aidemia--modules-cbt_worksheet_request	Create a Cognitive Behavioral Therapy worksheet for a patient dealing with mentioned issue(s) and aiming for behavioral changes. Take into account the details listed further.
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Age	Unknown
Patient condition details
Patient condition	Not specific
Relevant challenges	Nothing in particular
Therapy experience	Unknown
Medication	None
Needed behavioural change	No particular
How many pages	1
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Cognitive Behavioral Therapy (CBT) Worksheet

Patient Name: _____

Date: _____

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Instructions:

This worksheet is designed to help you reflect on your thoughts, feelings, and behaviors. Take your time to complete each section, and remember that the goal is to identify patterns in your thinking to facilitate positive behavioral changes.

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Section 1: Identify Thoughts and Feelings

A. Situational Context

1. Describe a situation where you felt upset or overwhelmed recently:

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B. Emotion Identification

2. What emotions did you experience in that situation?

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C. Thought Exploration

3. What thoughts were going through your mind at that time?

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Section 2: Cognitive Distortions

A. Recognize Distortions

4. Looking back at the thoughts you recorded, did you notice any cognitive distortions?
   (Select all that apply)

   • [ ] All-or-Nothing Thinking
   • [ ] Overgeneralization
   • [ ] Mental Filtering
   • [ ] Disqualifying the Positive
   • [ ] Jumping to Conclusions
   • [ ] Catastrophizing
   • [ ] Emotional Reasoning
   • [ ] "Should" Statements
   • [ ] Labeling
   • [ ] Personalization

5. Write a brief description of one cognitive distortion you identified:

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Section 3: Challenging Negative Thoughts

A. Evidence Examination

6. What evidence do you have that supports your negative thoughts?

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7. What evidence contradicts your negative thoughts?

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B. Alternative Thoughts

8. What is a more balanced thought you can adopt?

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Section 4: Behavioral Activation

A. Identify Behaviors

9. What behaviors did you engage in after the situation?

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10. How did those behaviors make you feel?

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B. Positive Behavioral Changes

11. What is one positive behavior you can implement moving forward?

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Section 5: Goal Setting

A. Short-Term Goals

12. Write three short-term goals that you can work on this week:

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B. Long-Term Goals

13. Identify one long-term goal you want to achieve by the end of this therapy process:

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Section 6: Reflection and Commitment

A. Self-Reflection

14. Reflect on what you learned from this exercise:

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B. Commitment

15. How committed are you to making these changes? (Rate from 1-10)

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Next Steps

• Remember to review this worksheet often to keep yourself accountable.
• Discuss your findings with your therapist in your next session.

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End of Worksheet

Instructions: Fill out this worksheet to the best of your ability. There are no right or wrong answers. It is your unique experience that matters.