Imago Therapy Worksheets

Decipher how your clients' childhood frustrations and relationships with their caregivers impact their behavior in their romantic relationships in later life using our Imago Therapy Worksheet, adapted from the work of Hendrix and Hunt.

By Wynona Jugueta on May 15, 2024.

Fact Checked by RJ Gumban.

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What Is An Imago Therapy Worksheet?

Imago Relationship Therapy, from the latin for image, is based on the idea that our childhood relationships and frustrations shape much of our later life; including our romantic relationships. Founded by Dr. Harville Hendrix and Dr. Helen LaKelly Hunt, this type of relationship therapy focuses on understanding your personal “imago” or the hidden agenda you bring to all your relationships as a result of your childhood frustrations and relationships with your caregivers.

While the Imago relationship theory is very broad and many books have been written on the subject, this Imago Therapy Worksheet is designed for those with little to no experience with the theory, to incorporate Imago principles into their relationship counseling.

This worksheet can be completed by your client independently and is a useful tool to help them reflect on how their relationship is impacted, however unconsciously, by our past relationships and frustrations.

Printable Imago Therapy Worksheets

Download these Imago Therapy Worksheets to improve your client's therapeutic journey and treatment outcomes.

How To Use This Worksheet For Imago Therapy

Just follow this simple step-by-step guide to start offering your clients this Imago Therapy Worksheet. While it is simple to start incorporating this worksheet into your practice, each activity should be completed according to the below guidelines in order to ensure your clients are getting the most out of this resource. 

Step One. Download the Worksheet

The first step is to download the Imago Therapy worksheet, which you can do using the PDF download link on this page. You can also find this worksheet, and many other handy resources, from within Carepatron’s template library. 

Step Two. Provide to your Client(s) with an Explanation of Activities 

The next step is to provide a copy of the worksheet to your clients with an explanation of how each activity should be completed, which you can find here:

Exercise 1 - this activity is for your client to list the positive and negative characteristics of their childhood caregivers. This may include their parents, guardians, or other family members. 

Exercise 2 - your client should fill in the table with memories of frustrations they felt during childhood, how they felt at the time, how they responded, and the underlying unmet desire causing the childhood frustration. See our Imago Therapy Worksheet example below for ideas of the sorts of things you client could include in this section

Exercise 3 - this activity is similar to Exercise 1, but about their current romantic partner. 

Exercise 4 - the relationship vision is for sentences describing your client’s ideal relationship. These should be written as though your client is already in their dream relationship, such as “we trust each other” or “we spend time together on the weekends”. Both members of the couple should aim for about 10 of these sentences each.

Exercise 5 - finally, your clients should fill out the “summing it up” section with keywords from each of the sections of the worksheet labelled (A) through (E). 

Step Three. Review their Responses

Now’s when your clients can come together and share their responses, in particular, their results from exercise 5. Additionally, sharing their relationship visions with each other is a hugely important process and they should endeavor to create a joint list  of a shared relationship vision taking statements from both of their individual relationship visions. 

Step Four. Store the Worksheets Securely

The last step of using this worksheet is to ensure you store the document securely, if your clients choose to return it to you.

Imago Therapy Worksheet Example (Sample)

To see this Imago Therapy Worksheet in action, look no further than our example template. We have created this sample worksheet, based on a fictional client, to help illustrate the sorts of insights this worksheet can produce. To get a better understanding of how this worksheet can benefit your clients and their significant others.

Download this Imago Therapy Example (Sample) here: 

Imago Therapy Worksheet Example (Sample)

Who Can Use this Printable Imago Therapy Worksheet (PDF)?

Part of the beauty of this worksheet is that you do not need particular training in Imago Therapy in order to incorporate the principles behind this resource into your clinical practice. This means that any relationship practitioners who work with either couples or clients in relationships can benefit from offering this Imago Therapy Worksheet. 

That being said, this worksheet does require your clients to recall childhood frustrations and their relationships with their childhood caregivers, and for this reason, it may not be helpful for clients with significant childhood trauma. Clients who may benefit more from this resource are couples struggling to understand each other’s point of view, or clients who want to better understand why they act the way they do in their relationships.

Some of the specific professionals who may find this worksheet particularly useful are:

  1. Relationship counselors
  2. Psychotherapists
  3. Marriage counselors
  4. Clinical psychologists
  5. Relationship coaches or mentors
  6. Life coaches

Along with many others, including all types of mental health practitioners and coaches.

Why Is This Form Useful For Therapists

Save Time

This worksheet, along with all of Carepatron’s resources, is designed to save you time. You don’t need to worry about creating exercises or formatting templates for your clients, it’s all been done for you. All your clients need to do is fill in the blanks. 

Incorporate New Ideas

By incorporating ideas from Imago relationship therapy, you will expand your client’s understanding of how their life experiences can unconsciously inform their future decisions. This worksheet allows you to introduce these new ideas in an interactive and clearly formatted way. 

Provide work for between sessions

Different therapists will have different preferences around how much “homework” they assign, but for those that want to help their clients to maintain the work on their relationships between sessions- this worksheet can be a great help.

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Why Use Carepatron For Imago Therapy Software?

As a relationship counselor or practitioner, you’ll know that the work doesn’t end once your client’s complete this worksheet- in fact, it’s only just beginning! The discussions and work that follows in sessions with you will undoubtedly produce a wealth of insights and treatment options for your clients, all of which will need to be documented and securely stored to maintain data privacy. 

And that’s where Carepatron can help! We offer HIPAA-compliant, digitally encrypted data storage for all your documents, including your client’s Imago Therapy Worksheets. Rest assured that your client’s documentation will be secure, and easily accessible from our mobile or desktop platforms whenever you need them.

Additionally, Carepatron offers other super useful features such as a community template library. 24/7 support, a client portal with appointment scheduling, video conferencing functionality, smart dictation software, and much more. Carepatron is designed to take your practice to the next level by automating and streamlining your administration tasks so you can focus on what you do best. Relationship counselors can access progress note templates, intake forms, and many others, as well as become part of a community of over 10,000 healthcare practitioners around the world.

Imago Therapy Software
Who completes an Imago Therapy Worksheet?
Who completes an Imago Therapy Worksheet?

Commonly asked questions

Who completes an Imago Therapy Worksheet?

This worksheet should be completed by couples seeking some form of relationship counseling. While it will be most effective if both members of the relationship complete the worksheet, this worksheet could also be completed by one member in order to better understand their own “hidden agenda”.

What is Imago Relationship Therapy?

Imago Relationship Therapy or IRT is a type of therapy developed by Harville Hendrix and Helen Hunt, and popularized following the publication of the book “Getting the Love You Want” (1988). The fundamental principle of IRT is that our childhood relationships and frustrations with those that cared for us, such as parents, family members, or guardians, underpin the features we seek in our romantic relationships later in life. As such, by understanding our childhood frustrations, we can better understand why we react the way we do in certain situations, or why we seek out romantic partners with certain positive and negative traits.

When should my clients complete Imago Therapy Worksheets?

The activities in this Imago Therapy Worksheet should be completed somewhere quiet and private, and by each member of the couple independently. This will help to prevent either of them from being influenced and improve their honesty in their completion of the exercises.

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