Thought Record Sheet
www.get.gg                                                                    Carol Vivyan 2009, permission to use for therapy purposes                                          www.getselfhelp.co.uk 
 
Situation 
 
 
Emotions / 
Moods  
(rate 0  100%) 
 
Physical 
sensations 
 
 
Unhelpful Thoughts / Images 
 
Alternative / realistic thought 
More balanced perspective 
What I did / What I could do / 
Defusion technique /  
Whats the best response? 
Re-rate Emotion 0-100% 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
What happened? 
Where?  When?  
 Who with?  How? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
What emotion did I 
feel at that time?  
What else?   
How intense was it? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
What did I notice 
in my body?  
Where did I feel 
it? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
What went through my mind?   
What disturbed me?  What did those 
thoughts/images/memories mean to 
me, or say about me or the situation? 
What am I responding to?  
What button is this pressing for me?  
What would be the worst thing about 
that, or that could happen? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
STOPP!  Take a breath. 
Is this fact or opinion? 
What would someone else say about this 
situation?  Whats the bigger picture?   
Is there another way of seeing it?  
What advice would I give someone else?  
Is my reaction in proportion to the actual 
event? 
Is this really as important as it seems? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
What could I do differently?  What 
would be more effective? 
 
Do what works!  Act wisely.  
What will be most helpful for me or 
the situation?   
What will the consequences be?