Individual Therapy Worksheet
My Intimate Self
A comprehensive personal inventory. A full portrait of who you are as an intimate person — what shaped you, who you are now, what you carry, what you want, and where you want to go.
Before you begin
A portrait, not a problem list
Most conversations about intimacy focus on what is wrong or what needs to improve. This inventory takes a different approach. It asks who you are as an intimate person, in full — the things that shaped you, the things you bring, the things you carry, and the things you want. It is designed to give you and your therapist a complete picture rather than a collection of separate issues.
How to use this. Work through each section at your own pace. Answer as honestly as you can. Some sections will feel easy. Others may need more time or more than one sitting. There are no right answers and no level of complexity that is too much to bring here. When you are done, you will have something you can keep for yourself, share with a therapist, or bring into a conversation with a partner.
This is a living document. Your intimate self is not fixed. The answers you give today may be different in a year. You can return to any section and revise it. What matters is that it is honest right now.
First honest answer:
"My relationship with intimacy right now is _____________"
Part One
What shaped your intimate self
No one arrives at their intimate life without a history. Messages received, experiences had, relationships that taught something lasting, things absorbed from the world about what intimacy is supposed to look like. This section asks about the most significant of those — not exhaustively, but honestly.
Not a complete list. The ones that feel most relevant to who you are now.
You do not have to go into detail. Even naming it and acknowledging its significance is enough here.
Part Two
Who you are as an intimate person right now
Not who you were, not who you are trying to become. Who you actually are in intimate life right now. What you bring, how you tend to show up, what feels most true about you in this territory.
Name what is genuinely there:
"What I bring to intimacy when I am at my best is _____________"
This might be a positive story, a painful one, or something complicated. The story you carry about yourself shapes what is possible.
Part Three
What you carry
Every person brings something difficult into their intimate life. Patterns that have repeated across relationships. Things that get in the way. Things carried from past experiences. Things that have not yet been understood or addressed. This section names them without requiring you to fix them.
Naming something does not mean being defined by it. What you carry is part of your picture. It is not the whole of it. The goal here is honest self-knowledge, not self-criticism.
The honest version:
"A pattern I have noticed repeating in my intimate relationships is _____________"
You do not have to go into detail. Naming it is enough. If what comes up here feels significant, it may be worth bringing to a therapist.
Part Four
What you actually want
Not what you think you should want. Not what would be manageable or reasonable. What you actually, honestly want from your intimate life. This section asks you to name it directly, even the parts that feel complicated to want.
Wanting is not the same as demanding. Getting clear on what you want does not commit you to anything. It just gives you honest information about yourself that you can work with. Many people have never let themselves know what they actually want. This section is permission to find out.
The honest version:
"What I actually want from my intimate life is _____________"
This question matters because what we do not allow ourselves to want tends to operate underground anyway, often in ways that create confusion or dissatisfaction.
Part Five
Where you want to go
Having named who you are, what you carry, and what you want, this final section asks about intention. Not a plan to fix everything, but a genuine sense of the direction you want to move and what you are willing to do to get there.
The full picture in your own words:
"The most honest thing I can say about where I am in my intimate life right now is _____________"
Willingness is different from ability. You may not know how to change something yet. This question is just about whether you are willing to try.
Said to yourself:
"What I want to say to myself about all of this is _____________"
Sagebrush Counseling offers individual and couples therapy across Texas, New Hampshire, Maine, and Montana.
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