Free. Exclusive. Just for you.
Four unique services that make learning easier, faster, and smarter - only on our website.

CBT Thought Record template with an example provided by a licensed therapist.

CBT Thought Record worksheet with example entries, including date, event, automatic response, and alternative response sections.

CBT Thought Record worksheet with example entries, including date, event, automatic response, and alternative response sections.

PNG 680×544 39.7 KB Free · Personal Use
Quality Assured by Worksheets Library Team
Reviewed for educational accuracy and age-appropriateness
ID: #665027
Show Answer Key & Explanations Step-by-step solution for: CBT Thought Record (Fillable PDF)
The image you've shared is a CBT (Cognitive Behavioral Therapy) Thought Record worksheet, which is a tool used in therapy to help individuals identify and challenge negative or distorted thoughts. It includes an example filled out by a licensed therapist, showing how to use the worksheet effectively.

Let’s break down the example and explain the solution process:

---

🔍 What Is a CBT Thought Record?


This worksheet helps people:
- Recognize automatic negative thoughts.
- Understand how these thoughts affect their emotions and behaviors.
- Replace unhelpful thoughts with more balanced, realistic ones.

It's based on the core CBT principle:
> Thoughts → Emotions → Behaviors

By changing distorted thoughts, we can improve our emotional responses and behaviors.

---

📋 Example Breakdown



| Date | Event | Automatic Response | Alternative Response |
|------|-------|--------------------|------------------------|
| 3/17 | I was supposed to jog at 8 am today, but I didn’t get out of bed. | Thought: I am lazy. <br> Behavior: Spent the time in bed on my phone instead. <br> Emotion: Depressed and anxious. | Thought: I am still working on my new habit and it’s okay not to be perfect. <br> Behavior: I can jog after lunch to make up for it. <br> Emotion: Calm and joyful. |

---

Step-by-Step Explanation of the Solution



#### 1. Event
> "I was supposed to jog at 8 am today, but I didn’t get out of bed."

This is a real-life situation that triggered an emotional response. The person had a planned activity (jogging) that they didn't complete.

#### 2. Automatic Response
This section captures the immediate reaction:
- Thought: *"I am lazy."*
→ This is a distorted thought — it's a global judgment ("lazy") based on one missed action.
- Behavior: *"Spent the time in bed on my phone instead."*
→ Avoidance behavior, possibly due to shame or low motivation.
- Emotion: *"Depressed and anxious."*
→ Negative feelings stem from self-criticism and fear of failure.

💡 *Problem*: The thought “I am lazy” is catastrophic thinking (one mistake = total failure). This leads to spiraling emotions and unproductive behavior.

#### 3. Alternative Response
Here, the therapist models a healthier way to think about the same event:
- Thought: *"I am still working on my new habit and it’s okay not to be perfect."*
→ This reframes the situation as part of a learning process. It acknowledges imperfection without self-judgment.
- Behavior: *"I can jog after lunch to make up for it."*
→ Proactive, constructive action instead of avoidance.
- Emotion: *"Calm and joyful."*
→ Positive emotion results from self-compassion and problem-solving.

💡 *Solution*: Replacing harsh self-judgment with self-compassion reduces emotional distress and promotes adaptive behavior.

---

🧠 Key CBT Principles Used


- Cognitive Restructuring: Challenging irrational thoughts.
- Self-Compassion: Treating yourself kindly when you make mistakes.
- Behavioral Activation: Taking small steps toward goals despite setbacks.

---

How to Use This Worksheet


1. Fill in the Event – What happened?
2. Identify Automatic Thoughts – What did you immediately think?
3. Note Your Emotion & Behavior – How did you feel and act?
4. Challenge the Thought – Is it fair? Evidence-based? Absolute?
5. Write an Alternative Thought – More balanced, compassionate, realistic.
6. Predict New Emotion & Behavior – How would you feel if you believed this?

---

💬 Final Takeaway


The example shows that missing a workout doesn’t mean you’re lazy — it means you’re human. By shifting from self-criticism to self-compassion, you reduce anxiety, increase motivation, and build sustainable habits.

This worksheet is a powerful tool for managing stress, anxiety, depression, and low self-esteem through cognitive restructuring.

If you'd like, I can help you fill out your own CBT Thought Record using a personal example!
Parent Tip: Review the logic above to help your child master the concept of cbt feelings log.
Print Download

How to use

Click Print to open a print-ready version directly in your browser, or use Download to save the file to your device. The ⭐ Answer button generates an AI answer key instantly - useful for teachers who need a quick reference. Need a different version? Our AI Worksheet Generator lets you create a custom worksheet on any topic in seconds.

(view all cbt feelings log)

Clarity - CBT Thought Diary
CBT Thought Record (Fillable PDF)
7 Best Mood Trackers to Chart and Journal Your Mood (+ PDF)
The CBT Model of Emotions
CBT Thought Log: Thought Record Worksheets For Cognitive ...
Anger Diary (Archived)
Under the Lights Thoughts, Feelings and Behaviours Worksheet
A CBT journaling / thought form guide template | Veronica Walshs ...
Simple Thought Record
CBT Mood Log Worksheet | HappierTHERAPY