> ## Documentation Index
> Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt
> Use this file to discover all available pages before exploring further.

# Activity check-in

> Behavioral activation — one activity, mastery rating, pleasure rating, optional context.

The activity check-in is the unit of behavioral activation. Your client did
something; they rate the sense of getting something done (mastery) and the
enjoyment (pleasure); over a week or two of these, patterns emerge that point
at where engagement is producing reward and where it isn't.

The pleasure-and-mastery pairing dates to Lewinsohn 1974. It's still the
core BA assessment fifty years later because the depression-maintenance
cycle (withdrawal → no reward → less motivation → more withdrawal) is what
the ratings catch.

## What it captures

Five fields, single-activity entry:

* **Date** — the day the activity happened
* **What you did** — short string, the activity itself
* **Sense of getting something done** — 0-10 slider, none → a lot (mastery)
* **How much you enjoyed it** — 0-10 slider, none → a lot (pleasure)
* **Notes (optional)** — context, who was there, what came up

No total score. The clinical signal lives in the pattern of mastery and
pleasure ratings across many entries over a week.

## When to use it

The core BA intervention is built around these:

* **Session 1-2** — introduce the worksheet alongside psychoeducation about
  the depression cycle. Walk through one activity from yesterday together so
  the client understands the mastery/pleasure distinction.
* **Between sessions, early treatment** — one activity per day. The goal is
  data, not change, in the first week. The client is looking at the activities
  they're already doing, not adding new ones yet.
* **Reviewed weekly** — bring the entries into session, look for patterns.
  Activities with high mastery but low pleasure (productive but joyless).
  Activities with high pleasure but low mastery (rewarding but small). Days
  with nothing logged at all.
* **Activity scheduling** — once patterns are visible, you start scheduling
  activities that previous entries showed produced mastery or pleasure. The
  check-in becomes the feedback loop.
* **Spot-checks later in treatment** — once the BA work has produced
  behavioral momentum, scaled back to a few entries per week.

## Mastery and pleasure are separate

The whole reason for two ratings rather than one is that the depression
cycle hides mastery from awareness. A depressed client who finished a load of
laundry will often say "that wasn't anything" — discounting the mastery —
which feeds the no-reward loop. Pulling the rating out as its own number
makes the discounting harder.

Pleasure works the other way for some clients — they can list activities
they "should" enjoy but rate them low, surfacing anhedonia as the target.

## In-session mechanics

Open **Activity check-in** from the top-right corner (**Clinical templates ▾**). The
fields are short — date, activity, two sliders, optional notes — so the
in-session use is fast. You can fill several in a row during a weekly review
by reading from the client's notes app or paper log.

The whole entry copies to clipboard from the response detail for paste into
session notes.

## Using it in a Canadian practice

**Your client's answers stay in Canada.** A completed Activity check-in is health
information about a named person. The answers are stored encrypted in a Montreal
data centre and land in that client's chart against the session they belong to.
Nothing goes to an outside service to be scored.

**Getting it into your file of record.** The scored result copies out formatted
for a progress note, so it pastes into Jane, Owl or whatever holds the record.
You're not retyping a total, and the interpretation travels with it.

**English only.** The version here is English. If you practise in French, you'll
be working from your own copy for that client.

## Citation

Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). *Depression in
Context: Strategies for Guided Action.* W. W. Norton.

Earlier roots: Lewinsohn, P. M. (1974). "A behavioral approach to
depression." In R. J. Friedman & M. M. Katz (Eds.), *The Psychology of
Depression: Contemporary Theory and Research.*

The pleasure/mastery rating tradition dates from Lewinsohn 1974 and is now
generic clinical method, uncopyrightable. Rivet's field labels and
plain-language phrasing are original.

## When not to use it

* **Anxiety-only presentations without behavioral withdrawal.** The
  worksheet is built for the depression-cycle target. Anxious clients without
  avoidance patterns are usually better served by the
  [exposure log](/clinical-templates/cbt/exposure-log) or
  [behavioral experiment](/clinical-templates/cbt/behavioral-experiment).
* **Clients who can't tolerate self-monitoring.** A few clients find daily
  self-rating activating and shame-inducing. If the worksheet is making the
  cycle worse, drop it and re-introduce after the therapeutic alliance has
  scaffolded the work.

## Related articles

<CardGroup cols={2}>
  <Card title="Mood diary" icon="chart-line" href="/clinical-templates/cbt/mood-diary">
    Daily mood capture often paired with this worksheet.
  </Card>

  <Card title="Values clarification" icon="compass" href="/clinical-templates/cbt/values-clarification">
    For choosing which activities to add as BA progresses.
  </Card>

  <Card title="Behavioral experiment" icon="flask" href="/clinical-templates/cbt/behavioral-experiment">
    For testing predictions about whether activities will produce reward.
  </Card>
</CardGroup>
