care for Trauma
Clearly defining work hours and sticking to them to ensure a healthy work-life balance.
Stepping away from work to recharge, through daily short breaks and using vacation time.
Organizing and prioritizing work tasks to manage workload effectively and reduce stress.
Building positive relationships with coworkers for mutual support and camaraderie.
Practicing meditation to connect with your inner self and find peace and clarity.
Regularly reflecting on what you are thankful for to cultivate an appreciative mindset.
Reading inspirational books, scriptures, or quotes to uplift and inspire your spirit.
Acting in accordance with your morals to create a sense of integrity in your life.
Spending time with the people who give your life meaning.
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Cognitive Restructuring
Cognitive restructuring is a CBT technique that involves recognizing negative and unhelpful
thoughts, examining the evidence for and against these thoughts, and developing more helpful
alternative thoughts. For someone who has experienced trauma, cognitive restructuring can help
interrupt and change the negative thought patterns that contribute to feelings of fear, helplessness,
or anxiety.
Triggering
Event
Smelling the
NEGATIVE perpetrator’s NEGATIVE
BEHAVIOR cologne EMOTIONS
What you do What you feel
Example: Leave the area
immediately and avoid the
Example: I feel afraid and
panicky.
BALANCED
person going forward. THOUGHTS
What you think
Example: This is just a
scent. I am safe now and
in a different place.
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Cognitive Restructuring
THOUGHT EMOTION BEHAVIOR
What you think in a situation How you feel How you handle the situation
Ex: I’m not safe. Ex: I feel afraid and panicky. Ex: Leave immediately and
avoid it going forward.
It’s important to understand that our automatic thoughts affect our feelings and influence our behavior.
You can recognize unhealthy thought patterns that are making your trauma symptoms worse by practicing
cognitive restructuring. Use the questions below each time you’re experiencing unwanted thoughts that lead
to unhealthy behaviors.
Thought:
Is my thought
factual?
What evidence
do I have to
support my
thought?
What would
someone else
say about the
situation?
Is it possible to
view this
situation
differently?
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Setting SMART Goals
SMART Goals is a structured goal-setting method that helps individuals create clear, actionable objectives. Trauma can
disrupt a person's sense of control and ability to manage daily tasks, and SMART Goals can help by breaking down
larger tasks into manageable, concrete steps. By achieving these smaller, manageable goals, individuals can experience a
sense of accomplishment and progress, which is crucial for rebuilding confidence and a sense of control.
What is your goal? Write down exactly what you want to achieve. Be
S
clear and detailed about what you expect to accomplish.
Example: I want to improve my ability to sleep through the night without waking up from
Specific nightmares. To do this, I will establish a calming bedtime routine and practice relaxation
techniques to reduce the occurrence of nightmares.
How will you measure your progress? Determine how you will track
M
your progress and know when you have achieved your goal.
I will track the number of nights I sleep through without waking up from nightmares each
Measurable week.
Is your goal realistic? What steps can you take to make your goal
A
achievable? Break down your goal into smaller, manageable tasks.
Week 1-2: I will set a consistent bedtime and wake-up time. I will create a pre-sleep routine
Achievable that includes calming activities
Week 3-4: I will integrate deep breathing exercises into my bedtime routine.
Week 9-12: I will add other calming activities, such as gentle yoga or guided imagery.
R
Does this goal align with your broader objectives? Ensure that your
goal is relevant and meaningful to your overall life or career goals.
Reflect on the value and impact of achieving this goal.
Relevant
Improving my sleep quality is important because better rest can help reduce anxiety,
improve mood, and enhance my ability to cope with trauma.
T
What is your deadline for achieving this goal? Set a specific date by
which you plan to achieve your goal. Identify immediate actions you
can take to begin your progress.
Time-Bound
I will practice these techniques over the next three months, aiming to experience a
noticeable reduction in nightmares within this period.
S Specific
M Measurable
A Achievable
R Relevant
T Time-Bound
If you're struggling to reach a goal, don't be Reward yourself for every step or milestone
afraid to adjust it. It’s okay to change the you reach, no matter how small. This could be
timeline, make the goal smaller, or alter the as simple as taking a break, enjoying a favorite
steps as needed. treat, or planning a fun activity.
Individuals who have experienced trauma are often prone to self-criticism because trauma can
distort your self-perception and lead to feelings of guilt, shame, and worthlessness. If you constantly
talk to yourself in a negative manner, you can create a cycle of negativity, where you become overly
focused on your perceived flaws and failures, which can prevent personal growth.
Creating a personal strengths inventory can be a powerful tool to combat self-criticism and
negative self-talk. By identifying and acknowledging your inherent strengths, such as resilience,
courage, and adaptability, you can shift your focus from your perceived weaknesses to your positive
attributes. Recognizing and celebrating your strengths can boost your self-confidence, reduce the
impact of negative self-talk, and promote a healthier, more resilient mindset, aiding in your recovery
from trauma.
I use knowledge and I think outside the box I desire to to ask questions, I face fear, uncertainty, or
experience to make sound and generate original discover new things, and danger with determination
judgments and decisions. ideas. expand my knowledge. and resolve.
I expect the best possible I have a modest view of I have the ability to find I am caring,
outcome and believe in a my importance, which and share amusement, considerate, and desire
brighter future. allows me to learn from and create a lighter to help others.
others. perspective on challenges.
I stay composed while I have an enthusiasm for I am committed to see I am willing to consider
waiting or facing challenges, acquiring knowledge and things through, despite new ideas and
without getting frustrated skills, driven by a desire obstacles and setbacks. perspectives with
or giving up. for understanding. receptiveness.
I collaborate effectively I understand the I believe in a purpose or I have a zest and passion
with others to achieve a emotions, needs, and connection to something that fuels my excitement
shared goal. perspectives of others. larger than myself. and motivation.
Lists the strengths you possess that help you in your relationships
Lists the strengths you possess that help you in your profession
Describe
Lists a specific you
the strengths timepossess
your strengths
that helpwere
you able to help
achieve your profession
personal fulfillment
Lists the strengths you possess that help you achieve personal fulfillment
Describe two new ways you could use your strengths to help you with personal fulfillment
Outer Circle
Outer Circle
Inner Circle
Stand or sit up straight, maintain eye contact, and Be specific about what behavior you want to
use firm but calm gestures to convey confidence change and clearly state what will happen if your
and assertiveness. boundary is not respected.
Speak calmly and assertively, avoiding raised Listen to the other person's response without
voices or aggressive tones to maintain a respectful interrupting and acknowledge their perspective
atmosphere. while staying firm on your boundary.
“Please give me some physical "I feel overwhelmed and need "I feel uncomfortable with this
"I need to step away for a discussing this right now." "I am not okay with how you
"I prefer to keep a bit of but I need some time to "Please do not involve me in
"I would appreciate it if you "Please respect my feelings on "I need clarity and honesty in
Situation:
Example: My sister, who lives nearby, frequently drops by unannounced. Her unexpected visits often disrupt my
personal time and the quiet environment I need to relax and recharge after work. Last week, she came over right
when I was about to start a long-awaited self-care routine, and it completely threw off my evening.
I will have a conversation with my sister to let her know that I need my home to be a space where I can relax and unwind
without unexpected interruptions. I will ask her to call or text me before coming over to ensure it's a good time. I will
emphasize that I still want to spend time with her but need to plan our visits in advance.
My sister might feel hurt or think that she is not welcome anymore. She may perceive my request as a sign that I don't
enjoy her company or that our relationship is less important to me. Additionally, she might not understand why this
change is necessary if she feels that her visits haven't been a problem in the past.
During our conversation, I will explain to my sister that her visits are important to me and that I value our time together. I
will let her know that my request for advance notice allows me to take care of my mental health and personal needs. I will
suggest specific times that work better for me. For example, I could say, "I really enjoy our time together and want to
make sure I am fully present when we hang out. Could you call or text me before coming over to make sure it's a good
Situation:
Overcoming this kind of shame is an important step in moving forward. By learning to notice and
challenge these beliefs, we can start to see ourselves with more kindness and care. Through creative
exercises like drawing your "shame monster" and practicing self-compassion, this worksheet will guide
you in exploring feelings of shame and finding healthier ways to cope.
Is there a particular facial expression or posture you associate with feeling ashamed?
What actions or behaviors do you engage in when you feel shame (e.g., withdrawing, avoiding eye contact)?
What are the critical thoughts or phrases that go through your mind when you
feel ashamed (e.g., "I'm not good enough," "Why can't I get it together?")?
Do you hear a particular voice (e.g., your own, a parent's, a teacher's) when you experience shame?
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Overcoming Shame
What does shame feel like for you?
How does shame manifest in your body (e.g., tightness in the chest, heaviness, a pit in your stomach)?
How does it affect your energy levels (e.g., feeling drained, wanting to hide)?
Grab some markers, pencils, stickers, or any other art supplies you have one hand. On the blank space
provided, draw what your shame monster looks like. It doesn’t need to be a perfect drawing; the goal is to
capture how you perceive your shame. Think about what colors, shapes, and features represent your
shame. Is it big or small? Does it have a voice? Is it looming or hidden?
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Overcoming Shame
How can I think about my trauma in a way that helps me feel less ashamed?
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Overcoming Shame
PART 4: Practicing Self-Compassion
Shame often thrives when we are too hard on ourselves. Self-compassion is about treating
ourselves with the same kindness and understanding that we would offer a friend.
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Overcoming Shame
6.
7.
Situation #1:
Self-Compassion Practices:
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Overcoming Shame
Situation #2:
Self-Compassion Practices:
Situation #3:
Self-Compassion Practices:
Situation #4:
Self-Compassion Practices:
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