Between-Session Practice Tracker
A clinician tool for agreeing and tracking between-session practice, including task details, confidence, daily completion, obstacles and learning to bring back.
1-page fillable PDF · US Letter (prints on A4) · CBT homework
- Approach / concern
- Clinician Tools
- Technique
- CBT homework
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Advanced plan
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Between-Session Practice Tracker?
Between-session practice (homework) is a core component of CBT and many other therapies. Collaborative, specific assignments with review at the next session support skill generalization.
Why it works
A meta-analysis found homework assignments and compliance are associated with better outcomes in CBT (Kazantzis et al., 2010). Practical guidance emphasizes collaborative design and consistent review (Kazantzis et al., 2005).
When to use it
- Any skills-based therapy
- CBT, DBT, ACT and behavioural activation
- Clients who forget tasks
- Measurement-based care
How to use it in session
- Agree on a specific task.
- Rate confidence and adjust if low.
- Track daily.
- Note obstacles.
- Review at the next session.
Clinician tips
- Always review homework; it signals importance.
- Problem-solve obstacles without judgement.
- Keep tasks small and relevant.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Does therapy homework matter?
Research shows completing between-session tasks is associated with better outcomes.
What if I don’t do the homework?
That’s useful information. Discuss obstacles with your therapist and adjust the task.
References
Kazantzis, N., Whittington, C., & Dattilio, F. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology: Science and Practice, 17(2), 144-156.
Kazantzis, N., Deane, F. P., Ronan, K. R., & L’Abate, L. (Eds.). (2005). Using homework assignments in cognitive behavior therapy. Routledge.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
