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
Age	Child
Patient condition details
Patient condition	Not specific
Relevant challenges	Nothing in particular
Therapy experience	Unknown
Medication	None
Needed behavioural change	No particular
How many pages	1
Emergency contact
Any other preferences

Cognitive Behavioral Therapy Worksheet for Children

Patient Information

• Name: __
• Age: __
• Date: __

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Introduction to Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of talk therapy that focuses on how our thoughts, feelings, and behaviors are connected. This worksheet is designed for you, as a child, to help you understand your thoughts and feelings better and to make positive changes in your behavior.

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Section 1: Understanding Your Feelings

1. Identifying Emotions

Take a moment to think about the different feelings that you experience each day. Fill in the following table with words that describe your feelings:

Situation	Feelings Experience
When I wake up in the morning	_____
At school during class	_____
When I'm playing with friends	_____
When I am alone	_____
After a fun day	_____

2. Name Your Feelings

Choose one of the feelings you listed above and write it down. Why do you think you feel this way?

• Feeling: __
• Why do you think you feel this way? __

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Section 2: Thoughts and Behaviors

1. The Thoughts You Have

Think about the feelings you wrote down previously. What thoughts go through your mind when you feel this way? Write them down below.

• Thoughts when I feel: __

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  2. ---

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2. Linking Thoughts to Behavior

How do those thoughts affect how you act? For example, if you feel sad, do you want to play or do you want to stay alone? Write down how your thoughts lead to specific actions.

• Example of thoughts impacting behaviors:
  • Thoughts: __
  • Resulting Behavior: __

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Section 3: Challenging Negative Thoughts

1. Recognizing Negative Thoughts

Sometimes we have negative thoughts that make us feel worse. Can you identify a negative thought you sometimes have?

• Negative Thought: __

2. Countering Negative Thoughts

Try to think of a positive or realistic statement that directly challenges the negative thought.

• Counter Thought: __

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Section 4: Setting Goals for Behavior Change

1. Identify a Behavior to Change

Think about a behavior you would like to change or improve. It can be something small, such as sharing more or being less shy. Write it down.

• Behavior to Change: __

2. Setting a Small Goal

Now, set a small, achievable goal for yourself related to that behavior.

• Goal: __

3. Plan How to Achieve This Goal

Write down a few steps you can take in order to reach this goal.

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2. ---

3. ---

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Section 5: Reflecting on Progress

1. Reflecting on Your Achievements

After a week, look back at the changes you tried to make. Did you reach your goal? What worked well? What was challenging?

• Achievements: __
• Challenges: __

2. Moving Forward

Finally, think about one positive thing you can do in the coming week to continue your progress.

• Next Week's Positive Action: __

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Conclusion

Remember, it’s okay to feel different emotions and to want to improve. CBT helps us learn about our thoughts and actions, making it easier to change behaviors over time. Keep this worksheet as a reminder of your goals and your journey.

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Therapist’s Comments:

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¿Note to Parents: Encourage your child while they work on this worksheet. Discuss it together and always celebrate their small successes!