Create a Cognitive Behavioral Therapy worksheet for a patient dealing with mentioned issue(s) and aiming for behavioral changes. Take into a...
aidemia--modules-cbt_worksheet_requestCreate 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 nameBraylin Jordan
AgeChild
Patient condition details14 years old/ younger bro is 13/ baby sister is 1 month old. Braylin often gets upset when asked to do chores or homework. Braylin often talks back and isolates himself from family
Patient conditionGeneralized Anxiety Disorder
Relevant challengesLife transitions
Therapy experienceUnknown
MedicationNone
Needed behavioural changeNo particular
How many pages1
Emergency contact
Any other preferences

Cognitive Behavioral Therapy Worksheet for Braylin Jordan

Patient Information


Goal of Therapy

To help Braylin manage anxiety effectively and develop positive behavioral changes, particularly in instances of feeling overwhelmed by chores or homework.


Understanding Your Feelings

1. Identifying Triggers

What situations make you feel anxious or upset?

When do you most often talk back?

2. Emotional Awareness

How do you feel physically and emotionally during these times?


Cognitive Restructuring

3. Identifying Negative Thoughts

What thoughts run through your mind when you feel upset about chores or homework?

4. Challenging Negative Thoughts

For each negative thought, rewrite a positive or balanced thought.


Behavioral Activation

5. Planning Small Steps

What are small, manageable steps you can take to address chores or homework?

  1. Break chores into smaller tasks.
  2. Set a timer for 10 minutes and focus on one homework assignment at a time.
  3. Take a 5-minute break after completing each task.

6. Creating an Action Plan

List the three specific actions you will take this week.


Coping Strategies

7. Developing Coping Mechanisms

What strategies can you use when you start to feel anxious?


Reflection

8. Weekly Reflection

At the end of the week, reflect on your actions and feelings.


Encouragement

Remember that change takes time and it's okay to feel what you're feeling.
You are not alone, and reaching out for help is a sign of strength. Celebrate each small step you take towards progress!


Therapist Notes


End of Worksheet