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Therapy Blueprint (Universal)

A therapy blueprint is CBT tool which summarizes the work a therapist and patient have completed together. It represents the past (the problems, what maintained them), the present (the therapy itself, new knowledge learned and skills developed) and the future (goals, plans, and strategies to manage setbacks). Therapy blueprints also act as a form of relapse prevention – making new knowledge more accessible means that clients are more able to cope effectively with future setbacks.

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Notice: The 'Fillable PDF' format has been retired. For resources with form elements, both the 'Professional' and 'Client' versions are now available as fillable PDFs by default.

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

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A fillable version of the resource. This can be edited and saved in Adobe Acrobat, or other PDF editing software.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

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Languages this resource is available in

  • Arabic
  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • German
  • Greek
  • Hindi
  • Italian
  • Polish
  • Spanish (Dominican Republic)
  • Spanish (International)

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Introduction & Theoretical Background

A therapy blueprint is CBT tool which summarizes the work a therapist and patient have completed together. Patients can be encouraged to think of it as ‘the first session of the rest of your life’. Therapy blueprints are one way to help clients reflect on what they have learned during therapy. They act as a way of promoting resilience by reinforcing what has been learned. Therapy blueprints also act as a form of relapse prevention – by making new knowledge more accessible clients are more able to cope effectively with future setbacks. 

The structure of a good therapy blueprint mirrors the process of therapy itself. Suggested areas for exploration include:

  • Assessment: What were the problems? How did they develop?
  • Formulation: What kept the problems going? Why did they not get better naturally? Were there any strategies with unintended consequences?
  • Treatment: What new knowledge and skills did you develop?

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Therapist Guidance

“A therapy blueprint is a helpful way to look back over therapy, reflect on what you have learned, and think about what has been important to you. We want to catch it now while it’s fresh in your mind. People often find that a therapy blueprint is a helpful reminder, once therapy is over, of things that they know are helpful for them. It’s also a helpful way for us to reflect on what skills it might be important for you to keep practising, to plan for triggers and things that might be difficult for you, and for us to set some goals for the future.”

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References And Further Reading

  • Wells, A. (1997). Cognitive therapy of anxiety disorders: a practice manual and conceptual guide. Wiley.

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