CBT Thought Record with Physical Symptoms
This worksheet helps you understand how your thoughts, feelings, body, and actions are connected in moments of distress.
1. Describe a situation that made you distressed (e.g., My car ran out of gas, and I didn't know what to do.)
2. What emotions did you feel? Please rate the intensity of each emotion from 1 (not intense) to 10 (very intense).
1 · Not Intense10 · Very Intense
3. What thoughts or ideas went through your mind at that moment?
4. Did you notice anything happening in your body? (e.g., heart raced, felt sweaty, stomach churned)
5. What did you do during or right after the situation?
6. What are ways you would like to respond in similar situations moving forward? (e.g., challenging negative thoughts and engage in deep breathing)
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