CBT Thought Record
๐ง Challenge a Negative Thought Right Now
The thought record is the core CBT technique. Work through each step to identify and reframe unhelpful thinking.
5 Essential CBT Techniques
Thought Records
Most UsedIdentify, examine and reframe unhelpful automatic thoughts by examining evidence for and against them.
- Write the triggering situation
- Identify the automatic thought
- Rate belief intensity (0โ100%)
- Examine evidence for & against
- Create a balanced alternative thought
Behavioural Activation
For DepressionBreak the depression cycle by scheduling pleasurable and meaningful activities even when you don't feel like it.
- List activities that used to bring joy
- Schedule 1โ2 small activities daily
- Rate mood before and after each
- Notice the mood-activity connection
- Gradually increase activity level
Worry Postponement
For AnxietyContain anxiety by confining it to a specific 20-minute 'worry period' rather than letting it run all day.
- Set a daily 20-minute worry time
- When a worry appears, note it down
- Tell yourself: "I'll think about this later"
- At worry time, review your list
- Many worries resolve before the session
Graded Exposure
For AvoidanceGradually face feared situations in a hierarchy, starting with the least anxiety-provoking and working up.
- List feared situations (least to most)
- Rate each 0โ100 for anxiety
- Start with the easiest item
- Stay until anxiety reduces naturally
- Progress up the hierarchy over time
Self-Compassion
For Self-EsteemTreat yourself with the same kindness you would show a good friend โ challenging the inner critic directly.
- Notice when self-critical thoughts arise
- Ask: "Would I say this to a friend?"
- Rewrite the thought with compassion
- Acknowledge shared human imperfection
- Practice self-soothing language daily
Sleep Restriction (CBT-I)
For InsomniaCBT for Insomnia is more effective than sleeping pills. Sleep restriction rebuilds sleep drive and efficiency.
- Set a fixed wake time โ no exceptions
- Restrict time in bed to actual sleep time
- Only go to bed when genuinely sleepy
- No screens, working or worrying in bed
- Extend time in bed by 15 min weekly
Common Cognitive Distortions
Cognitive distortions are systematic patterns of biased thinking that maintain anxiety and depression. Recognising them is the first step to changing them.
โฌ All-or-Nothing Thinking
Seeing things in black and white with no middle ground.
๐ Mental Filter
Focusing entirely on one negative detail while ignoring the positives.
๐ฎ Fortune Telling
Predicting negative outcomes as if they were facts.
๐ง Mind Reading
Assuming you know what others are thinking โ usually negatively.
๐ญ Catastrophising
Blowing problems out of proportion to their actual significance.
๐ท๏ธ Labelling
Attaching a fixed, global negative label to yourself or others.