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Cognitive Restructuring: Thoughts on Trial

The Thoughts on Trial worksheet teaches clients cognitive restructuring, a foundational skill in cognitive behavioral therapy (CBT). By challenging automatic thoughts and examining evidence, clients learn to reframe cognitive distortions and reduce negative emotions. Therapists can use it in-session or as a between-session CBT skill-building tool.

IT

by Insight Timer

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How to Use This Worksheet

The Thoughts on Trial worksheet introduces clients to cognitive restructuring techniques by guiding them through the process of evaluating automatic thoughts. Using principles from cognitive behavioral therapy (CBT), clients identify a distressing thought, list supporting and opposing evidence, and work toward a more balanced perspective. Therapists can integrate this CBT skill into sessions or assign it as a thought record exercise for continued practice between appointments.

Who It’s For

This worksheet is ideal for clients dealing with anxiety disorders, depression, or recurring irrational thoughts that impact daily functioning. It works especially well for individuals prone to catastrophizing, black-and-white thinking, or those struggling to manage cognitive distortions in stressful situations.

Expected Outcomes

  • Greater awareness of distorted thought patterns
  • Stronger ability to challenge negative automatic thoughts
  • Improved capacity to identify alternative explanations and reduce reactivity
  • More balanced thoughts that support emotional regulation and psychological well-being

References

De Oliveira, I. R., Hemmany, C., Powell, V. B., Bonfim, T. D., Duran, É. P., Novais, N., Velasquez, M., Di Sarno, E., Alves, G. L., & Cesnik, J. A. (2012). Trial-based psychotherapy and the efficacy of trial-based thought record in changing unhelpful core beliefs and reducing self-criticism. CNS Spectrums, 17(1), 16–23. https://doi.org/10.1017/s1092852912000399

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