| Date / Time | Situation What event (external/internal) or unhelpful behavior? |
Automatic Thought(s) What thought/image? Rate belief 0-100% |
Emotion(s) What emotion? Intensity 0-100% |
Adaptive Response Challenge the thought. Use questions below. Rate belief 0-100% |
Outcome Re-rate emotion (0-100%). What would be good to do now? |
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