Personal Boundaries Info Sheet example
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What is the Personal Boundaries Info Sheet?

The personal boundaries info sheet is a three-page handout that sorts limits into physical, emotional, time, material and mental categories, each with a scripted example. Page two adds four practice scenarios, each followed by a blank Boundary Statement. A closing page contrasts healthy, unhealthy and absent boundary setting.

How to use the Personal Boundaries Info Sheet

Send this home as homework once a client can already name the situation that costs them. Read the Types of Boundaries: list together first, since most clients recognize only the physical kind and miss the time and mental ones. Your clients can then work the Practice Setting Boundaries scenarios, writing a Boundary Statement in their own words rather than copying the model lines. Bring the four statements back to session and rehearse the two that feel least sayable.

Personal Boundaries Info Sheet Download – What’s Included

The download is three printable pages, not a fillable form. Page one defines boundaries and gives five types with a spoken example for each, then four steps under Setting Boundaries. Page two holds four scenarios with blank lines and a What to say panel of model sentences. Page three compares healthy, unhealthy and absent boundary setting, and closes with three maintenance tips.

Why this worksheet helps

Healthy boundaries are essential for protecting your well-being and fostering healthy relationships.  Mentalyc’s FREE Personal Boundaries Info Sheet Worksheet equips therapists with a valuable resource to guide clients in establishing and enforcing boundaries.

The Importance of Boundaries

Boundaries are personal guidelines that define how you want to be treated by others. This worksheet explores the key aspects of healthy boundaries:

  • Types of Boundaries: Physical, emotional, mental, and time boundaries – understand different areas where boundaries can be set.
  • Benefits of Boundaries: Increased self-respect, healthier relationships, and reduced stress.
  • Setting Boundaries: Clear and assertive communication techniques to effectively express your needs.
  • Maintaining Boundaries: Strategies for handling pushback or challenges to your boundaries.

Why Our Personal Boundaries Info Sheet Worksheet is Essential

  • Client Awareness: Empowers clients to identify the importance of boundaries and their impact on well-being.
  • Communication Skills Builder: Provides practical tips for clients to communicate their boundaries clearly and assertively.
  • Improved Relationships: Helps clients develop healthier relationships by fostering mutual respect and understanding.

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Your Author

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.

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