| 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 | Teagan |
| Age | Child |
| Patient condition details | ptsd and domestic violence from an early age |
| Patient condition | Insomnia |
| Relevant challenges | Nothing in particular |
| Therapy experience | Extensive (21+ sessions) |
| Medication | Antidepressants |
| Needed behavioural change | No particular |
| How many pages | 1 |
| Emergency contact | mom |
| Any other preferences |
Patient Name: Teagan
Age: Child
Date: [Insert Date]
Therapist: [Insert Therapist's Name]
Condition Summary:
Teagan is a child who has experienced trauma related to PTSD and domestic violence from an early age. This history has significantly affected her emotional and psychological well-being, leading to issues such as insomnia. Teagan is currently on antidepressants and has had extensive therapy experience, with over 21 sessions completed.
Emergency Contact Name: Mom
Emergency Contact Number: [Insert Contact Number]
Take a moment to think about your day-to-day experiences. Write down any negative thoughts that may arise, especially those that might contribute to your insomnia.
| Date | Negative Thought |
|---|---|
After identifying your thoughts, consider the feelings associated with them. Use the following scale to describe your feelings on a scale from 1 (not at all) to 10 (extremely).
| Negative Thought | Feeling | Intensity (1-10) |
|---|---|---|
For each negative thought you recorded, ask yourself the following questions to gather evidence for and against the thought.
Thought: [Insert Thought Here]
Based on the evidence you've gathered, create alternative, more balanced thoughts.
| Negative Thought | Alternative Thought |
|---|---|
Reflect on the practices you can adopt to improve your sleep. Use the checklist below:
Consider effective coping strategies that you can employ during difficult moments or when you’re feeling anxious.
| Coping Strategy | When to Use |
|---|---|
| Deep breathing | When feeling anxious or restless |
| Visualization | Before bed or during stress |
| Journaling | At the end of the day |
| Talking to someone | Whenever you feel overwhelmed |
At the end of each week, reflect on your progress. Consider the following prompts:
Use this section to jot down any insights, reminders, or personal notes.
Therapist Signature: ____
Date: [Insert Date]
Note: This worksheet is a tool to support you in your journey toward better mental health. Be kind to yourself, and remember that healing takes time.