This document provides a template for a thought change record, which is used in cognitive behavioral therapy to identify and challenge irrational or unhelpful thoughts. The template includes sections to describe a situation or thoughts leading to an emotion, identify the automatic thoughts and emotion felt, rate the belief in those automatic thoughts and intensity of the emotion, provide a rational response identifying cognitive distortions and an alternative thought, rate the belief in the rational response, and note any changes in subsequent emotions or behaviors.
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Thought Change Record
This document provides a template for a thought change record, which is used in cognitive behavioral therapy to identify and challenge irrational or unhelpful thoughts. The template includes sections to describe a situation or thoughts leading to an emotion, identify the automatic thoughts and emotion felt, rate the belief in those automatic thoughts and intensity of the emotion, provide a rational response identifying cognitive distortions and an alternative thought, rate the belief in the rational response, and note any changes in subsequent emotions or behaviors.
a. Describe event leading a. Write automatic a. Specify sad, anxious, a. Identify cognitive errors. a. Specify and rate to emotion or thought(s) that angry, etc. b. Write rational response to subsequent b. Stream of thoughts preceded emotion(s). b. Rate degree of automatic thought(s). emotion(s), 0%–100%. leading to emotion or b. Rate belief in emotion, 1%–100%. c. Rate belief in rational b. Describe changes in c. Physiological automatic thought(s), response, 0%–100%. behavior. sensations. 0%–100%.
Source. Adapted from Beck AT, Rush AJ, Shaw BF, et al: Cognitive Therapy of Depression. New York, Guilford, 1979, pp. 164–165. Reprinted with permission of Guilford Press.