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Automatic Thoughts Questionnaire

This document appears to be a cognitive behavioral therapy worksheet that assesses automatic thoughts. It contains 30 common negative automatic thoughts and asks the person to rate how frequently each thought occurs from 1 (not at all) to 5 (all the time). The worksheet aims to identify dysfunctional or unhelpful thinking patterns that could be addressed through cognitive behavioral therapy.

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Rehab Shaban
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2K views1 page

Automatic Thoughts Questionnaire

This document appears to be a cognitive behavioral therapy worksheet that assesses automatic thoughts. It contains 30 common negative automatic thoughts and asks the person to rate how frequently each thought occurs from 1 (not at all) to 5 (all the time). The worksheet aims to identify dysfunctional or unhelpful thinking patterns that could be addressed through cognitive behavioral therapy.

Uploaded by

Rehab Shaban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Cognitive Behavioral Therapy • Worksheet

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Automatic Thoughts Questionnaire

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FO W

IN

N
O OR
R M AT I E

T
KSHE

Name: ___________________________________________ Date: ___________________


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Instructions:

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Thought Response

.
Listed are a variety of
1. I feel like I’m up against the world. AR 1 2 3 4R E S O5U R C E

LE

L
O
N IN G TO
thoughts that pop into
people’s heads. Please read 2. I’m no good. 1 2 3 4 5
each thought and indicate 3. Why can’t I ever succeed? 1 2 3 4 5
how frequently, if at all, the 4. No one understands me. 1 2 3 4 5
thought has occurred to
5. I’ve let people down. 1 2 3 4 5
you over the past week.
6. I don’t think I can go on. 1 2 3 4 5
Please read each item
carefully and circle the 7. I wish I were a better person. 1 2 3 4 5
appropriate answers on 8. I’m so weak. 1 2 3 4 5
the answer sheet in the 9. My life is not going the way I want it to. 1 2 3 4 5
following fashion:
10. I’m so disappointed in myself. 1 2 3 4 5
1 = not at all 11. Nothing feels good anymore. 1 2 3 4 5
2 = sometimes 12. I can’t understand this anymore. 1 2 3 4 5
3 = moderately often 13. I can’t get started. 1 2 3 4 5

4 = often 14. What’s wrong with me? 1 2 3 4 5


15. I wish I were somewhere else. 1 2 3 4 5
5 = all the time
16. I can’t get things together. 1 2 3 4 5
17. I hate myself. 1 2 3 4 5
18. I’m worthless. 1 2 3 4 5
19. I wish I could just disappear. 1 2 3 4 5
20. What’s the matter with me? 1 2 3 4 5
21. I’m a loser. 1 2 3 4 5
22. My life is a mess. 1 2 3 4 5
23. I’m a failure. 1 2 3 4 5
24. I’ll never make it. 1 2 3 4 5
Medical and Social Services
25. I feel so helpless. 1 2 3 4 5
26. Something has to change. 1 2 3 4 5
27. There must be something wrong with me. 1 2 3 4 5
28. My future is bleak. 1 2 3 4 5
29. It’s just not worth it. 1 Medical
2 3 and4 5
Social Services
30. I can’t finish anything. 1 2 3 4 5

For more information, contact your local


mental health authority or behavioral healthMedical
authority.
and
Social Services
[Link]/mhservices-search/

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