Thought Record (Evidence For And Against)

This worksheet helps clients re-evaluate their automatic thoughts by exploring the evidence for and against these cognitions.

Download or send

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.

Editable version (DOC)

An editable Microsoft Word version of the resource.

Overview

The Thought Record - Evidence For And Against is a resource designed to help clients examine distressing or problematic automatic thoughts. Based on Beck’s cognitive model, this worksheet supports cognitive restructuring by encouraging clients to document triggering events, identify automatic thoughts, analyze supporting and opposing evidence, and produce balanced appraisals. This approach aligns with cognitive therapy's goal of promoting accurate thinking rather than simply replacing negative thoughts with positive ones.

Why Use This Resource?

Understanding and re-evaluating automatic thoughts is central to cognitive therapy. The Thought Record resource enables clinicians to guide clients through the process of identifying and questioning their thoughts, helping to address biased thinking.

  • Allows clients to identify and explore their automatic thoughts.
  • Encourages the examination of evidence supporting and disconfirming automatic thoughts.
  • Helps clients develop more realistic appraisals.
  • Aligns with evidence-based practices in cognitive therapy.

Key Benefits

Structure

Provides a clear framework for re-evaluating automatic thoughts.

Reappraisal

Guides the process of collecting evidence that supports and disconfirms thoughts.

Balance

Promotes development of reasoned responses to biased thoughts.

Accuracy

Aids in developing thinking that is both helpful and realistic, and unclouded by cognitive biases.

Who is this for?

Depression

Clients struggling with excessive self-blame and feelings of hopelessness.

Generalized Anxiety Disorder (GAD)

When clients experience worry and fear based on catastrophic thoughts.

Social Anxiety Disorder

Addressing concerns regarding negative evaluations or social rejection.

Low Self-Esteem

Assists clients with negative self-perceptions and self-criticism.

Integrating it into your practice

01

Identify

Instruct clients to record specific situations that trigger negative automatic thoughts.

02

Record

Document automatic thoughts related to the identified situation.

03

Analyze

Review evidence supporting and opposing problematic thoughts.

04

Respond

Develop a considered response accounting for all recorded evidence.

05

Evaluate

Help clients assess their new response and changes in how they feel.

06

Reflect

Encourage ongoing reflection.

Theoretical Background & Therapist Guidance

Beck’s cognitive model suggests that it is our interpretation of events, not the events themselves, which trigger emotional responses. Core beliefs, intermediate beliefs, and automatic thoughts form layers of cognition that influence how people perceive and respond to events.

Thought records, such as this one, are critical for practicing cognitive restructuring — the process of shifting from biased to accurate thinking.

This resource follows Beck’s method of examining automatic thoughts through reality testing.

What's inside

  • A six-column framework for re-evaluating automatic thoughts.
  • Guidance for identifying triggering situations, emotions, and automatic thoughts.
  • Sections for considering evidence for and against thoughts.
  • Suggestions for developing more balanced responses.
Get access to this resource

FAQs

A: It helps clients critically examine automatic thoughts, encourage balanced appraisals, and promote cognitive accuracy.
A: The goal is accurate thinking, not just replacing negative thoughts with positive ones.
A: Start with discussing small, everyday examples during sessions to encourage familiarity before moving to more distressing thoughts.
A: Encourage them to consider how a friend might view their thought differently, or reflect on whether the thought is helpful or aligned with their goals or values.

How This Resource Improves Clinical Outcomes

By facilitating cognitive restructuring, this resource helps:

  • Improve awareness of automatic thoughts and cognitive biases.
  • Develop accurate thinking that helps reduce distress.
  • Increase client engagement in therapy through practical skill building.
  • Encourage long-term symptomatic improvements.

Clinicians benefit from:

  • A structured approach to guide cognitive restructuring.
  • A streamlined tool that can be used with a variety of mental health difficulties.
  • An effective method for improving therapeutic outcomes.

References And Further Reading

  • Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
  • Beck, J. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press.