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Cognitive Behavioural Therapy (CBT) Triangle

This CBT triangle worksheet helps clients visualize and understand how their thoughts, feelings, and behaviors interact. Therapists can use it in-session or between sessions to support cognitive restructuring, foster emotional regulation, and break down complex mental health issues into manageable steps.

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by Insight Timer

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How to Use This Worksheet

The CBT Triangle Worksheet introduces clients to the cognitive behavioral therapy model by mapping the connection between thoughts, feelings, and behaviors. Therapists can use this visual tool in or outside of sessions to explore a recent experience, helping clients identify negative thinking patterns, recognize emotional responses, and reflect on their behavioral choices.

Who It’s For

This worksheet is well-suited for clients struggling with depression, anxiety, or emotional distress related to negative thought patterns or maladaptive behaviors. It’s especially effective for clients new to CBT who benefit from clear frameworks and structured reflection.

Expected Outcomes

  • Improved understanding of how thoughts, emotions, and behaviors influence one another
  • Identification of cognitive distortions and automatic thoughts
  • Strengthened emotional regulation and coping strategies
  • Greater self-awareness and support for lasting behavioral changes

References

Twomey, C., O’Reilly, G., & Byrne, M. (2014). Effectiveness of cognitive behavioural therapy for anxiety and depression in primary care: a meta-analysis. Family Practice, 32(1), 3–15. https://doi.org/10.1093/fampra/cmu060 

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