CBT Hierarchy Worksheet

1. Identifying Situations:

List common situations that trigger emotional responses.

2. Thoughts and Beliefs:

Identify automatic thoughts and core beliefs associated with the situations and write in the thought bubbles.

3. Emotional Responses:

Note various emotional responses linked to identified thoughts and beliefs and rate their intensity.

4. Behavioral Reactions:

Outline behavioral reactions resulting from emotions.

5. Cognitive Restructuring:

"Challenging Negative Thoughts" and "Creating Positive Thoughts"

Describe the process of challenging and restructuring negative thoughts.

6. Goal Setting:

Set realistic goals related to modifying thoughts, managing emotions, and implementing effective coping strategies in various situations.

References:

• Williams C, Martinez R. Increasing access to CBT: stepped care and CBT self-help models in practice. Behavioral and cognitive psychotherapy. 2008 Nov;36(6):675-83.

You can download more Mental Health worksheets here.

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counselor.