On this page, we will provide you with a worksheet that will help you identify major life stressors, their symptoms and how they have affected your thoughts and behavior.

What is the adjustment disorder therapy worksheet about?

What is adjustment disorder?

Adjustment disorders are stress-related conditions where you feel overwhelmed and have a hard time adjusting to a stressful event or change (Mayoclinic).

Any type of stressor can trigger adjustment disorder i.e. job-related issues, relationships changes, health problems, positive or negative events. The adjustment disorder therapy worksheet will help you evaluate the events triggering the disorder and the symptoms you are presenting with.

How will the adjustment disorder therapy worksheet help?

This adjustment disorder  worksheet will help you explore the situations that activate your adjustment disorder, the symptoms that follow (thoughts and behaviours) and their severity. This information will help you explore how you can cope with triggers, as well as provide insight to the condition during therapy.

Instructions on how to use the adjustment disorder therapy worksheet

To use this worksheet;

  • Think about situation that trigger your adjustment stress
  • Complete the table by filling in each column as indicated.

You can download this worksheet here.


We have provided you with an adjustment disorder therapy worksheet that we hope will help you identify the stressful and traumatic experiences in your life that might be triggering symptoms of adjustment disorder. Keep in mind that self-awareness of issues affecting us is the first step towards recovery.

If you have any questions or comments, please let us know.


Mayo Clinic. Adjustment Disorders: Symptoms and Causes. Retrieved from:Adjustment disorders – Symptoms and causes – Mayo Clinic 

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