Mild Cognitive Impairment Worksheets and Exercises — Printable Tools

Practical worksheets and structured exercises for working through Mild Cognitive Impairment — tools you can use today.

Structured worksheets translate knowledge about mild cognitive impairment into action. These exercises are adapted from evidence-based therapies used to treat mild cognitive impairment.

The Thought Record Worksheet for Mild Cognitive Impairment

Based on CBT, this exercise helps identify and challenge the automatic thoughts driving mild cognitive impairment:

  1. Situation: What triggered my mild cognitive impairment?
  2. Automatic thought: What did I immediately think?
  3. Emotion: What did I feel, and how intense (0-10)?
  4. Evidence for/against: Is this thought accurate?
  5. Balanced thought: What's a more realistic perspective?
  6. Result: How do I feel now (0-10)?

The Mild Cognitive Impairment Trigger Tracker

Track your mild cognitive impairment patterns for one week:

| Date | Trigger | Intensity (1-10) | My Response | What Helped? | |------|---------|-----------------|-------------|--------------|

The Values Clarification Exercise

When mild cognitive impairment is overwhelming, reconnecting with values provides direction:

Write: 'What matters most to me, even when mild cognitive impairment is present?'

How to Use These Worksheets

Work through one exercise at a time. Bring completed worksheets to therapy sessions to accelerate progress.

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