Thought Record Sheet Anxiety

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Thought Record Sheet - Anxiety

What I did / What I could do /


Situation Emotions / Physical Unhelpful Thoughts / Images Alternative / realistic thought Defusion technique /
Moods sensations & More balanced perspective What’s the best response?
(rate 0 – 100%) reactions Re-rate Emotion 0-100%

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 will the consequences of my
What am I responding to? action be?
What ‘button’ is this pressing for me?
What did I notice What would be the worst thing that STOPP! Take a breath…. Do what works! Act wisely.
in my body? could happen? What would be the What would someone else say about this
What emotion did I worst thing about that? situation? What’s the bigger picture? What will be most helpful for me,
What happened? feel at that time? What would Am I over-estimating the danger? Is there another way of seeing it? for others, or the situation?
Where? When? What else? others notice Am I under-estimating my ability to What advice would I give someone else What could I do differently?
Who with? How? How intense was it? about me? cope? Is this fact or opinion? in this situation? What would be more effective?

www.get.gg © Carol Vivyan 2011, permission to use for therapy purposes www.getselfhelp.co.uk
Thought Record Sheet - Anxiety

www.get.gg © Carol Vivyan 2011, permission to use for therapy purposes www.getselfhelp.co.uk

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