Cognitive Behavioral Therapy
Cognitive Distortions
Just because you think something, doesn’t necessarily mean it’s true.

Spend just 5-10 minutes to complete the Thought Record. Note that not all questions will apply to every automatic thought. Here’s what to do:

  1. When you notice your mood getting worse, or you find yourself engaging in unhelpful behavior, ask yourself, “What’s going through my mind right now?” And as soon as possible jot down the thought or mental image in the Automatic Thought(s) column
  2. The situation may be external (something that just happened or something you just did) or internal (an intense emotion, a painful sensation, an image, daydream, flashback or stream of thoughts - e.g. thinking about your future)
  3. Then fill in the rest of the columns (thought diary page). You can try to identify cognitive distortions from the list below. More than one distortion may apply. Make sure to use the questions at the bottom of the worksheet to compose the adaptive response.
  4. Spelling, handwriting and grammar don’t count
  5. It was worth doing this worksheet if your mood improves by 10% or more.
All-or-nothing thinking
Example: “If I’m not a total success. I am a failure.”
Perfectionism
Example: “I have to do it perfectly, or I won’t feel well. I have to be perfect, otherwise no one will love me.”
Overgeneralization 
Example: “Because I felt uncomfortable at the get-together, I don’t have what it takes to make friends.”
Labeling
Examples: “I’m a loser.” “He is no good”
Catastrophizing (fortune telling)
Example: “I’ll be so upset, I won’t be able to function at all.”
Disqualifying to discounting the positive
Example: “I did that project well, but that doesn’t mean I’m competent; I just got lucky.”
Magnification/minimization
Example: “Getting a mediocre evaluation proves how inadequate I am. Getting high marks doesn’t mean I am smart.”
Non-critical acceptance of critique
Example: “ Others always know better than I am. I can’t trust my own thoughts. If my girlfriend thinks that my friend is no good, I won’t be friends with him anymore.”
Tunnel vision
Example: “My son’s teacher can’t do anything right. He’s critical and insensitive and lousy at teaching.”
Mind Reading
Example: “He’s thinking that I don’t know the first thing about this project.”
Personalization
Example: “The repairman was curt to me because I did something wrong.”
“Should” and “must” statements
Example: “It’s terrible that I made a mistake. I should always do my best.”
Emotional reasoning
Example: “I know I do a lot of things okay at work, but I still feel like I’m a failure.”
Ruminations
Example: “If I would have finished a university, I would have achieved much more.” “I shouldn’t have said that, it derailed my life.”
Mental filter (selective abstraction)
Example: “Because I got one low rating on my evaluation (which also contained several high ratings), it means I am doing a lousy job.”
Example: Anna says “I should have married John. If I would have done this, I would have lived a happy life.”
Example: John is saying: “If I would have gone to law school, I would have been a President of my company already. Instead I got this idiotic low profiled job.”
Emotions and Thoughts (Reactions)
The language of emotions and reactions/thoughts that are related to it.
Accepting / Open
Calm
Centered
Content
Fulfilled
Patient
Peaceful
Present
Relaxed
Serene
Trusting
Aliveness / Joy
Amazed
Awe
Bliss
Delighted
Eager
Ecstatic
Enchanted
Energized
Engaged
Enthusiastic
Excited
Free
Happy
Inspired
Invigorated
Lively
Passionate
Playful
Radiant
Refreshed
Rejuvenated
Renewed
Satisfied
Thrilled
Vibrant
Angry / Annoyed
Agitated
Aggravated
Bitter
Contempt
Cynical
Disdain
Disgruntled
Disturbed
Edgt
Exasperated
Frustrated
Furious
Grouchy
Hostile
Impatient
Irritated
Irate
Moody
On edge
Outraged
Pissed
Resentful
Upset
Vindictive
Courageous / Powerful
Adventurous
Brave
Capable
Confident
Daring
Determined
Free
Grounded
Proud
Strong
Worthy
Valiant
Connected / Loving
Accepting
Affectionate
Caring
Compassion
Empathy
Fulfilled
Present
Safe
Warm
Worthy
Curious
Engaged
Exploring
Fascinated
Interested
Intrigued
Involved
Stimulated
Despair / Sad
Anguish
Depressed
Despondent
Disappointed
Discouraged
Forlorn
Gloomy
Grief
Heartbroken
Hopeless
Lonely
Longing
Melancholy
Sorrow
Teary
Unhappy
Upset
Weary
Yearning
Disconnected / Numb
Aloof
Bored
Confused
Distant
Empty
Indifferent
Isolated
Lethargic
Listless
Removed
Resistant
Shut Down
Uneasy
Withdrawn
Embarrassed / Shame
Ashamed
Humiliated
Inhibited
Mortified
Self-conscious
Useless
Weak
Worthless
Fear
Afraid
Anxious
Apprehensive
Frightened
Hesitant
Nervous
Panic
Paralyzed
Scared
Terrified
Worried
Fragile
Helpless
Sensitive
Grateful
Appreciative
Blessed
Delighted
Fortunate
Grace
Humbled
Lucky
Moved
Thankful
Touched
Guilt
Regret
Remorseful
Sorry
Hopeful
Encouraged
Expectant
Optimistic
Trusting
Powerless
Impotent
Incapable
Resigned
Trapped
Victim
Tender
Calm
Caring
Loving
Reflective
Self-loving
Serene
Vulnerable
Warm
Stressed / Tense
Anxious
Burned out
Cranky
Depleted
Edgy
Exhausted
Frazzled
Overwhelm
Rattled
Rejecting
Restless
Shaken
Tight
Weary
Worn out
Unsettled / Doubt
Apprehensive
Concerned
Dissatisfied
Disturbed
Grouchy
Hesitant
Inhibited
Perplexed
Questioning
Rejecting
Reluctant
Shocked
Skeptical
Suspicious
Ungrounded
Unsure
Worried
BODY SENSATIONS
Achy
Airy
Blocked
Breathless
Bruised
Burning
Buzzy
Clammy
Clenched
Cold
Constricted
Contained
Contracted
Dizzy
Drained
Dull
Electric
Empty
Expanded
Flowing
Fluid
Fluttery
Frozen
Full
Gentle
Hard
Heavy Hollow
Hot
Icy
Itchy
Jumpy
Knotted
Light
Loose
Nauseous
Numb
Pain
Pounding
Prickly
Pulsing
Queasy
Radiating
Relaxed
Releasing
Rigid
Sensitive
Settled
Made on
Tilda