My Relapse Prevention Plan - Get the most out of your plan

Sep 22, 2026

Upload by Connor

My Relapse Prevention Plan provides a structured guide to recognize early warning signs of depression and anxiety, maintain helpful strategies, and monitor symptoms over time. It prompts regular self-assessment using PHQ-9 and GAD-7 screening tools, comparing current scores to personally identified thresholds. The plan also includes space to list medications, supportive activities, and who to contact, and it provides crisis instructions to reach the Suicide & Crisis Lifeline at 988.

LanguageEnglish

CategoryForms

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

My Relapse Prevention Plan

Personal warning signs and maintenance

Assess Your Symptoms Regularly

Patient Health Questionnaire (PHQ-9)

Generalized Anxiety Disorder Questionnaire (GAD-7)

My Relapse Prevention Plan Name: Get the most out of your plan • Make it easy to find • Review often and update as needed • Assess symptoms regularly • Know how and when to contact your team Personal warning signs: Last Revised: I will keep my plan: I will share my plan with: I will review my plan and assess symptoms on: My PHQ-9 score is or higher, and/or my GAD-7 score is or higher Things that help me feel better: Maintenance medications: For crisis support, contact the Suicide & Crisis Lifeline at any time of day: 988, [988lifeline.org](988lifeline.org) Assess Your Symptoms Regularly Use the screening tools below to assess yourself for symptoms of depression (PHQ-9) and anxiety (GAD-7) . Compare today’s score to the score identiﬁed under your personal warning signs (pg. 1) . Patient Health Questionnaire (PHQ-9) | Over the last 2 weeks, how often have you been bothered by any of the following problems? | Not at
all1 | Several
days | More than
half the
days | Nearly
every day | | --- | --- | --- | --- | --- | | 1. Little interest or pleasure in doing things | 1 | 2 | 3 | 4 | | 2. Feeling down, depressed, or hopeless | 1 | 2 | 3 | 4 | | 3. Trouble falling or staying asleep, or sleeping too much | 1 | 2 | 3 | 4 | | 4. Feeling tired or having little energy | 1 | 2 | 3 | 4 | | 5. Poor appetite or overeating | 1 | 2 | 3 | 4 | | 6. Feeling bad about yourself – or that you are a failure or have let yourself or your family down | 1 | 2 | 3 | 4 | | 7. Trouble concentrating on things, such as reading the newspaper or watching television | 1 | 2 | 3 | 4 | | 8. Moving or speaking so slowly that other people could have noticed. Or the opposite – being so ﬁdgety or restless that you have been moving around a lot more than usual | 1 | 2 | 3 | 4 | | 9. Thoughts that you would be better oﬀ dead, or of hurting yourself in some way | 1 | 2 | 3 | 4 | | Total of each column | | | | | | Score (total of all columns) = | | | | | Generalized Anxiety Disorder Questionnaire (GAD-7) | Over the last 2 weeks, how often have you been bothered by any of the following problems? | Not at | Several | More | Nearly | | --- | --- | --- | --- | --- | | | all | days | than half
the days | every day | | 1.Feeling nervous, anxious or on edge | 1 | 2 | 3 | 4 | | 2. Not being able to stop or control worrying | 1 | 2 | 3 | 4 | | 3. Worrying too much about diﬀerent things | 1 | 2 | 3 | 4 | | 4. Trouble relaxing | 1 | 2 | 3 | 4 | | 5. Being so restless that it is hard to sit still | 1 | 2 | 3 | 4 | | 6. Becoming easily annoyed or irritable | 1 | 2 | 3 | 4 | | 7. Feeling afraid as if something awful might happen | 1 | 2 | 3 | 4 | | Total of each column | | | | | | Score (total of all columns) = | | | | |

FAQs

What should you do during a crisis?

For crisis support, contact the Suicide & Crisis Lifeline anytime at 988 or via 988lifeline.org. The plan is designed to support timely help-seeking when warning signs escalate.

Sep 22, 2026

Upload by Connor