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Free downloadable cognitive behavioural therapy (CBT) worksheets, formulations, and self-help resources

The following worksheets are freely available to use as you wish. PsychologyTools worksheets are distributed under a Creative Commons Attribution-NonCommercial license. This means you are free to download, use, copy, and distribute them. All I ask is that you (a) try to let people know where you got them from, and (b) don't sell them.

Blank formulations

Click to download: Core-Belief-Driven CBT Formulation Worksheet 

Belief-Driven CBT Formulation

[+/-] Description
Core-belief driven cross-sectional cognitive behavioural formulation. Illustrates the role of beliefs in the interpretation of a situation
[+/-] Translations

Click to download: Compassionate Mind Formulation Worksheet

Compassionate Mind Formulation

[+/-] Description
Formulation to encourage thinking from a compassionate perspective. Includes worked example
[+/-] Translations

Click to download: CBT Cross-Sectional Formulation Worksheet 

Cross Sectional CBT Formulation

[+/-] Description
Cross-sectional 'Hot Cross Bun' cognitive behavioural formulation
[+/-] Translations

Click to download: CBT Friendly Formulation Worksheet

Friendly Formulation

[+/-] Description
Simple 5 p's case formulation presented as a question: "How did 'the problem' develop?"
[+/-] Translations

Click to download

Jacqueline Persons-Style Case Formulation

[+/-] Description
Case formulation diagram adapted from Jacqueline Persons' approach
[+/-] Translations

Click to download file

Judith Beck-Style Case Formulation

[+/-] Description
Case formulation diagram adapted from Judith Beck's approach
[+/-] Translations

Click to download

Longitudinal Formulation

[+/-] Description
Longitudinal CBT case formulation (5 p's) with cross-sectional component (thoughts, feelings, behaviours, physical sensations)
[+/-] Translations

Click to download

Longitudinal Formulation

[+/-] Description
Longitudinal CBT case formulation with cross-sectional component (thoughts, feelings, body sensations, responses)
[+/-] Translations

Schema Activation Formulation 

Schema Activation Formulation

[+/-] Description
Schema-driven formulation with additional worksheet explaining the formation and role of schemas
[+/-] Translations

Click to download

Vicious Flower Formulation

[+/-] Description
Deceptively simple formulation encouraging a focus on maintenance cycles
[+/-] Translations
       

 

Thought records

Click to download: CBT Thought Record Worksheet

CBT Thought Record

[+/-] Description
Record the situation, emotion and thought, then examine the evidence for and against the thought
[+/-] Translations

Click to download: CBT Thought Record Worksheet (Portrait Orientation)

CBT Thought Record (Portrait)

[+/-] Description
Record the situation, emotion and thought, then examine the evidence for and against the thought
[+/-] Translations

Thought Record

Simple Thought Record

[+/-] Description
Simple illustrated three-column thought record
[+/-] Translations

Click to download: REBT Dysfunctional Thought Record Worksheet

Dysfunctional Thought Record

[+/-] Description
An REBT tool. Similar to a CBT thought record, but specifies the cognitive distortion instead of judging evidence for and against the thought
[+/-] Translations

Click to download

Health Anxiety Thought Record

[+/-] Description
Thought record specific to health anxiety concerns
[+/-] Translations

Click to download

Worry Thought Record

[+/-] Description
Record worries, predictions associated with worries, and evidence for and against the prediction
[+/-] Translations

 

Cognitive restructuring

Click to download

ABC Belief Monitoring

(Digital interactive PDF version)

[+/-] Description
An ABC worksheet encouraging you to rate the strength of the belief
Submitted by Paul McQueen
[+/-] Translations

Click to download: CBT Behavioural Experiment Worksheet

Behavioural Experiment Planning Worksheet

[+/-] Description
Form for planning and evaluating CBT behavioural experiments
[+/-] Translations

Click to download: CBT Thought Record Worksheet

Hindsight Bias

[+/-] Description
Description of hindsight bias, a memory bias which can be problematic after trauma. Includes patient handouts and key therapist questions
[+/-] Translations

Click to download file

Hotspot Record

[+/-] Description
Useful during enhanced reliving / cognitive restructuring for trauma. Adapted from Grey, Young & Holmes (2002)
[+/-] Translations

Click to download

Pie Chart

[+/-] Description
Includes descriptions of how pie charts can be used to modify beliefs around inflated responsibility, and for maladaptive beliefs in health anxiety
[+/-] Translations

Click to download

Positive Belief Record

[+/-] Description
A worksheet for recording evidence that supports a positive belief about the self. Useful for core belief / schema change
[+/-] Translations

Click to download

Theory A / Theory B
Hypothesis A / Hypothesis B
Dual Model Strategy

[+/-] Description
A method for reframing a problem as a result of belief or worry, rather than as a result of a situation/fact. Includes 2 different versions of the worksheet, and two worked examples illustrating how to use it
[+/-] Translations

Click to download

Unhelpful Thinking Styles

[+/-] Description
Worksheet detailing 10 common unhelpful thinking styles / cognitive distortions
[+/-] Translations
   

 

Diaries / Data gathering

Click to download: CBT Daily Activity Diary Worksheet

Daily Activity Diary

[+/-] Description
Basic activity diary
[+/-] Translations

Click to download: CBT Daily Activity Diary Worksheet with Enjoyment and Mastery Ratings

Activity Diary with Enjoyment and Mastery Ratings

[+/-] Description
Activity diary useful for behavioural activation with depressed patients. Space for rating enjoyment and mastery of each activity
[+/-] Translations

Click to download: CBT Daily Activity Diary Worksheet With No Time Slots

Activity Diary - No Time Slots

[+/-] Description
Activity diary with blank columns for days
[+/-] Translations

Click to download

Pain Diary

[+/-] Description
Record pain ratings. Use the diary to look for any patterns in how the pain changes over the course of the day, and week
[+/-] Translations

Click to download

Panic Diary

[+/-] Description
Record panic attack frequency along with body sensations and negative thoughts
[+/-] Translations

Click to download file

Sleep Diary

[+/-] Description
Sleep diary with sections to be completed morning and evening
[+/-] Translations
       

 

Information sheets

Click to download: Guidelines For Better Sleep

Guidelines for Better Sleep

[+/-] Description
Originally designed for clients with PTSD, but applicable to anyone who needs information on sleep hygeine
[+/-] Translations

Click to download: CBT Thought Record Worksheet

Hindsight Bias

[+/-] Description
Description of hindsight bias, a memory bias which can be problematic after trauma. Includes patient handouts and key therapist questions
[+/-] Translations

Click to download

Intrusive Thoughts Brain Metaphor

[+/-] Description
A short story / metaphor explaining the persistence of intrusive thoughts
Submitted by Kieran Fleck
[+/-] Translations

Click to download

PTSD Film Projection Metaphor

[+/-] Description
A metaphor to help understand origin and treatment of flashbacks in PTSD
[+/-] Translations

Click to download

PTSD Linen Cupboard Metaphor

[+/-] Description
Illustrated linen cupboard metaphor to explain PTSD treatment rationale to patients
[+/-] Translations

Click to download

PTSD and Memory

[+/-] Description
Explanation of two important brain regions in PTSD: the amygdala and hippocampus
[+/-] Translations

Click to download

Safety Behaviours

[+/-] Description
Short explanation about safety behaviours
[+/-] Translations

Click to download file

Stages of Change

[+/-] Description
An aid for motivational interviewing based upon the Prochaska & DiClemente model
[+/-] Translations

Click to download file

TEAR Model Of Grief

[+/-] Description
Four tasks of mourning suggested by Worden (1991)
[+/-] Translations

Click to download file

Thoughts and Depression

[+/-] Description
Simple explanation of cognitive bias in depression
[+/-] Translations

Click to download

Thought Suppression

[+/-] Description
Information about thought suppression and the rebound effect
[+/-] Translations

Click to download

Threat System / Fight or Flight

[+/-] Description
Graphical explanation of how the fight or flight system readies the body for action
[+/-] Translations

Click to download

Unhelpful Thinking Styles

[+/-] Description
Worksheet detailing 10 common unhelpful thinking styles / cognitive distortions
[+/-] Translations

Click to download file

Values Worksheet

[+/-] Description
A worksheet to explore the concept of values from within an ACT framework
[+/-] Translations
 

 

Techniques / procedures

Click to download

Narrative Exposure Therapy

[+/-] Description
Notes and guidelines for conducting Narrative Exposure Therapy
[+/-] Translations

Click to download file

Pacing

[+/-] Description
Pacing information and instructions to manage chronic pain
[+/-] Translations

Click to download

Rewind Technique

[+/-] Description
Therapist instructions for an imaginal exposure technique that can be used in the treatment of trauma
[+/-] Translations
   

 

Useful tools

Click to download: CBT Behavioural Experiment Worksheet

Behavioural Experiment Planning Worksheet

[+/-] Description
Form for planning and evaluating CBT behavioural experiments
[+/-] Translations

Click to download: Checklist For Better Sleep Worksheet

Checklist for better sleep

[+/-] Description
Tick-box approach for clients to assess how well they are setting the conditions for sleep
[+/-] Translations

Click to download

Motivation and Ambivalence

[+/-] Description
Examine the advantages and disadvantages of changing and not-changing
[+/-] Translations

Click to download

Problem Grid

(Digital interactive PDF version)

[+/-] Description
A worksheet to look at a problem systematically from different perspectives
Submitted by Paul McQueen
[+/-] Translations

Click to download

Problem Solving

[+/-] Description
A structured problem solving worksheet which encourages solution-focused thinking
[+/-] Translations

Click to download

Stop Think Breathe

[+/-] Description
Useful in anger management with both adults and children
Submitted by Adele van der Merwe
[+/-] Translations

Click to download

Things To Do List

[+/-] Description
Useful in teaching prioritising and time management skills
Submitted by Adele van der Merwe
[+/-] Translations

Click to download

Thermometer VAS Scale

(Digital interactive PDF version)

[+/-] Description
A thermometer VAS scale to quantify and rate intensity. Useful for exposure work
Submitted by Paul McQueen
[+/-] Translations
   

 

Forgiveness tools

Click to download

Unforgiveness hook metaphor

[+/-] Description
A great metaphor suggested by Stephen Hayes about the dilemma of forgiveness
[+/-] Translations

Click to download: Forgiveness Is... Worksheet

Forgiveness Is

[+/-] Description
Definition of forgiveness
[+/-] Translations

Click to download: Forgiveness Quotations Worksheet

Forgiveness Quotes

[+/-] Description
Helpful quotations for teaching about forgiveness
[+/-] Translations

Click to download: Methods Of Forgiveness (Ways Of Forgiving) Worksheet

Forgiveness Methods

[+/-] Description
Ways of forgiving, including discussion of misconceptions which can present blocks to forgiveness
[+/-] Translations

 

 

Formulations for specific disorders

Click to download: Body Dysmorphic Disorder Formulation Worksheet 

Body Dysmorphic Disorder Formulation

[+/-] Description
Cognitive formulation for BDD
[+/-] Translations

Click to download: Cognitive Formulation of Delusions

Delusions Formulation

[+/-] Description
Cognitive formulation of delusions
[+/-] Translations

Click to download file

Panic Formulation 1

[+/-] Description
Simple vicious cycle for panic
[+/-] Translations

Click to download file

Panic Formulation 2

[+/-] Description
Vicious cycle for panic, with space to formulate with clients
[+/-] Translations

Post Traumatic Stress Disorder Formulation

Understanding PTSD

[+/-] Description
A generic formulation diagram to help clients understand how PTSD develops and is maintained
[+/-] Translations

Click to download

PTSD Formulation - Ehlers & Clark

[+/-] Description
A cognitive formulation of PTSD adapted from Ehlers & Clark (2000) cognitive model
[+/-] Translations
     

 

Psychology resources made by other people

The Centre for Clinical Interventions (CCI) is an Australian mental health organisation that conducts research, provides training and supervision, and offers a clinical service. They also make amazing resources that are helpful for therapists and their clients. They have nothing to do with PsychologyTools.org, but I'm a big fan of their materials and sometimes find it hard to get to the ones I want in a hurry. I'm providing links direct to some of their materials here:

Assertiveness

Self Help Programme

  1. What is assertiveness?
  2. How to recognise assertive behaviour
  3. How to think more assertively
  4. How to behave more assertively
  5. Reducing physical tension
  6. How to say "no" assertively
  7. How to deal assertively with criticism
  8. How to deal with disappointment assertively
  9. How to give and receive compliments assertively
  10. Putting it all together

Bipolar Disorder

Information sheets

  1. What is Bipolar Disorder
  2. What Causes Bipolar Disorder
  3. Medications for Bipolar Disorder
  4. Psychosocial Treatments for Bipolar Disorder
  5. Detecting Early Warning Signs
  6. Mood and Symptom Monitoring
  7. Vicious Cycle of Depression
  8. Behavioural Activation
  9. Fun Activities Catalogue
  10. Improving How You Feel
  11. Thinking and Feeling
  12. Analysing Your Thinking
  13. Changing Your Thinking
  14. Unhelpful Thinking Styles
  15. Cognitive Changes in Mania
  16. Preventing Manic Thinking
  17. Preventing Mania
  18. Organising and Prioritising
  19. Coping With Stressful Events
  20. Problem Solving
  21. Staying Healthy

Worksheets

  1. Bipolar Symptoms
  2. Medication Record
  3. Stress Vulnerability
  4. Early Warning Signs
  5. Plan of Action
  6. Mood Monitoring
  7. Symptom Monitoring
  8. Behavioural Activation
  9. Weekly Activity Schedule
  10. Weekly Goals Record
  11. Thoughts and Emotions
  12. Thought Diary 1
  13. Thought Diary 2
  14. Thought Diary 3
  15. Simple Thought Diary
  16. Balance Sheet
  17. Organising Ideas List
  18. Coping Resources
  19. Problem Solving
  20. Self Management Plan
  21. Goal Setting

Self-help Programme

  1. Overview of Bipolar Disorder
  2. Treatment Options
  3. Self Monitoring
  4. Behavioural Strategies for Managing Depression
  5. Cognitive Strategies for Managing Depression
  6. Cognitive Strategies for Preventing Mania
  7. Behavioural Strategies for Preventing Mania
  8. Coping with Stressors

Body Dysmorphia

Self-help Programme

  1. Understanding body dysmorphic disorder (BDD)
  2. What keeps BDD going?
  3. Reducing appearance preoccupation
  4. Reducing checking and reassurance seeking
  5. Overcoming negative predictions, avoidance, and safety behaviours
  6. Adjusting appearance assumptions
  7. Self-managment planning

Depression

Information sheets

  1. What is Depression
  2. What Causes Depression
  3. Psychotherapy for Depression
  4. Vicious Cycle of Depression
  5. Behavioural Activation
  6. Fun Activities Catalogue
  7. Improving How You Feel
  8. Thinking and Feeling
  9. Analysing Your Thinking
  10. Changing Your Thinking
  11. Unhelpful Thinking Styles
  12. What Are Core Beliefs?
  13. Problem Solving
  14. Staying Healthy
  15. Grief and Bereavement

Worksheets

  1. Symptoms of Depression
  2. Behavioural Activation
  3. Weekly Activity Schedule
  4. Weekly Goals Record
  5. Making the Connection
  6. Thought Diary 1
  7. Thought Diary 2
  8. Thought Diary 3
  9. Thought Diary
  10. Core Beliefs Worksheet
  11. Healthy Me
  12. Goal setting (End of therapy)

Self-help Programme

  1. Overview of depression
  2. Behavioural strategies for managing depression
  3. The thinking-feeling connection
  4. The ABC analysis
  5. Unhelpful thinking styles
  6. Detective work and disputation
  7. The end result
  8. Core beliefs
  9. Self management

Distress Intolerance

Self-help Programme

  1. Understanding distress intolerance
  2. Accepting distress
  3. Improving distress
  4. Tolerating distress

Eating Disorders

Self-help Programme - Part 1

  1. What is an eating disorder?
  2. How ready am I to change?
  3. How eating disorders are maintained
  4. Self monitoring
  5. Regular eating and weighing
  6. Binge eating, purging, and driven exercise
  7. Moods and disordered eating
  8. Dietary rules
  9. Progress review and barriers to change

Self-help Programme - Part 2

  1. Over-evaluation of body shape and weight
  2. Challenging unhelpful thinking
  3. Challenging dietary rules
  4. Body checking / avoidance and "feeling fat"
  5. Low self-esteem
  6. Improving low self-esteem
  7. What are mindsets?
  8. Changing mindsets
  9. Relapse prevention

Generalised anxiety and mindfulness

Information Sheets

  1. What is generalised anxiety disorder?
  2. What is mindfulness?
  3. Mindfulness and letting go
  4. How worry works
  5. Accepting uncertainty
  6. Behavioural experiments
  7. Calming technique
  8. Progressive muscle relaxation
  9. Postpone your worry
  10. Situational exposure
  11. Coping with stress

Worksheets

  1. Anxiety symptoms record
  2. Breathing rate record/a>
  3. Monitoring relaxation
  4. Situational exposure diary
  5. Postpone your worry
  6. Letting go with mindfulness
  7. Accepting uncertainty
  8. Challenging intolerance of uncertainty

Self-help Programme

  1. Overview of generalised anxiety
  2. Overview of worrying
  3. Negative beliefs about worrying (Part 1)
  4. Negative beliefs about worrying (Part 2)
  5. Positive beliefs about worrying
  6. Challenging worries
  7. Letting go of worries
  8. Accepting uncertainty
  9. Problem solving
  10. Relaxation
  11. Self management

Health anxiety

Self-help Programme

  1. Understanding health anxiety
  2. How health anxiety develops
  3. What keeps health anxiety going?
  4. Reducing your focus on health symptoms and worries
  5. Re-evaluating unhelpful health-related thinking
  6. Reducing checking and reassurance seeking
  7. Challenging avoidance and safety behaviours
  8. Adjusting health rules and assumptions
  9. Healthy living and self-management planning

Panic

Information sheets

  1. What is panic?
  2. Biology & Psychology of Panic
  3. Vicious Cycle of Anxiety
  4. Calming Technique
  5. Progressive Muscle Relaxation
  6. Behavioural Experiments
  7. Situational Exposure
  8. Physical Sensations and Panic

Worksheets

  1. Breathing Rate Record
  2. Anxiety Symptoms Record
  3. Monitoring Relaxation
  4. Sitational Exposure Diary
  5. Internal Exposure Record

Self-help Programme

  1. Overview of panic
  2. More about panic
  3. The thinking-feeling connection
  4. The ABC's of thinking and feeling
  5. Unhelpful thinking styles
  6. Detective work and disputation
  7. Evaluation and balanced thinking
  8. Core beliefs
  9. Coping with physical alarms - Exposure part 1
  10. Coping with physical alarms - Exposure part 2
  11. The calming technique
  12. Self management

Perfectionism

Information sheets

  1. What is perfectionism?
  2. What maintains perfectionism?
  3. Reducing perfectionistic behaviours
  4. Challenging perfectionistic thinking
  5. Perfectionism rules and assumptions
  6. Re-evaluating the importance of achieving

Self-help Programme

  1. What is perfectionism
  2. Understanding perfectionism
  3. What keeps perfectionism going?
  4. Changing perfectionism
  5. Reducing my perfectionist behaviour
  6. Challenging my perfectionist thinking
  7. Adjusting unhelpful rules and assumptions
  8. Re-evaluating the importance of achieving
  9. Putting it all together

Self Esteem

Information Sheets

  1. What is low self-esteem?
  2. How low self-esteem begins
  3. How low self-esteem is maintained
  4. Acknowledging your positives
  5. Negative self-evaluations
  6. Adjusting negative core beliefs
  7. Adjusting rules and assumptions
  8. Overcoming biased expectations
  9. Healthy self esteem

Worksheets

  1. How low self-esteem begins
  2. How low self-esteem is maintained
  3. Positive qualities record
  4. Positive you journal
  5. Adjusting core beliefs
  6. Challenging biased expectations
  7. Experimenting with biased expectations
  8. Thought diary for negative self-evaluations
  9. Adjusting rules & assumptions
  10. Healthy self esteem

Self-help Programme

  1. What is low self-esteem?
  2. How low self-esteem develops
  3. How low self-esteem is maintained
  4. Biased expectations
  5. Negative self-evaluations
  6. Accepting yourself
  7. Adjusting rules and assumptions
  8. Developing balanced core beliefs
  9. Healthy self esteem

Social anxiety

Information Sheets

  1. What is social anxiety?
  2. What can be done about social anxiety?
  3. Calming technique: breathing
  4. Progressive muscle relaxation
  5. Improving how you feel
  6. Thinking and feeling
  7. Analysing your thinking
  8. Changing your thinking
  9. Unhelpful thinking styles
  10. What are core beliefs?
  11. Situational exposure
  12. Staying healthy

Worksheets

  1. Anxiety symptoms record
  2. Breathing rate record
  3. Monitoring your relaxation level
  4. Weekly activity schedule
  5. Weekly goals record
  6. Making the connection
  7. Thought diary 1
  8. Thought diary 2
  9. Thought diary 3
  10. Thought diaries (Tri-fold)
  11. Core beliefs worksheet
  12. Situational exposure
  13. Situational exposure diary
  14. Healthy me
  15. Goal setting

Self-help Programme

  1. Overview of social anxiety
  2. The calming technique: breathing
  3. Progressive muscle relaxation
  4. The thinking-feeling connection
  5. The ABCs of thinking and feeling
  6. Unhelpful thinking styles
  7. Detective work and disputation
  8. The end result
  9. Core beliefs
  10. Graded exposure 1
  11. Graded exposure 2
  12. Self management

 

 

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