Dissociative Amnesia (Psychogenic Amnesia) Worksheet

Download Worksheet

Download

What are the theories behind this worksheet?

Unlock deeper healing — upgrade to Premium now!

Customizable and fillable worksheets

Rights to alter the worksheets

Over 2000 worksheets

Support HappierTherapy

Join

This worksheet is grounded in psychodynamics and cognitive-behavioral theories. Psychodynamic perspectives explore potential unconscious conflicts or trauma contributing to dissociative amnesia, aiming to uncover underlying emotional experiences. 

Meanwhile, cognitive-behavioral approaches focus on identifying and modifying thought patterns and behaviors associated with memory lapses, promoting adaptive coping strategies. Together, these theories inform a comprehensive framework for understanding and addressing dissociative amnesia in a client-centered manner.

How will this worksheet help you?

This worksheet serves as a valuable tool in the therapeutic process for individuals experiencing dissociative amnesia. It facilitates self-reflection, enabling clients to explore triggers, describe their experiences, and develop coping strategies. 

By fostering communication and understanding between the client and therapist, the worksheet contributes to a targeted and personalized approach to addressing memory lapses. 

How should you use this worksheet?

Introduce the worksheet as a self-exploration tool, guiding clients to independently reflect on triggers, experiences, and coping strategies related to dissociative amnesia. 

During therapy sessions, engage in meaningful discussions using the worksheet responses to uncover underlying issues and collaboratively set goals for managing memory lapses. 

Was this helpful?

Thanks for your feedback!