Mindfulness of Emotion Worksheet
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PRIMARY EMOTION: pick one emotion that is the most prevalent (you may do a separate form for another emotion if it is equally prevalent):
PHYSICAL RESPONSE: How is your body reacting to the emotion?
Pain in chest
Teary/Eyes well up
Changes in vision
PERCEPTION: Your thoughts (put the emotion into words)
This is your opportunity to journal about how you feel. How do you currently perceive this situation? What are your beliefs, your opinions, etc.? Put your emotion into words.
URGES: What do you want to do?
What do you feel like doing to relieve the pain or solve the problem? How do you want to react? EX: Punch something (or someone), drink, run away.
ACTIONS: What have you actually done so far?
EX: Perhaps you’ve been ruminating or maybe you had a glass of wine
SECONDARY EMOTION: Are you having an additional emotion related to the first emotion? EX: Are you feeling ashamed because you are angry?
Should be Empty: