CBT Thought Record
It can be helpful to track, challenge and disengage from anxiety-fueled catastrophic thoughts using a thought record such as below.  All you need to do is:
  1. Notice when a catastrophic thought has surfaced.
  2. Notice the feelings and sensations associated with this thought.
  3. Offer yourself a more balanced, realistic counter thought, in contrast to the extreme prediction associated with the catastrophic thought.
  4. Gently guide your attention back to the present moment, away from thoughts associated with "then" and "there".
Sign in to Google to save your progress. Learn more
Email *
Today's Date *
MM
/
DD
/
YYYY
If you are currently working with a Light On Anxiety therapist and would like to review this information in your session together, please provide your name and date of birth.


Please Note: This material will not be reviewed prior to your session. If you are experiencing a mental health emergency, please contact 988 for immediate support.
Full Name
Date of Birth
MM
/
DD
/
YYYY
Briefly describe the situation you were in when the negative, catastrophic thought surfaced.
Captionless Image
What is your current emotional distress level?
Captionless Image
No Distress
Extreme Distress
Clear selection
What is the negative, catastrophic thought or belief that has surfaced?
Captionless Image
What evidence supports the ACCURACY of this negative, catastrophic prediction?
Captionless Image
If you were to present the evidence in support of the negative, catastrophic thought to a judge, how strong a case would you have?
Captionless Image
Clear selection
What evidence supports the INACCURACY of this negative, catastrophic prediction?
Captionless Image
If you were to present the evidence against the negative, catastrophic thought to a judge, how strong a case would you have?
Captionless Image
Clear selection
After considering how a judge might assess the reasonableness of the negative, catastrophic thought, is there a more realistic, balanced thought you can offer your self?
Captionless Image
What is your current emotional distress level (now that you have taken a well deserved moment to provide yourself with a more balanced perspective)?
Captionless Image
No Distress
Extreme Distress
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Light On Anxiety. Report Abuse