CBT Appraisal Model

The CBT Appraisal Model worksheet is a transdiagnostic tool designed to help clients explore and identify their cognitive appraisals, which underlie emotional and behavioral reactions.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

The CBT Appraisal Model aids in identifying clients' appraisals of triggering events. It helps clients to make the link that their appraisals are key in understanding their emotions and behaviors in response to an event. Separate versions provide both cross-sectional and longitudinal perspectives to understand past influences while focusing on the present.

Why Use This Resource?

The CBT Appraisal Model is helpful in cognitive-behavioral interventions to:

  • Socialize clients to cognitive behavioral therapy (CBT) and its principles.
  • Explore specific situations cross-sectionally.
  • Acknowledge the impact of past experiences on the current problem.
  • Detect patterns in appraisals using multiple worksheets.
  • Facilitate consideration of alternative interpretations and influence on behavior.

Key Benefits

Comprehensive

Offers both cross-sectional and longitudinal views of cognitive appraisals.

Facilitates

Encourages clients to actively participate in exploring their thought processes.

Flexible

Can be adapted to various disorders.

Who is this for?

Anxiety Disorders

Including panic, social anxiety, and generalized anxiety disorder.

Depression

Exploring negative self-appraisals and beliefs about self-worth.

Obsessive-Compulsive and Related Disorders

Identifying intrusive thoughts and compulsive behaviors.

Post-Traumatic Stress Disorder

Exploring appraisals of traumatic memories and current safety.

General Life Stressors

Assisting clients in identifying stress-related appraisals.

Integrating it into your practice

01

Explore

Begin by having clients describe a recent upsetting event.

02

Elicit

Encourage exploration of the initial appraisal and emotional impact.

03

Question

Use suggested questions to clarify client appraisals.

04

Sequence

Explore the emotions and behaviors that followed from an appraisal.

05

Hypotheise

Consider the emotional and behavioral effects of alternative appraisals.

Theoretical Background & Therapist Guidance

The CBT Appraisal Model is rooted in the cognitive-behavioral principle that how we interpret events — not the events themselves — determines our emotional and behavioral responses. This idea is often represented as a triangle linking thoughts, feelings, and behaviors. Key to the model are appraisals — the immediate interpretations we make when something happens.

When clients experience distress, it’s often because their appraisals are biased, distorted, or shaped by past experiences and unhelpful beliefs.

The worksheet helps clients slow down and examine these appraisals in context. One version takes a cross-sectional view — zooming in on a single moment to explore how thoughts, feelings, and behaviors interact. The longitudinal version encourages clients to reflect on how earlier experiences and beliefs may influence their current appraisals and responses.

What's inside

  • Blank worksheets for cross-sectional and longitudinal use.
  • Annotated therapist prompts to aid facilitation.
  • Worked examples to illustrate problem formulations.
  • Guidance on linking past experiences to current appraisals.
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FAQs

Engage clients by explaining that the cognitive model suggests our interpretations of events – rather than the events themselves – impact our emotions and behaviors.
Start with a recent, specific event and ask targeted questions to elicit their immediate thoughts and feelings about it.
Guide clients in reflecting on how past experiences and belief systems influence their current appraisals and reactions.
While focusing on the present is key, understanding past influences can provide valuable context for current appraisals and behaviors.

How This Resource Improves Clinical Outcomes

By using this resource, therapists can facilitate:

  • Enhanced client insight into thought patterns.
  • Empirical evaluation of belief systems in therapy.
  • Increased behavioral flexibility through experimentation with alternative responses.
  • Identification and consideration of unhelpful appraisals.

References And Further Reading

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company.
  • Salkovskis, P. M., Forrester, E., & Richards, C. (1998). Cognitive-behavioural approach to understanding obsessional thinking. The British Journal of Psychiatry, 173(S35), 53-63.