“Should” Statements

This resource provides an in-depth exploration of "should" statements: a common cognitive distortion characterized by fixed ‘rules’ on how the self, others, and the world should operate, coupled with overestimations of how awful it would be if these expectations are not met.

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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.

Overview

Cognitive distortions or "unhelpful thinking styles" are characteristic ways in which thoughts become biased and often lead to emotional distress. "Should” statements (sometimes referred to as ‘musturbation’, ‘necessitous thinking’, ‘self-commands’, and ‘injunctions’) are characterized by imposing fixed ‘rules’ on how the self, others, and the world should operate, coupled with overestimations of how awful it would be if these expectations are not met. Terms such as “should”, “must”, and “ought to” often appear in this style of thinking. This resource is part of the cognitive distortions series and aims to aid therapists in addressing these biases effectively.

Why Use This Resource?

Clinicians can use this handout to educate and assist clients in:

  • Understanding what cognitive distortions are.
  • Recognizing "should" statements in their thoughts.
  • Addressing this unhelpful style of thinking.

Key Benefits

Awareness

Introduces clients to the idea of unhelpful thninking styles.

Insight

Helps clients to identify and label "should" thoughts.

Change

Outlines effective ways to address rule-driven thinking.

Who is this for?

Perfectionism

Driven by self-imposed high standards.

Problematic Anger

Stemming from unmet expectations of others.

Interpersonal Difficulties

Related to unrealistic social expectations.

Other Difficulties

"Should" statements are common in anxiety, depression, OCD, and low self-esteem.

Integrating it into your practice

01

Educate

Provide psychoeducation on cognitive distortions and their origins.

02

Identify

Recognize "should" statements within clients' automatic thoughts.

03

Monitor

Encourage clients to notice rigid rule-driven thinking as it arises.

04

Address

Tackle unhelpful "should" statements using techniques like cognitive restructuring and behavioral experiments.

Theoretical Background & Therapist Guidance

Cognitive distortions such as "should" statements are characterized by rigid, imperative language leading to negative emotional outcomes. Albert Ellis identified these as central in emotional disorders, while Beck highlighted their prevalence in depression. From an evolutionarily perspective, necessitous thinking may have been advantageous for resource allocation and threat management.

Therapists can support client in identifying these biases and addressing them. Tools such as cost-benefit analyses and cognitive restructuring empower clients to challenge these internal statements and view them as mental events rather than facts.

What's inside

  • An introduction to cognitive distortions and "should" statements.
  • Strategies for identifying and restructuring these thoughts.
  • Prompts and therapist instructions to maximise client engagement.
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FAQs

"Should" statements are automatic thoughts characterized by rigid rules and high expectations.
Encourage self-monitoring and labeling of these statements as they occur.
Start with small changes in language, like shifting from stringent demands to preferences, and gradually introduce other methods, such as behavioral experiments.
While they can motivate and set appropriate standards, extreme or highly frequent "should" statements are often distressing and maladaptive.

How This Resource Improves Clinical Outcomes

By addressing "should" statements, clinicians can facilitate:

  • Alleviate distress.
  • Reduce rigid thought processes and expectations.
  • Help clients tolerate uncertainty and imperfection.

Therapists benefit from an accessible resource and structured guidance for working with cognitive distortions that supports client progress.

References And Further Reading

  • Beck, A. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324-333. DOI: 10.1001/archpsyc.1963.01720160014002.
  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
  • Beck, J. S. (1995). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  • Blake, E., Dobson, K. S., Sheptycki, A. R., & Drapeau, M. (2016). The relationship between depression severity and cognitive errors. American Journal of Psychotherapy, 70, 203-221. DOI: 10.1176/appi.psychotherapy.2016.70.2.203.
  • Brown, G., & Beck, A. T. (1989). The role of imperatives in psychopathology: A reply to Ellis. Cognitive Therapy and Research, 13, 315-321. DOI: 10.1007/BF01173476.
  • Branch, R., & Wilson, R. (2020). Cognitive behavioural therapy for dummies (3rd ed.). John Wiley and Sons.
  • Burns, D. D. (2020). Feeling great: The revolutionary new treatment for depression and anxiety. PESI Publishing.
  • Darvishi, E., Golestan, S., Demehri, F., & Jamalnia, S. (2020). A cross-sectional study on cognitive errors and obsessive-compulsive disorders among young people during the outbreak of coronavirus disease 2019. Activitas Nervosa Superior, 62, 137-142. DOI: 10.1007/s41470-020-00077-x.
  • Dryden, W. (2020). Awfulizing: Some conceptual and therapeutic considerations. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 38, 295-305. DOI: 10.1007/s10942-020-00358-z.
  • Egan, S. J., Wade, T. D., Shafran, R., Antony, M. M. (2014). Cognitive-behavioral treatment of perfectionism. Guilford.
  • Ellis, A. (1987). A sadly neglected cognitive element in depression. Cognitive Therapy and Research, 11, 121-146. DOI: 10.1007/BF01183137.
  • Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive-developmental inquiry. American Psychologist, 34, 906-911. DOI: 10.1037/0003-066X.34.10.906.
  • Horney, K. (1950). Neurosis and human growth: The struggle toward self-realization. W. W. Norton and Co.
  • Kuru, E., Safak, Y., Özdemir, İ., Tulacı, R. G., Özdel, K., Özkula, N. G., & Örsel, S. (2018). Cognitive distortions in patients with social anxiety disorder: Comparison of a clinical group and healthy controls. The European Journal of Psychiatry, 32, 97-104. DOI: 10.1016/j.ejpsy.2017.08.004.
  • Leahy, R. L. (2017). Cognitive therapy techniques: A practitioner's guide (2nd ed.). Guilford Press.
  • Noël, V. A., Francis, S. E., Williams-Outerbridge, K., & Fung, S. L. (2012). Catastrophizing as a predictor of depressive and anxious symptoms in children. Cognitive Therapy and Research, 36, 311-320. DOI: 10.1007/s10608-011-9370-2.
  • Shafran, R., Thordarson, D. S., & Rachman, S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorders, 10, 379-391. DOI: 10.1016/0887-6185(96)00018-7.
  • Tolin, D. F. (2016). Doing CBT: A comprehensive guide to working with behaviors, thoughts, and emotions. Guilford Press.
  • Veen, G., & Arntz, A. (2000). Multidimensional dichotomous thinking characterizes borderline personality disorder. Cognitive Therapy and Research, 24, 23-45. DOI: 10.1023/A:1005498824175.
  • Westbrook, D., Kennerley, H., & Kirk, J. (2011). An introduction to cognitive behaviour therapy: Skills and applications (2nd ed.). Sage.