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	Zoe
Age	Child
Patient condition details	Jealous of new baby sister/ behavioral issues at home and school/ refuses chores
Patient condition	Relationship Issues
Relevant challenges	Family conflict
Therapy experience	Unknown
Medication	None
Needed behavioural change	Develop a consistent routine
How many pages	3
Emergency contact
Any other preferences

Cognitive Behavioral Therapy Worksheet for Zoe

Patient Information

• Name: Zoe
• Age: Child
• Condition Summary: Zoe is experiencing jealousy towards her new baby sister, which has led to behavioral issues both at home and at school. She often refuses to do chores and experiences conflicts in her family relationships.
• Therapy Experience: Unknown
• Current Medication: None
• Needed Behavioral Change: Develop a consistent routine

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Section 1: Identifying Feelings and Thoughts

Feelings

1. What feelings do you experience when you see your new baby sister?

   • Example: Jealousy, Sadness, Anger

2. When you are asked to do chores, what feelings do you have?

   • Example: Frustration, Resentment, Boredom

3. How do these feelings affect your interactions with family and friends?

   • Example: I might yell at my parents or ignore my friends.

Thoughts

1. What thoughts go through your mind when you feel jealous of your sister?

   • Example: "She gets all the attention," "I wish I was the only child."

2. What thoughts do you have when you refuse to do chores?

   • Example: "I don’t care about chores," "They are unfair to me."

3. How do these thoughts impact your feelings and behavior?

   • Example: I feel more upset and act out more.

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Section 2: Challenging Negative Thoughts

Identify Negative Thoughts

1. List at least three negative thoughts you have regarding your feelings and behaviors.
   • Example:
     1. "I’ll never be as loved as my sister."
     2. "Doing chores is pointless."
     3. "My parents don’t care about what I want."

Challenge These Thoughts

1. For each negative thought, provide a more balanced or positive thought to challenge it.
   • Example:
     1. "My parents love both of us in different ways."
     2. "Doing chores helps my family and teaches me responsibility."
     3. "My feelings are important, and I can talk to my parents about them."

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Section 3: Creating a Consistent Routine

Identify Daily Activities

1. List activities you do every day.
   • Example:
     • Wake up
     • Eat breakfast
     • Go to school
     • After school activities
     • Dinner
     • Bedtime

Schedule a Routine

1. Create a simple daily routine that includes time for chores.

   • Example:

     • Morning:

       • 7:00 AM - Wake up and make bed
       • 7:15 AM - Eat breakfast
       • 7:30 AM - Get ready for school

     • After School:

       • 3:30 PM - Snack time
       • 4:00 PM - Complete chores (15 minutes)
       • 4:15 PM - Homework

     • Evening:

       • 6:00 PM - Family dinner
       • 7:00 PM - Free time (play, read)
       • 8:00 PM - Bedtime routine (bath, storytime)
       • 8:30 PM - Bedtime

Monitor Your Routine

1. How will you keep track of your daily routine?

   • Example: Use a chart or a sticker system to mark off completed chores.

2. What rewards will you give yourself for following the routine?

   • Example: Extra playtime or a special treat.

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Section 4: Family Communication

Discuss with Family

1. What can you talk about with your family to express your feelings?

   • Example: "I feel a bit left out since the baby came, and I want to help and be involved."

2. How can your family support you in feeling more included?

   • Example: Ask my parents if I can help with baby care or if we can have special "big sister" time.

Conflict Resolution

1. When you experience conflict, how can you address it calmly?
   • Example: Take deep breaths and explain how I feel without shouting or arguing.

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Conclusion

Next Steps

1. Practice the new routine and discuss any challenges with your therapist in the next session.

Commitment

• I, Zoe, commit to trying my best to follow this worksheet and improve my feelings and behaviors.
  • Date: ____

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Note:

This worksheet aims to help Zoe recognize her feelings, challenge negative thoughts, develop a consistent routine, and communicate her feelings effectively. It is meant to be used as a guide throughout her therapy journey.