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Stress Management for Health Course

Daily Record of Dysfunctional Thoughts

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Daily Record Of Dysfunctional Thoughts

 

This form is usually attached to a carbonised copy, so that both therapist and patient can keep a copy of recorded thoughts.

 

DATE

SITUATION

Describe

1. Actual event  leading

    to unpleasant emotion, or

2. Stream of thoughts,

    daydream, or

    recollection, leading

    to unpleasant emotion

EMOTION(S)

 

1. Specify sad/

    anxious/angry

    etc.

2. Rate degree of

    emotion

    1 100

AUTOMATIC THOUGHT(S)

 

1. Write automatic thought(s) that

     preceded emotion(s)

2. Rate belief in automatic thought(s),

    0 100%

RATIONAL RESPONSE

 

1. Write rational response to

     automatic  thought(s)

2. Rate belief in rational response,

     0 100%

OUTCOME

 

1. Re-rate belief in

    automatic thought(s)

    0 100%

2. Specify and rate

    subsequent emotions,

    0 - 100

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPLANATION: When you experience an unpleasant emotion, note the situation that seemed to stimulate the emotion (If the emotion occurred while you were thinking, daydreaming, etc, please note this.)  Then note the automatic thought associated with the emotion.  Record the degree to which you believe this thought: 0% = not at all, 100% = completely.  In rating degree of emotion: 1 = a trace, 100 = the most intense possible.  (Ref: Blackburn I., Davidson K. (1998) Cognitive Therapy for Depression and Anxiety, Blackwell Science)


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