Codependency boundaries worksheet

What is the theory behind this Codependency boundaries therapy worksheet?

Codependency occurs when one has set poor boundaries with others. It is a condition when an individual feels responsible for another person’s emotional, physical and other needs all the time. The other person may be a spouse, parent or any other relative. Codependent people never have time for themselves and they feel worthless when they are not needed causing further mental health problems.

How will the worksheet help?

This worksheet will help clients be aware of their codependent behaviors. It also targets those unhealthy behaviors. The worksheet will benefit them in devising healthy alternative belief that will help them set boundaries. 

How to use this worksheet?

Mark (✓) on the statements  that resonate with you. Then in the table below, write the actions you take which make you codependent then write an alternative belief plan that is healthier and will set good boundaries in your relations.

Codependency boundaries worksheet

Old beliefNew beliefBoundary setting action
E.g If i don’t give up my resting hours to rescue them, They will suffer.They are capable and independent. I can’t help them all the timeI will tell them that  am tired and will only be able to help them once i am well rested


Aspire Pr. (2013). Codependency balancing an unbalanced relationship.

Morgan, J.P., Jr. (1991), What is codependency?. J. Clin. Psychol., 47: 720-729.<720::AID-JCLP2270470515>3.0.CO;2-5

You can download this worksheet here.

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