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DBT DIARY CARD - Recovery Technology - recoverytechnology 2026

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The document is a Dialectical Behavior Therapy (DBT) diary card designed for tracking emotions, behaviors, and skills related to mental health. It includes sections for recording daily urges related to self-harm and suicide, impulsive behaviors, emotional states, substance use, and the effectiveness of coping skills. The card encourages users to reflect on their experiences and apply mindfulness techniques while promoting self-awareness and emotional regulation.

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Click ‘Get Form’ to open the DBT DIARY CARD in the editor.
Begin by entering your name at the top of the form. This personalizes your diary card and helps track your progress.
For each day of the week, rate your urges for self-harm and suicidal thoughts on a scale from 0 to 5. Use the provided fields to indicate your feelings accurately.
In the 'Actions' section, note any impulsive behaviors you experienced throughout the week. This helps identify patterns in your behavior.
Reflect on your emotions by rating feelings such as joy, anger, and sadness. This section encourages emotional awareness and regulation.
Complete the 'What I Did Well This Week' section to acknowledge positive actions and reinforce self-esteem.
Finally, review all entries for accuracy before saving or sharing your completed diary card with your therapist or support group.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (116 Votes)
2012	4.3 Satisfied (52 Votes)

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