You are on page 1of 1

THOUGHT RECORD

1. Situation 2. Moods 3. Automatic Thoughts 4. Evidence That 5. Evidence That 6. Alternative / Balanced 7. Rate
(and Images) Supports the Does Not Thoughts Moods
Hot Thought Support the Now
Who, what, a. What did you a. What was going through your mind Hot Thought a. Write an alternative or Rerate moods
when, where? feel? just before you started to feel this balanced thought. listed in col-
b. Rate each way? Any other thoughts? Images? b. Rate how much you believe in umn 2 as well
mood 0-100 b. Circle the hot thought. each alternative or balanced as any new
thought (0-100%). moods
(0-100%).

FOR PERSONAL USE ONLY. Provided courtesy of www.MindOverMood.com with permission of the publisher and copyright holders. Copyright 1983 Center for Cognitive Therapy Newport Beach

You might also like