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 nameAmy Barnes
Age55-64
Patient condition detailsSad, anxious but hipeful
Patient conditionSelf-Esteem Issues
Relevant challengesNothing in particular
Therapy experienceBrief (1-5 sessions)
MedicationNone
Needed behavioural changeNo particular
How many pages1
Emergency contact
Any other preferences

Cognitive Behavioral Therapy Worksheet for Amy Barnes

Patient Information


Session Goals

  1. Enhance Self-Esteem: Develop a more positive self-image by identifying and challenging negative self-beliefs.
  2. Manage Anxiety: Introduce techniques to cope with feelings of anxiety.
  3. Foster Hope: Reinforce the sense of hope and the potential for personal change and growth.

Understanding Self-Esteem

What is Self-Esteem?

Self-esteem refers to the subjective evaluation of one's own worth. It encompasses beliefs about oneself, emotions, and behaviors. Low self-esteem can lead to feelings of sadness and anxiety, impacting daily life and relationships.

Why It Matters


Identifying Negative Thoughts

Common Negative Thoughts

  1. "I am not good enough."
  2. "I make too many mistakes."
  3. "I will never succeed."
  4. "People don’t like me."

Worksheet Activity


Challenging Negative Thoughts

Cognitive Restructuring

  1. Evidence For the Thought: Write down evidence or experiences that support your negative thought.

    Evidence For:


  2. Evidence Against the Thought: Now think of evidence that contradicts your negative thought.

    Evidence Against:


  3. New Balanced Thought: Based on the evidence you've listed, create a more balanced thought regarding your self-esteem.

    New Thought:



Behavior Activation

Activity Scheduling

Engaging in activities that bring you joy can improve self-esteem and reduce anxiety.

Activity Schedule:

Day Activity Time
Monday Go for a walk ____ AM/PM
Tuesday Call a friend ____ AM/PM
Wednesday Read a favorite book ____ AM/PM
Thursday Try a new hobby ____ AM/PM
Friday Attend a local event ____ AM/PM
Saturday Spend time with family ____ AM/PM
Sunday Journal your thoughts ____ AM/PM

Mindfulness and Relaxation Techniques

Breathing Exercise

  1. Inhale slowly through your nose for a count of 4.
  2. Hold your breath for a count of 4.
  3. Exhale slowly through your mouth for a count of 4.
  4. Repeat this for 5 minutes, focusing on your breath.

Progressive Muscle Relaxation

  1. Find a comfortable position.
  2. Tense each muscle group for 5 seconds, then relax. Start from your toes and work up to your head.
  3. Notice the difference between tension and relaxation as you go.

Conclusion and Reflection

Take a moment to reflect on today’s session.

  1. What did you learn about your self-esteem?

    Reflection:


  2. How do you plan to implement the new balanced thought in your life?

    Plan:


  3. What activities will you focus on this week?

    Activities:



Next Steps

Stay hopeful and remember that self-esteem can be improved with consistent effort and positive reinforcement!