Cognitive Behavioral Therapy Worksheet

Name*

Date*

1) How am I feeling right now (list as many specific emotions as possible)?*

2) Which emotion is the strongest? Rate it on a scale of 1 (subtle feeling) to 10 (very strong feeling).*

3) What event triggered my feelings? Try to describe details.*

4) How did I interpret the event? What did I think about myself and others?*

5) How strongly (rate 1 to 10) do I believe my answer to #4?*

6) What evidence do I have that my answer to #4 is true?*

7) What evidence do I have that my answer to #4 is not true?*

8) What would someone else think if they were in my situation?*

9) What is my conclusion (reconsider event and describe any changes in feelings)?*

10) What can I learn from this?*

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