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.
Full name	Marie
Age	45-54
Patient condition details	Sad. No sleep over ears. Divorced 2 years. U able to get out of house. On Prozac
Patient condition	Insomnia
Relevant challenges	Nothing in particular
Therapy experience	None
Medication	Antidepressants
Needed behavioural change	No particular
How many pages	1
Emergency contact
Any other preferences

Cognitive Behavioral Therapy Worksheet for Marie

Patient Information

• Name: Marie
• Age: 50
• Condition Summary: Experiencing sadness, insomnia, and difficulty getting outside after divorce.
• Current Medication: Antidepressants (Prozac)

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Introduction to Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a structured, goal-oriented therapy that helps individuals identify and change negative thought patterns and behaviors. It is particularly effective for managing depression and insomnia. This worksheet will help Marie explore her feelings, thoughts, and behaviors and work towards positive changes.

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Identify Your Feelings

1. Current Emotional State

• Describe your current emotional state. What feelings do you experience most often?

Response:

• ---

2. Sleep Patterns

• How many hours of sleep do you currently get on an average night? Describe the quality of your sleep.

Response:

• ---

Challenge Negative Thoughts

3. Identify Negative Thoughts

• What negative thoughts come to your mind when you think about your current situation? List at least three.

Thought 1: __
Thought 2: __
Thought 3: __

4. Reframe Your Thoughts

• How can you challenge these negative thoughts? What evidence do you have that contradicts them?

Challenge Thought 1: __
Evidence 1: ____

Challenge Thought 2: __
Evidence 2: ____

Challenge Thought 3: __
Evidence 3: ____

Set Behavioral Goals

5. Identify Small Goals

• Think about small, achievable goals that could help improve your mood or sleeping patterns. List at least two goals.

Goal 1: __
Goal 2: __

6. Plan for Achieving Goals

• For each goal listed, identify steps you can take to make these goals happen.

Steps for Goal 1:

1. ---

2. ---

3. ---

Steps for Goal 2:

1. ---

2. ---

3. ---

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Engage in Behavioral Activation

7. Activities That Bring Joy

• List at least three activities that you enjoy or used to enjoy. How can you start incorporating these activities into your daily routine?

• Activity 1: ____
  Plan to Incorporate: _____

• Activity 2: ____
  Plan to Incorporate: _____

• Activity 3: ____
  Plan to Incorporate: _____

8. Social Connections

• How can you start reconnecting with others? Identify one step you can take to reach out to someone.

Response: _____

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Monitor Progress

9. Weekly Reflection

• Set a day each week to reflect on your progress. Write down one good thing that happened this week.

Positive Experience: __

10. Track Sleep Patterns

• Keep a sleep diary for one week. On a daily basis, record your sleep duration and quality.

Day	Hours of Sleep	Quality of Sleep (1-10)	Notes
1
2
3
4
5
6
7

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Conclusion and Future Steps

CBT is a process, and change takes time. Being kind to yourself is essential. Reflect on this worksheet regularly and adjust goals and thoughts as you progress. Discuss your insights and experiences with a therapist to deepen your understanding and foster change in your emotional and behavioral patterns.

Next Appointment

• Date: ____

Note: Please bring this worksheet to your next session for further discussion.

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Remember, change is possible, and you're not alone on this journey.