How to Journal Therapy Appointments – Journal Template

Writing long-hand about my own experience in therapy helps me continue to develop self-awareness and integrate my emotional/sensory experience with my thinking-brain. Recently, I’ve been thinking about how I could help others access the benefits of journaling about therapy if they aren’t the sort of person who enjoys long-format journaling.

This article features:

  • Tips on how to maximize the benefit of post-therapy journaling,
  • A list of journal prompts to use when reflecting on a therapy session, and
  • The option to purchase a digital-download journal template for print or digital template use.
Ways to journal therapy: content & response (image of a journal with lines of handwriting), mapping flow (image of a journal with a flowchart drawn, connecting ideas), worksheet/template (image of a journal with a template background, prompting areas of response)

Why Journal Therapy?

One of the ways that therapy works to improve mental health is via the new connections it creates in our brains. Therapy can take a while to work. It isn’t easy to create new thought and emotion patterns when defaulting to old, well-practiced neural pathways is so easy. Journaling after therapy helps therapy be more effective by increasing self-awareness and by re-tracing the new patterns being created in therapy and strengthening those connections in our brains. Therapy journaling is also really helpful for organizing thoughts. You may be able to use your appointments more effectively by bringing your journal in and referring to it as needed.

Tips to Make Your Journaling Count

  1. Journal in whatever format works. Research indicates that long-format journaling has the most benefits, but bullet-journal style lists are better than not journaling at all. Experiment with what practice suits you best.
  2. Handwrite if you can. Handwriting helps reinforce the new connections in our brain that are created by good therapy (source).
  3. Don’t make yourself play catch up. It’s easy for shame about missing a few entries to discourage future journaling, especially for folks who struggle with maladaptive perfectionism. Get around this by giving yourself permission to skip, and permission to not try and “catch up” when you start journaling again.
  4. Experiment with formats. The downloadable template is just one way to journal. Experiment with visual formats, very large pieces of paper, color, mixed media, etc.


You and your therapist can decide if sharing your reflective journal entries is helpful for your work together or not. By increasing our awareness of ourselves and our experience, journaling can help make our therapy more effective, even if we never share our completed journaling worksheets or entries with anyone.

After-therapy journal prompts:

  • What was the hardest part about the most recent therapy appointment?
  • What did you NOT say but wonder if you should have?
  • What’s an adjective your therapist or counselor used to describe you in the last session?
  • What thing hit you the hardest?
  • Did you have any ambiguous thoughts or fleeting sensations coming up during or after your meeting? Write or draw what you can about them below.
  • Make a change-map to explore all the ways a decision or life-shift would impact your life.
  • Writing and editing can help our brains process new information. Try summarizing the important parts of your session in the length of a 140-280 character Twitter post.

Template for Therapy-Session Bullet Journals:

This downloadable template is great for use in a bullet journal. To make a physical template that can be traced into a bullet journal, print the 1/2 page worksheet on cardstock and carefully cut-out empty blocks, leaving the frame intact.

When I’ve made mental health bullet journal layouts in the past, I’ve been asked for therapy-homework bullet journal layouts. As a psychodynamic therapist (particularly as a specialist in working with folks struggling with over-control), and like many therapists, I don’t assign homework and I don’t recommend careful tracking of symptoms or behaviors for most individuals I see. Instead, I think dedicating a page of a journal to each session is more helpful.

Download the Worksheets:

After reflecting on what aspects of journaling a therapy session I think are the most important, I settled on a few key prompts and formatted them into a single page 8.5×11 printable page. This download can be used as a journal template, a print worksheet, or a digital backdrop for tablet journaling apps. It’s included below in a few formats. The most colorful is specifically designed for helping teens and tweens reflect on their experience in therapy. The more minimalist black-and-white versions are perfect for printing hard copies for adults. Like all my resources, the design emphasizes making the content easy to engage without being overly clinical.

This collection includes three versions of the same therapy journaling template:

  • Version 1: is plain, black-and-white, and is suitable for printing as a printed worksheet for all ages.
  • Version 2: a minimalist full-color version, suitable for printing or for use as a digital template for tablet-based journaling apps.
  • Version 3: specifically designed to feel even less clinical. It’s colorful and fun, and can be used in print form or as a background for digital journals.

How to use this worksheet:

  1. Fill out the template within 24 hours after each therapy session (either in print form or used as a template background for digital journaling).
  2. Before your next appointment, check-in with yourself and review your last entry. Consider how you want to use the information in your next appointment.
  3. Reflect on whether you are comfortable sharing your journal entry, and if so, have a conversation with your therapist about how you might use it in your sessions.
Therapy Journal Template: print worksheet + digital template


DATE: Enter the date so that when you review later, you’ll be sure to be able to put journal entries in order.

SESSION TOPIC: This could be ambiguous. Leave it blank or just enter the topic that sticks out most to you.

THREE IMPORTANT THINGS: This is an intentionally open prompt with lots of space to meander through thoughts. The three things could be concepts, feelings, therapy milestones like opening up about something new, etc.

FEELINGS / SENSATIONS: Most people experience a lot of emotion in therapy, and these emotions are important to notice. Some people may not be able to describe those feelings until they have had time to reflect on their counseling sessions. Equally important is noticing physical sensations: Did a headache begin during counseling? Did you notice tightness in your body OR a sense of relaxation at any point?

THINGS TO MENTION NEXT TIME: It is not unusual to realize exactly what we want to bring up next time when we reflect on counseling sessions. Often, though, if we don’t make notes, we forget by the time our next session arrives! If something feels pressing to talk about, list it here so you won’t forget.

HOMEWORK: Not all counselors and therapists assign “homework.” If yours does, you can record that here. If you don’t manage to get the homework completed, be sure and make a note of why. Monitoring what’s going on for you when you don’t get homework done might offer valuable insight.

Example of A Therapy Journaling Reflective Worksheet:

Example of a Completed Counseling Reflective worksheet;  (image of a digital tablet laying on a table with the therapy journaling template on the screen, filled out with therapy journaling notes).
Example of a completed therapy reflective worksheet
Content on this site is for educational purposes and does not replace mental health treatment. See site Terms of Use for more information

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Suggested Mental Health Journal Resources

Whether it’s the ritual of sitting down and putting pen to paper or the ability to unpack what we may be carrying through writing (or both!), long-format guided journals can be a helpful therapeutic tool. Long-format guided therapy journals offer structure and reflective guidance that can promote a deeper understanding of one’s psychological well-being. They are designed with prompts and exercises that encourage introspection and self-awareness and provide a dedicated space to process thoughts, emotions, and experiences. There are many out there to choose from so you can find one most tailored to your needs and personality.  

One option for a guided journal is The Big Feelings Survival Guide: A Creative Workbook for Mental Health.This whimsical, colorful workbook offers practical tips as you engage in self-care by taking a moment to focus on your mental health. By using Dialectical Behavior Therapy and Art Therapy exercises, it prompts insight and understanding, helping you move through your emotions and find ways to cope. You can get this journal via this link from Amazon (https://amzn.to/44WnRFi), or from a smaller bookshop via this link (https://bookshop.org/a/4571/9781523515936).  

If you’re looking for something a little spicier (and not PG), check out Rage Page: A Journal for the Bad Days. This self-proclaimed “swear word gratitude journal” is a helpful resource for venting, expressing sadness, or scratching down what you’re feeling angry about while also processing those emotions. While one daily page invites you to name what’s fueling your rage, a second daily page offers space to process what can be done to move forward and find gratitude or goodness. You can get this journal at this link from Amazon (https://amzn.to/44WKxFu).

One Comment

  1. This was super helpful! Thank you for sharing your post therapy writing prompts. I will use these in my post-appt journalling.

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