Use this when you know something needs to change but your plans become hard to carry out in everyday life.
Understanding and doing are different tasks
Knowing why something happens does not automatically make a different response available at a difficult moment. You may need to practise a skill, change a practical arrangement or ask for support. Difficulty carrying out a plan is useful information about the plan and its circumstances, not a verdict on your character.
For example, intending to contact someone when you are struggling is easier to act on if you have agreed who to contact, how and when. The aim is to make an appropriate action more available when you need it.
Review the whole week
Notice what mattered as well as what was difficult. A steadier routine, attending an appointment, accepting help or repairing a conversation may deserve attention. Progress is not captured by one number or by comparing yourself with someone else's recovery.
Then choose one thing worth working on. It could be a practical task, a coping skill you are learning in treatment or a question you have been avoiding. If a care plan is already in place, work within it. A weekly sheet is not a reason to start withdrawal or alter prescribed treatment yourself.
Make the action small enough to use
Describe something you can actually do, rather than an outcome you cannot fully control. 'Ask my GP about the sleep problem' is more workable than 'fix my sleep'. Decide when the action fits, what might interrupt it and who could help. A smaller version can keep the task possible when energy or circumstances change.
At the next review, ask what happened and what you learned. If the action did not happen, examine the obstacle before making a bigger promise. If difficulties or risks are increasing, bring that to your clinician. Revising the care plan may be more useful than asking yourself to try harder.
For health professionals
A place in the clinical conversation
Use this as an original discussion aid alongside individual care. It draws on practical behaviour-change and coping-skills principles, but has not been validated as treatment. Review opportunity, support and current risk as well as the chosen action.
Use the sheet alongside your clinical assessment. It does not produce a diagnosis, measure risk or determine treatment. If seeking a specialist opinion, state the clinical question and relevant history using the usual referral pathway.