For clinician-guided DBT skills tracking and session review. This worksheet does not replace crisis planning or emergency care. If someone is in crisis, contact the 988 Suicide & Crisis Lifeline.

Free DBT worksheet

Free DBT Diary Card

Track emotion intensity, urges, target behaviors, vulnerabilities, and DBT skills across a week, then copy or export a concise summary for therapy review.

Window of Tolerance Breathing Exercises Chain Analysis

Weekly diary card pattern

A diary card needs enough density for clinical review without becoming a spreadsheet wall.

Emotion
M
3
T
4
W
6
T
5
F
4
Urge
M
2
T
3
W
5
T
4
F
2
Skill
M
1
T
1
W
0
T
1
F
1
Target
M
0
T
1
W
1
T
0
F
0
Use the diary card now. CoralEHR is building DBT workflows around skills, targets, weekly review, and notes.

What a DBT Diary Card Tracks

A DBT diary card helps clients and clinicians notice patterns between emotions, urges, target behaviors, vulnerabilities, and skills practice. This browser-based card focuses on the core between-session review: what showed up, which skills were used, and what should be discussed next.

Built for Therapy Review, Not Surveillance

Entries stay in the browser unless copied or exported. Use the worksheet for session preparation, skills coaching review, treatment planning, or a simple weekly handoff. Crisis plans, risk assessment, diagnosis, and clinical decisions remain with the treating clinician.

Therapist Guide to DBT Diary Cards

For a deeper guide to target behaviors, emotion ratings, urges, skills practice, weekly review, and clinical boundaries, read the DBT diary card therapist guide. It includes examples of how to turn diary card data into a session agenda.

Documentation Example

Therapist reviewed DBT diary card for prior week. Client reported elevated sadness and shame on three days, self-harm urges up to 7/10, no self-harm behavior, and use of paced breathing and opposite action twice. Session focused on chain analysis and rehearsal of a distress tolerance plan.

Related DBT and Regulation Tools

Window of Tolerance Tool

Map activation zones, cues, and regulation strategies.

Breathing Exercises

Use paced breathing patterns for skills practice.

Grounding Exercise

Guide 5-4-3-2-1 sensory grounding in session.

DBT Chain Analysis

Map behavior chains, consequences, and skill replacements.

Frequently Asked Questions

What is a DBT diary card? +

A DBT diary card tracks emotions, urges, target behaviors, vulnerabilities, skills used, and weekly goals for session review.

Is this diary card for clients or therapists? +

It is designed for clinician-guided DBT skills tracking and review. Clients may use exported summaries when a clinician assigns that workflow.

Does the diary card replace crisis planning? +

No. It is not a crisis tool and does not replace risk assessment, safety planning, diagnosis, or emergency care.

Can I export the diary card? +

Yes. You can copy or export a weekly summary for documentation or session review.

Keep going

See the closest current workflow page

Use the free diary card now. CoralEHR does not have a dedicated DBT page yet, so the ACT page is the closest current bridge for skills-based, values-aware documentation.

Run this inside CoralEHR