CBT Worksheets


Latest CBT Worksheets For Therapists

Challenging Negative Thoughts Worksheet

Challenging Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Therapists who are trained in cognitive-behavioral therapy (CBT) find value in teaching their clients how to cope with automatic negative thoughts (ANTs). ANTs can be catalysts for negative behavior like lashing out at others and self-destructive habits. They also cause negative emotions and hurt feelings that may not necessarily fit the situation that caused the […]

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What Is Cognitive Behavioral Therapy? Worksheet

What Is Cognitive Behavioral Therapy? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive behavioral therapy (CBT) is a therapeutic approach that is used for different types of mental health challenges. It can help a client who is struggling with different experiences, including a depressed mood, anxiety, ruminating thoughts, low self-esteem, poor impulse control, anger management issues, and more. CBT is an effective form of treatment that can […]

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My Fears And Strengths Worksheet

My Fears And Strengths Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Children find it hard to cope with things they do not understand. There are many people, places, and things in the world that scare children, and when children are afraid they feel lost, alone, and vulnerable. A fearful child will have a hard time developing the confidence they need to face their fears, but helping […]

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Daily Mood Chart Worksheet

Daily Mood Chart Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Sometimes we get caught up in the day and forget to focus on what we are feeling. This can cause us to miss important signs of our changing mood, which can affect our ability to use healthy coping skills. When we are struggling with understanding our mood patterns it helps a great deal to have […]

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Anticipatory Anxiety Automatic Thought Record Worksheet

Anticipatory Anxiety Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anticipatory anxiety is a struggle for many people. It is a type of anxiety that occurs when thinking about something that will be happening or may happen in the future. A person who is struggling with anticipatory anxiety may find themselves in thinking patterns like catastrophizing or imagining the worst-case scenario.  When it comes to […]

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Challenging Cognitive Distortions Automatic Thought Record Worksheet

Challenging Cognitive Distortions Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

After learning what cognitive behavioral therapy is, how it works, and how components like cognitive distortions, automatic negative thoughts, core beliefs, emotions, and behavior all contribute to our perceptions, it is important to learn how to challenge negative thoughts and cognitive distortions. A great tool to learn how to challenge cognitive distortions is the automatic […]

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Cognitive Distortions Worksheet

Cognitive Distortions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

In cognitive behavioral therapy, a therapist will often work with their client to identify their cognitive distortions. Cognitive distortions are patterns in thinking that typically make someone think in the negative and have negative expectations. This can be detrimental to the client for many reasons, the biggest being it holds them back from growing mentally […]

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Core Beliefs Worksheet

Core Beliefs Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Core beliefs are the strong and withstanding beliefs that a person has about themselves and how they relate to others, the world, and their future. These beliefs are based on what a person has learned through life experiences and begin being formed during childhood. The way a person sees each aspect of their life is […]

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Automatic Thought Record Worksheet

Automatic Thought Record Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Thoughts can be upsetting sometimes, but the thoughts that upset us are not always healthy or realistic. We often have thoughts in reaction to situations that we may not fully understand or are interpreted through our feelings. Upsetting thoughts can affect how we feel about ourselves, our behaviors, and our emotions, so it is important […]

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Coping Skills: Depression Worksheet

Coping Skills: Depression Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A depressed mood can affect most areas of a person’s life. Sometimes depression is chronic or consistent, and sometimes it can come and go in waves. Depression can impact how a person can cope with life stressors, which is why it is important to know how to handle it in the moment. A person does […]

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Cognitive Distortions: Jumping To Conclusions

Cognitive Distortions: Jumping To Conclusions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Jumping to conclusions can have a major effect on how a person relates to others and feels about themselves. When people jump to conclusions, they draw conclusions based on part of the whole picture they see. This causes them to assume things that may not be true and can prevent them from handling a situation […]

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Cognitive Distortions: Personalization Worksheet

Cognitive Distortions: Personalization Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Learning about cognitive distortions can be helpful for a person in therapy. A cognitive distortion is a pattern of unhealthy thinking. When a person thinks through cognitive distortions, they are not able to see a situation clearly. This can impact their judgment and how they view themselves and the world around them. A cognitive distortion […]

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Worry Coping Cards Worksheet

Worry Coping Cards Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Between sessions, clients need to practice coping skills. Worries happen each day of a person’s life, but they should not be strong enough to consume a person. That is why it is important to remember to use coping skills each day. A great way to make sure a client remembers to use coping methods to […]

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Cognitive Distortions: Generalizing Worksheet

Cognitive Distortions: Generalizing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

An important skill to have when managing negative thoughts is learning how to identify cognitive distortions. A cognitive distortion is a pattern of unhealthy thinking. Identifying cognitive distortions is an important part of cognitive-behavioral therapy, which helps you learn how to challenge and rethink unhealthy thoughts. One type of cognitive distortion is called generalizing. The […]

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Cognitive Distortions: Emotional Reasoning Worksheet

Cognitive Distortions: Emotional Reasoning Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Emotional reasoning can be a major barrier in a client’s progress in therapy. When a client uses emotional reasoning to understand the world around them, they develop a poor self-image and distrust for people around them. Emotional reasoning can cause a client to have unrealistic expectations and misunderstand the reality of the challenging situations they […]

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Coping Skills: Anxiety Worksheet

Coping Skills: Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anxiety is an emotion that everyone feels sometimes. Whether a person is seeking therapy for an anxiety disorder or something that is causing them to feel anxious, it is important to understand what anxiety is and how it can affect a person. Anxiety can cause many uncomfortable symptoms. It is a different experience for everyone, […]

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Cognitive Restructuring: Thoughts On Trial Worksheet

Cognitive Restructuring: Thoughts On Trial Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Negative thoughts can have a significant impact on how we feel and how we react to challenging situations. They can cause us to act out of character, and get down on ourselves for reasons that are not fair to us. When we give in to our negative thoughts, we set ourselves up for feeling anxious, […]

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Cognitive Restructuring: Socratic Questioning Worksheet

Cognitive Restructuring: Socratic Questioning Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is important to teach clients how to challenge their negative thoughts. Negative thoughts lead to negative self-talk, which can affect a client’s self-esteem. It can also affect how they relate to people around them, and have a negative effect on their ability to build relationships with others. Cognitive restructuring is a process that involves […]

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Cognitive Distortions: Catastrophizing

Cognitive Distortions: Catastrophizing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A great method of helping a client overcome their anxiety is educating them about cognitive distortions. Cognitive distortions are patterns of negative thinking that make the client have unrealistic expectations or perceptions of a situation. Cognitive distortions can cause a person to view the world and themselves in a negative light, which prevents them from […]

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Cognitive Distortions: Mind Reading Worksheet

Cognitive Distortions: Mind Reading Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive distortions are a major source of mental and emotional strain on a person’s day-to-day life. Everyone struggles with cognitive distortions sometimes. They are natural patterns that our brain develops to understand how the world affects us. The challenge with cognitive distortions is they warp the way we see the world and how it relates […]

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Cognitive Distortions: All Or Nothing Thinking Worksheet

Cognitive Distortions: All Or Nothing Thinking Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Awareness about your own cognitive distortions is an important part of therapy. It is a step toward correcting thinking errors. A cognitive distortion is a pattern in negative thoughts. It is an error in thinking that causes many challenges in a person’s life. Understanding cognitive distortions is a part of the process of cognitive behavioral […]

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Cycle Of Anxiety Worksheet

Cycle Of Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Anxiety is an oppressive emotion for people to feel. People with chronic anxiety tend to suffer from cycles of anxiety, panic and avoidance. It is not uncommon for these people to not realize the cycle of anxiety they fall into, nor how the cycle affects them. In order to learn how to manage anxiety, a […]

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ABC Model For REBT Worksheet

ABC Model For REBT Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Rational emotive behavioral therapy (REBT) is a form of therapy that can be very effective in helping clients. It offers a means to gain perspective on challenging situations. REBT suggests that the way people understand situations causes them to be reactive. The concept of REBT implies that a situation is neither positive nor negative. A […]

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Exposure Hierarchy Worksheet

Exposure Hierarchy Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Phobias are a challenging struggle for clients to experience. Working with clients who are trying to overcome irrational or debilitating fears takes a great deal of time and patience. A person who is facing a phobia or fear will work hard to develop the courage to face it head on, and often need guidance and […]

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Cognitive Distortions: Predicting The Future Worksheet

Cognitive Distortions: Predicting The Future Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Everyone struggles with cognitive distortions. A cognitive distortion is an error in thinking. It is a pattern of thinking that is detrimental to the way clients think about challenges and behave in reaction. A cognitive distortion can cause different issues with stress management, communication, and relationships. It can also affect a client’s self-esteem, self-image, and […]

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Cognitive Restructuring: Decatastrophizing Worksheet

Cognitive Restructuring: Decatastrophizing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Catastrophizing is a common issue that people face in therapy. It is a term that refers to people feeling anxious because they feel the worst will happen in a challenging situation. Catastrophizing causes people to feel a great deal of anxiety. It often causes people to act irrationally and in a way that worsens the […]

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Simple CBT Model Worksheet

Simple CBT Model Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When used properly, cognitive behavioral therapy (CBT) is a very effective form of therapy. CBT helps people work on their problem behavior by providing a means to understand their thoughts and feelings. People often react to stressors quickly, and that can prevent them from thinking things through. CBT teaches a person how to slow down […]

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Countering Negative Thoughts Thought Log Worksheet

Countering Negative Thoughts Thought Log Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Everyone faces challenges. Life is about facing challenges to find resolution and grow from the experience. A huge factor that affects a person’s ability to handle challenges while maintaining inner peace and growth is the way in which they handle their own negative thoughts. It is important to know how to counter your own negative […]

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Introduction To Stress Management Worksheet

Introduction To Stress Management Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Stress is a natural part of life. Everyone experiences stress, and everyone is affected by stress in different ways. It is important to know how to manage stress. When you do not know how to manage your own stress, you face consequences like anxiety, depression and sleep issues. The first step to learning how to […]

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Cognitive Distortions: The "Shoulds" Worksheet

Cognitive Distortions: The “Shoulds” Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive distortions (thinking errors) are a huge contributing factor to many people’s mental health issues. Cognitive distortions are erroneous patterns in thinking that lead to negative thoughts, bad feelings and poor behavior. When someone suffers from a cognitive distortion, they are not able to perceive tough situations in a healthy way. That is why it […]

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Cognitive Distortions: Blaming Worksheet

Cognitive Distortions: Blaming Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

A huge part of using Cognitive Behavioral Therapy to help clients cope with their triggers is teaching them about cognitive distortions. Cognitive distortions are patterns of thinking errors, and they affect a person’s thoughts, feelings, and reactions to upsetting situations. It is not uncommon for a person in therapy to turn to cognitive distortions like […]

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Cognitive Distortions: Filtering Worksheet

Cognitive Distortions: Filtering Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Our thought patterns make a difference in how we interpret challenging situations. When we practice healthy thinking patterns we can control how we react to upsetting issues. When we have errors in thinking, or cognitive distortions, we can misunderstand a challenging situation and behave in a way that may not fit our character.  Cognitive distortions […]

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Wheel Of Emotions Worksheet

Wheel Of Emotions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Emotions can be challenging to understand. Sometimes they have concrete reasons for being felt, and sometimes we are not sure why we are feeling a certain way. When we feel emotions we do not understand, we can struggle to understand how to cope. People who struggle to understand how to identify and cope with their […]

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Thoughts, Feelings & Actions

Thoughts, Feelings & Actions Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Using methods from cognitive behavioral therapy (CBT) is a great way to help children understand and take accountability for their feelings and actions. CBT helps kids understand their thoughts, feelings and behaviors, which can be instrumental in building self-esteem. It also helps with modifying problematic behaviors. Helping a child understand their thoughts, feelings and actions […]

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Thinking Errors Worksheet

Thinking Errors Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When teaching your clients cognitive behavioral therapy(CBT) skills, it is important to help them gain an understanding of common thinking errors and how they affect thoughts, feelings and behaviors. When a person has a pattern of negative thinking, it will skew the way they see and understand how they fit into a situation. This will […]

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Cognitive Distortions: Labeling Worksheet

Cognitive Distortions: Labeling Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Cognitive distortions, or errors in thinking, can cause a person to misinterpret situations and see themselves in a negative light. They are powerful and can have effects on a person’s sense of self-esteem, mood, and reactions to challenging situations. Teaching a client in therapy about how cognitive distortions may be impacting their mental health can […]

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Triggers Worksheet

Triggers Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Being aware of a client’s triggers is a critical component of learning how to cope with symptoms of mental health challenges. Triggers are situations that can cause a person to react in an unwanted or unhealthy way.  Triggers can cause a person to struggle with unwanted thoughts, feelings, and impulses. They are especially challenging when […]

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Countering Anxiety Thought Log Worksheet

Countering Anxiety Thought Log Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is not uncommon for a client to feel like a victim of their own anxiety. Anxiety is a difficult feeling to live with, and it is often chronic for people who seek counseling. Anxiety brings ruminating negative thoughts that can have a major impact on a client’s ability to get through their day. When […]

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What Is Worry? Worksheet

What Is Worry? Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Children can have a particularly difficult time communicating how they feel. There could be a few different reasons for this. Whether they are afraid, frustrated, or simply do not understand how to express emotions, the ability to talk about how a child feels is important. An emotion that is especially important to be able to […]

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Recognizing Stress Worksheet

Recognizing Stress Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

The first step to managing stress is learning how to recognize stress. Most people who experience symptoms of stress do not realize that it is a physiological reaction. They also do not realize how often daily occurrences can be triggers for stress. When working with a client who is struggling with stress-related issues, it is […]

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Challenging Anxious Thoughts Worksheet

Challenging Anxious Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When working toward learning steps to manage anxiety, it is important to learn how to challenge anxious thoughts. Anxious thoughts can stem from anywhere, and can affect a client at any time. Being sure that your client is well-equipped with coping strategies to manage anxious thoughts will have a major impact on how he or […]

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Cognitive-Behavioral Model Worksheet

Cognitive-Behavioral Model Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

The Cognitive-Behavioral model is used in cognitive-behavioral therapy (CBT). It is a model used to explain the process of how CBT works and how it is helpful to utilize while in counseling. Often clients struggle to understand the meaning behind concepts in CBT, so it is helpful to have a visual aid that explains the […]

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Therapy Goals Worksheet

Therapy Goals Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is important to have a list of goals and objectives for the client and therapist to work toward when beginning a new therapeutic relationship. Setting goals creates a foundation that helps the client and therapist stay on track when helping a client feel better. Setting goals also empowers a client to stay on track […]

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Thought Log Worksheet

Thought Log Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Sometimes a client will struggle to overcome racing or ruminating thoughts. These thoughts can be frustrating for a client, and can prevent him or her from staying productive throughout the day. If a client is struggling with racing thoughts, it is important for him or her to learn skills to manage those thoughts. Managing the […]

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Balancing Logic And Feelings Worksheet

Balancing Logic And Feelings Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

It is important for clients to have an understanding of where logic meets feelings. These are two opposite elements that play a major role in how a client perceives a situation. They are strong forces that facilitate how a client will react to a situation. In order to ensure behavior is healthy, appropriate, and promotes […]

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Deep Breathing Worksheet

Deep Breathing Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

We all know that sometimes life can get overwhelming. Stress at work, home, or from unexpected circumstances causes us to feel overwhelmed when not properly managed. It is important to know how to manage the feelings of anxiety, fatigue, and depressed mood that can come with prolonged and unmanaged stress. Because life can be so […]

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Steps To Challenge Automatic Negative Thoughts Worksheet

Steps To Challenge Automatic Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Negative thoughts can be powerful and have a big impact on a client’s mental health, especially when they are dealing with issues like anxiety, grief, and depression. Without proper tools for managing negative thoughts, a client’s process for healing may be challenging. When a client is struggling with negative thoughts, they are seeing the world […]

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CBT For Anxiety Worksheet

CBT For Anxiety Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

When teaching a client how to use cognitive behavioral therapy (CBT) for managing anxiety it helps a great deal to provide a visual aid. Clients who suffer from severe or chronic anxiety struggle to maintain control over anxious thoughts and resulting anxious feelings and behavior. It is important to teach clients in CBT treatment to […]

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Challenge Your Worries Worksheet

Challenge Your Worries Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Worrying consumes more time and energy than we may realize. It is a feeling that is often hard to shake, especially when struggling with anxiety and stress, or feeling out of control. Clients often struggle to cope with worrying, and may not even realize how severely they are affected by their worrisome thoughts. Teaching a […]

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Balancing Negative Thoughts Worksheet

Balancing Negative Thoughts Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Negative thoughts can control the way people perceive almost every aspect of their lives. Some may have negative thoughts about themselves, others, or the way of the world. Negative thoughts generate negative feelings. In turn, negative feelings contribute to harmful behavior and can worsen mood disorders. That is why it is important to know how […]

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