Thought Record Sheet

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Thought Record Sheet

www.get.gg Carol Vivyan 2009, permission to use for therapy purposes www.getselfhelp.co.uk

Situation


Emotions /
Moods
(rate 0 100%)

Physical
sensations


Unhelpful Thoughts / Images

Alternative / realistic thought
More balanced perspective
What I did / What I could do /
Defusion technique /
Whats the best response?
Re-rate Emotion 0-100%











































What happened?
Where? When?
Who with? How?










































What emotion did I
feel at that time?
What else?
How intense was it?










































What did I notice
in my body?
Where did I feel
it?






































What went through my mind?
What disturbed me? What did those
thoughts/images/memories mean to
me, or say about me or the situation?
What am I responding to?
What button is this pressing for me?
What would be the worst thing about
that, or that could happen?




































STOPP! Take a breath.
Is this fact or opinion?
What would someone else say about this
situation? Whats the bigger picture?
Is there another way of seeing it?
What advice would I give someone else?
Is my reaction in proportion to the actual
event?
Is this really as important as it seems?







































What could I do differently? What
would be more effective?

Do what works! Act wisely.
What will be most helpful for me or
the situation?
What will the consequences be?

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