Thought record (7 column)

Teach the patient to catch, examine and re-evaluate an appraisal, rather than to argue with themselves.

Cognitive therapy, from roughly session 3, once automatic thoughts can be identified.11 fieldsCognitive Therapy Rational Emotive Behavior Therapy

How this document is used well

The thought record is a training device for a skill, not the therapy itself. Complete the first two or three in session, slowly, together — a worksheet sent home before the skill exists comes back blank and teaches the patient that they are bad at therapy.

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Shows why each item is asked

The record

1. Situation — who, what, where, when*

Facts only. A camera could record this.

2. Emotions and intensity (0–100)*3. Automatic thoughts*Hot thought — the one carrying the most feeling*

Belief in the hot thought (0–100)*

0100—

4. Evidence that supports the hot thought*5. Evidence that does not support it*

Prompts: what would you tell a friend? What have you overlooked? Has the prediction ever failed to come true? What would someone who liked you say?

6. Alternative / balanced perspective*

Must account for both columns. Not a positive thought — an accurate one.

Belief in the hot thought now (0–100)*

0100—

7. Emotions now (0–100)*What I will do differently

A record with no behavioural consequence rarely changes anything.

10 required fields outstanding: 1. Situation — who, what, where, when; 2. Emotions and intensity (0–100); 3. Automatic thoughts …

How this document is used well

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What Praxical.Psych is, and is not