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Cognitive Behavioral Therapy (CBT) Worksheets, Handouts, And Self-Help Resources

Psychology Tools CBT worksheets, exercises, information handouts, and therapy resources have been carefully designed to support your clinical work. Available in over 50 languages, each is downloadable in multiple formats to suit your therapy style. Read more
languages 54 languages

Problem

Therapy tool

Language

ABC Belief Monitoring

Functional analysis explores relationships between stimuli and responses. This behavioral analysis tool is arranged in an ABC (Antedents, Behaviors, C ... https://www.psychologytools.com/resource/abc-belief-monitoring/

Worksheet

Activity Diary

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/activity-diary/

Worksheet

Activity Diary (No Time Slots)

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/activity-diary-no-times/

Worksheet

Activity Planning

Research suggests that an activity is more likely to be completed if it is planned and scheduled in advance. The Activity Planning worksheet can be us ... https://www.psychologytools.com/resource/activity-planning/

Worksheet

Activity Selection

Activity selection is a tool for rating the difficulty of different activities. It is a helpful tool when clients have difficulty choosing between act ... https://www.psychologytools.com/resource/activity-selection/

Exercise

Alternative Action Formulation

The Alternative Action Formulation is a CBT case conceptualization (formulation) worksheet. Formulations help a client and therapist come to a shared ... https://www.psychologytools.com/resource/alternative-action-formulation/

Worksheet

Anger Decision Sheet

Individuals who have a problem with anger can benefit from considering and rehearsing different responses to triggering situations. The Anger Decision ... https://www.psychologytools.com/resource/anger-decision-sheet/

Exercise

Anger Diary

Self monitoring of thoughts, feelings and symptoms is an essential skill for clients engaged in cognitive behavioral therapy (CBT). The Anger Diary is ... https://www.psychologytools.com/resource/anger-diary/

Worksheet

Anger Self-Monitoring Record

Self-monitoring is a fundamental tool in cognitive behavioral therapy (CBT). This Anger Self-Monitoring Record is designed to help clients to better ... https://www.psychologytools.com/resource/anger-self-monitoring-record/

Worksheet

Anger Thought Challenging Record

Disputing thoughts is a critical skill in cognitive therapy. The Anger Thought Monitoring Record helps clients to identify and challenge their angry t ... https://www.psychologytools.com/resource/anger-thought-challenging-record/

Worksheet

Anger Thought Monitoring Record

Understanding the relationship between thoughts, emotions, body sensations and behavior is a first step towards making changes. The Anger Thought Moni ... https://www.psychologytools.com/resource/anger-thought-monitoring-record/

Worksheet

Anxiety Self-Monitoring Record

Self-monitoring is a fundamental tool in cognitive behavioral therapy (CBT). This Anxiety Self-Monitoring Record is designed to help clients to bette ... https://www.psychologytools.com/resource/anxiety-self-monitoring-record/

Worksheet

Assertive Communication

Communicating assertively is an essential skill for maintaining healthy self-esteem and strong relationships. This information handout describes the k ... https://www.psychologytools.com/resource/assertive-communication/

Information Handout

Assertive Responses

Communicating assertively is an essential skill for maintaining healthy self-esteem and strong relationships. The Assertive Responses exercise helps c ... https://www.psychologytools.com/resource/assertive-responses/

Exercise

Autonomic Nervous System

The autonomic nervous system (ANS) automatically regulates the function of body systems outside of voluntary control. The Autonomic Nervous System han ... https://www.psychologytools.com/resource/autonomic-nervous-system/

Information Handout

Avoidance Hierarchy

Avoidance and safety-seeking behavior serves to maintain anxiety, and exposure to the fear stimuli/situation is an effective treatment for anxiety. Th ... https://www.psychologytools.com/resource/avoidance-hierarchy/

Exercise

Balance

Our sense of balance is the result of a complex system which receives visual, vestibular, and proprioceptive inputs. This Balance client information h ... https://www.psychologytools.com/resource/balance/

Information Handout

Barriers Abusers Overcome In Order To Abuse

Individuals who have experienced abuse often focus on their own actions (or inactions) and blame themselves for their own abuse. This client informati ... https://www.psychologytools.com/resource/barriers-abusers-overcome-in-order-to-abuse/

Exercise

Before I Blame Myself And Feel Guilty

Guilt is a common post-traumatic reaction and is often the result of cognitive bias. This CBT worksheet explores common cognitive biases that have bee ... https://www.psychologytools.com/resource/before-i-blame-myself-and-feel-guilty/

Exercise

Behavioral Experiment

Behavioral experiments allow individuals to test the validity of their beliefs and assumptions. They are a core experiential technique for therapeutic ... https://www.psychologytools.com/resource/behavioral-experiment/

Worksheet

Belief Driven Formulation

Cognitive behavioral theory proposes that our thoughts, feelings, and behavior in the here-and-now are influenced by our schemas / core beliefs / assu ... https://www.psychologytools.com/resource/belief-driven-formulation/

Worksheet

Belief-O-Meter (CYP)

The Belief-O-Meter is an engaging way of helping children and adolescents to relate to their thoughts differently. It is a form of cognitive restructu ... https://www.psychologytools.com/resource/belief-o-meter-cyp/

Worksheet

Catching Your Thoughts (CYP)

Before thoughts can be examined or challenged they must be ‘caught’ – they must be noticed and distinguished from events and feelings. The Catch ... https://www.psychologytools.com/resource/catching-your-thoughts-cyp/

Worksheet

CBT Daily Activity Diary

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/cbt-daily-activity-diary/

Worksheet

CBT Daily Activity Diary With Enjoyment And Mastery Ratings

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/cbt-daily-activity-diary-e-m/

Worksheet

CBT Daily Activity Diary With No Time Slots

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/cbt-daily-activity-diary-no-times/

Worksheet

CBT Thought Record

The CBT Thought Record is an essential tool in cognitive behavioral therapy. Thought challenging records help people to evaluate their negative automa ... https://www.psychologytools.com/resource/cbt-thought-record/

Worksheet

CBT Thought Record Portrait

The CBT Thought Record is an essential tool in cognitive behavioral therapy. Thought challenging records help people to evaluate their negative automa ... https://www.psychologytools.com/resource/cbt-thought-record-portrait/

Worksheet

Challenging Your Negative Thinking

A cornerstone of cognitive behavioral therapy is that an individual’s interpretation of an event determines how they feel and behave. We all experie ... https://www.psychologytools.com/resource/challenging-your-negative-thinking/

Guide

Checking Certainty And Doubt

Psychologists have discovered interesting relationships between Checking, Certainty, And Doubt. This information handout contains an exercise helpful ... https://www.psychologytools.com/resource/checking-certainty-and-doubt/

Exercise

Checklist For Better Sleep

Some sleep experts recommend that sleep hygiene issues be attended to as one component of treatment for poor sleep. This sleep hygiene worksheet is in ... https://www.psychologytools.com/resource/checklist-for-better-sleep/

Information Handout

Classical Conditioning

Classical conditioning is a process by which stimuli become associated with responses. This information handout describes key principles of Classical ... https://www.psychologytools.com/resource/classical-conditioning/

Information Handout

Coercive Methods For Enforcing Compliance

Individuals who have experienced abuse often focus on their own actions (or inactions) and blame themselves for their own abuse. This client informati ... https://www.psychologytools.com/resource/coercive-methods-for-enforcing-compliance/

Exercise

Cognitive Behavioral Model Of Anorexia Nervosa (2003)

Anorexia nervosa is an eating disorder characterized by restriction of energy intake and intense fear of gaining weight. For women, the lifetime preva ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-anorexia-nervosa-2003/

Information Handout

Cognitive Behavioral Model Of Body Dysmorphic Disorder (BDD) (2004)

Individuals with body dysmorphic disorder (BDD) experience distress associated with their body image. The Cognitive Behavioral Model Of Body Dysmorphi ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-body-dysmorphic-disorder-bdd-2004/

Information Handout

Cognitive Behavioral Model Of Bulimia Nervosa (2003)

Bulimia nervosa is an eating disorder characterized by binge eating followed by purging. Among young women, the point prevalence of bulimia is about 1 ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-bulimia-nervosa-2003/

Information Handout

Cognitive Behavioral Model Of Fear Of Bodily Sensations (2018)

Fear of bodily sensations is present in a number of conditions, most notably panic disorder. The Cognitive Behavioral Model Of Fear Of Bodily Sensatio ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-fear-of-bodily-sensations-2018/

Information Handout

Cognitive Behavioral Model Of Generalized Anxiety Disorder (GAD) (1998)

Individuals with generalized anxiety disorder report clinically significant worry alongside physical arousal. The Cognitive Behavioral Model Of Genera ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-generalized-anxiety-disorder-gad-1998/

Information Handout

Cognitive Behavioral Model Of Health Anxiety (2003)

Individuals with health anxiety experience clinically significant distress associated with health concerns. The Cognitive Behavioral Model Of Health A ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-health-anxiety-2003/

Information Handout

Cognitive Behavioral Model Of Health Anxiety (2018)

The Cognitive Behavioral Model Of Health Anxiety describes maintaining factors which prolong distress in health-anxious clients. The formulation is pr ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-health-anxiety-2018/

Information Handout

Cognitive Behavioral Model Of Obsessive Compulsive Disorder (1998)

The essential insight of the cognitive behavioral model of obsessive compulsive disorder (OCD) is that it is the client’s interpretation of the intr ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-obsessive-compulsive-disorder-1998/

Worksheet

Cognitive Behavioral Model Of Panic (1986)

The Cognitive Behavioral Model Of Panic identifies catastrophic misinterpretation of body sensations as a criticial maintenance factor which serves to ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-panic-1986/

Information Handout

Cognitive Behavioral Model Of Persistent Postural-Perceptual Dizziness (PPPD) (2017)

Persistent postural-perceptual dizziness (PPPD) is a form of dizziness which is thought to be maintained by psychological factors. ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-persistent-postural-perceptual-dizziness-pppd-2017/

Information Handout

Cognitive Behavioral Model Of Post Traumatic Stress Disorder (PTSD) (2000)

The Cognitive Behavioral Model Of Post-Traumatic Stress Disorder (PTSD) identifies alterations in memory, cognitions, and behavior as critical mainten ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-post-traumatic-stress-disorder-ptsd-2000/

Information Handout

Cognitive Behavioral Model Of The Relapse Process (1999)

Marlatt’s (1985) cognitive behavioral model of relapse conceptualizes relapse as a “transitional process, a series of events that unfold over ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-the-relapse-process-1999/

Information Handout

Cognitive Behavioral Model Of Tinnitus (2014)

The Cognitive Behavioral Model Of Tinnitus identifies cognitive, behavioral, and perceptual changes which operate to maintain tinnitus perception and ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-tinnitus-2014/

Information Handout

Cognitive Case Formulation

A CBT case conceptualization tool to help therapists derive core beliefs from an analysis of current events. ... https://www.psychologytools.com/resource/cognitive-case-formulation/

Worksheet

Compassionate Thought Challenging Record

Thought challenging records are commonly used in CBT to help people to evaluate their negative automatic thoughts for accuracy and bias. This Compassi ... https://www.psychologytools.com/resource/compassionate-thought-challenging-record/

Worksheet

Consensus Sleep Diary

The Consensus Sleep Diary is the product of a joint effort by sleep experts to identify the essential components of sleep self-monitoring. Clients can ... https://www.psychologytools.com/resource/consensus-sleep-diary/

Worksheet

Core Belief Magnet Metaphor

Core beliefs (schemas) are self-sustaining. They act to ‘attract’ confirmatory evidence and ‘repel’ (or distort) disconfirmato ... https://www.psychologytools.com/resource/core-belief-magnet-metaphor/

Information Handout

Court Trial Thought Challenging Record

Thought challenging records are commonly used in CBT to help people to evaluate their negative automatic thoughts for accuracy and bias. This Thought ... https://www.psychologytools.com/resource/court-trial-thought-challenging-record/

Worksheet

Cross Sectional Formulation

Case conceptualizations (formulations) help therapists and clients come to a shared understanding of a problem. This Cross Sectional Formulation explo ... https://www.psychologytools.com/resource/cross-sectional-formulation/

Worksheet

Daily Monitoring Form

Activity diaries can be used for activity monitoring during an assessment phase of therapy, symptom monitoring during therapy, correlating activity wi ... https://www.psychologytools.com/resource/daily-monitoring-form/

Worksheet

Daily Record of Dysfunctional Thoughts

Thought challenging records are commonly used in CBT to help people to evaluate their negative automatic thoughts for accuracy and bias. The Daily Rec ... https://www.psychologytools.com/resource/daily-record-of-dysfunctional-thoughts/

Worksheet

Decatastrophizing

Catastrophic thinking (magnification) is characteristic of many anxiety problems. This CBT worksheet for decatastrophizing is a tool for cognitive res ... https://www.psychologytools.com/resource/decatastrophizing/

Exercise

Developing Psychological Flexibility

Developing Psychological Flexibility is a client information handout which can be used to familiarize clients with the ACT model. ... https://www.psychologytools.com/resource/developing-psychological-flexibility/

Information Handout

Drawing Your Feelings (CYP)

Enhancing a child’s vocabulary for their feelings is one way of helping them to understand and learn to manage their internal world. The Drawing You ... https://www.psychologytools.com/resource/drawing-your-feelings-cyp/

Worksheet

Dysfunctional Thought Record

The Dysfunctional Thought Record is a Rational Emotive Behavior Therapy (REBT) tool to record and challenge dysfunctional thoughts. ... https://www.psychologytools.com/resource/dysfunctional-thought-record/

Worksheet

EMDR Cognitions

The standard protocol in Eye Movement Desensitization and Reprocessing (EMDR) requires the identification of a target image and a negative cognition. ... https://www.psychologytools.com/resource/emdr-cognitions/

Information Handout

EMDR Protocol (Standard)

The standard protocol in Eye Movement Desensitization and Reprocessing (EMDR) outlines information required to start processing and identifies a seque ... https://www.psychologytools.com/resource/emdr-protocol-standard/

Worksheet

EMDR Protocol (With Interweave Guidance)

Cognitive interweaves are commonly used in Eye Movement Desensitization and Reprocessing (EMDR) to ‘unblock’ processing which has become & ... https://www.psychologytools.com/resource/emdr-protocol-with-interweave-guidance/

Worksheet

Emotion Focused Formulation

The Emotion Focused Formulation was developed by Isabel Clarke in an acute mental health context but this approach also has wider applicability. It pl ... https://www.psychologytools.com/resource/emotion-focused-formulation/

Worksheet

Emotions

Many people find it hard to label their emotional states or reactions. This information handout provides a list of emotions, categorizing them as basi ... https://www.psychologytools.com/resource/emotions/

Information Handout

Emotions Motivate Actions

Many clients find it helpful to recognize the range of actions that are motivated by different emotional states. This worksheet encourages clients to ... https://www.psychologytools.com/resource/emotions-motivate-actions/

Information Handout

Exploring Problems Using A Cross Sectional Model

A cross-sectional formulation takes a ‘snapshot’ of what is going on during a single moment in time. The Exploring Problems Using A Cross-Sectiona ... https://www.psychologytools.com/resource/exploring-problems-using-a-cross-sectional-model/

Worksheet

Exploring Problems Using An A-B-C Model

An Antecedent-Behavior-Consequence (ABC) diagram is a form of functional analysis and is a helpful way of conceptualizing a behavior of interest. It e ... https://www.psychologytools.com/resource/exploring-problems-using-an-a-b-c-model/

Worksheet

Exposure And Response Prevention

Exposure And Response Prevention (ERP, EX/RP) is an effective treatment for obsessive compulsive disorder (OCD). This CBT worksheet guides therapists ... https://www.psychologytools.com/resource/exposure-and-response-prevention/

Exercise

Exposure Practice Form

Exposure is an effective treatment for many forms of anxiety. The Exposure Practice Form is a CBT worksheet which guides therapists and clients throug ... https://www.psychologytools.com/resource/exposure-practice-form/

Exercise

Facing Your Fears (CYP)

Graded or graduated exposure is a traditional way of overcoming fears and phobias. The therapist helps the client to draw up a list of feared situatio ... https://www.psychologytools.com/resource/facing-your-fears-cyp/

Worksheet

Fact Or Opinion

One cognitive error which commonly results in distress is to act on our opinions as though they were facts. This CBT exercise helps clients to practic ... https://www.psychologytools.com/resource/fact-or-opinion/

Exercise

Fatigue Activity Diary

Activity diaries are a crucial information-gathering tool. They can be used for activity monitoring during an assessment phase of therapy, symptom mon ... https://www.psychologytools.com/resource/fatigue-activity-diary/

Worksheet

Fight or Flight (CYP)

The Fight Or Flight (CYP) information handout has been specifically designed for younger children and includes carefully simplified language. The full ... https://www.psychologytools.com/resource/fight-or-flight-cyp/

Information Handout

Fight Or Flight Response

The fight or flight response is an automatic physiological reaction to an event that is perceived as stressful or frightening. The perception of threa ... https://www.psychologytools.com/resource/fight-or-flight-response/

Information Handout

Forgiveness Is

Forgiveness is an effectvie treatment for anger and relieving hurt. Sadly, many people dismiss forgiveness due to misconceptions regarding its nature. ... https://www.psychologytools.com/resource/forgiveness-is/

Information Handout

Forgiveness Methods

Forgiveness is an effective treatment for anger and the relief of hurt. This information handout describes techniques for forgiveness and the steps in ... https://www.psychologytools.com/resource/forgiveness-methods/

Exercise

Forgiveness Quotes

Forgiveness takes courage and strength. This information handout contains a helpful selection of quotations about forgiveness from famous figures. ... https://www.psychologytools.com/resource/forgiveness-quotes/

Information Handout

Friendly Formulation

Case conceptualizations (formulations) help therapists and clients come to a shared understanding of a problem. This simple CBT formulation worksheet ... https://www.psychologytools.com/resource/friendly-formulation/

Worksheet

Functional Analysis

Functional analysis examines the causes and consequences of behavior. This classic A-B-C Functional Analysis worksheet can be used to collect informat ... https://www.psychologytools.com/resource/functional-analysis/

Worksheet

What Kinds of Resources Are Available on This Page?

CBT Worksheets

Cognitive behavioral therapy (CBT) is an evidence-based form of psychological therapy. This means that a CBT therapist and their patient need to gather information about experiences and reactions including the thoughts, feelings, body sensations, behaviors that happen in and out of session. Collecting this information in written form is helpful because it externalizes our experience and makes information less prone to bias than information that is just ‘in our heads.’ CBT therapists and their patients will use data: from examining the validity and helpfulness of thoughts to looking for patterns in behavior. CBT worksheets are forms that are designed to be filled in. CBT worksheets can be used in many different ways including:

Exercises

“If you always do what you’ve always done then you’ll always get what you’ve always got.”

Jessie Potter

CBT is a ‘doing therapy’ as much as a ‘talking therapy.’ This means that key therapeutic interventions are exercises that introduce a new way of thinking, acting, and, ultimately, feeling. Exercises are tasks that you can try with your patients in-session, or tasks that your patients can complete outside session. Popular exercises include diaphragmatic breathing, interoceptive exposure, and worry postponement.

Information Handouts

A core feature of many cognitive models is the focus on (mis)appraisals that people make concerning an event or stimulus. For example, people who panic misinterpret benign body sensations as indicating potential catastrophe, and people who experience symptoms of psychosis misinterpret anomalous experiences as being externally generated. One way of working therapeutically with interpretations is to offer corrective information that our patients did not have before. Information handouts are helpful when your patients have a knowledge deficit, or when it may be helpful to normalize an experience. Psychology Tools information handouts are concise, accurate, and informative one-page introductions to a topic.

Guides

A fundamental principle of CBT is that we are teaching our patients skills in a manner that means they will be able to remember and apply them flexibly in their lives. Time-limited treatments mean that clinicians often have to compromise between teaching fewer skills in-depth or more skills with less coverage. Psychology Tools guides are an effective way of helping your patients to confidently implement the skills that you teach. Guides help your patients to review all of the essential background to a topic and then lead them through the practical steps needed to implement a skill.