Depression Self-Care Action Plan - LPHI - lphi 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and the provider's information in the designated fields at the top of the form. This personalizes your action plan.
3. For each section, such as 'Stay physically active', fill in the number of minutes you plan to dedicate to this activity. Be realistic and choose a time that feels manageable.
4. In the 'Make time for pleasurable activities' section, write down specific activities you enjoy and how long you will spend on them each day.
5. Under 'Spend time with people who can support you', list names of individuals you can reach out to, along with planned activities or conversations for support.
6. For 'Practice relaxing', indicate how many times per week you will practice relaxation techniques and for how long each session will last.
7. In the 'Simple goals and small steps' section, outline a problem you're facing, set a goal, and break it down into manageable steps.
8. Finally, assess your likelihood of following through with these activities by marking a number from 1 to 10 on the scale provided.

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