CBT: Example and Practice Sheet (Free PDF Download)

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What is the CBT: Example and Practice Sheet?

The CBT: Example and Practice Sheet is a two-page worksheet built on the cognitive model of Situation, Thoughts, Feelings and Behavior. Page one is a filled example, page two is the same grid left blank. Each page then asks for an alternative thought.

How to use the CBT: Example and Practice Sheet

Use this sheet both in session and as homework. Walk through the example first, where an unanswered call becomes I must have done something wrong and ends in avoiding friends. Then fill the blank grid with a recent situation of the client’s own. Your clients can complete the Alternative Thoughts, New Feelings and New Behavior row afterwards, once the first row no longer feels like the only reading.

CBT: Example and Practice Sheet Download – What’s Included

The download is a two-page printable PDF. Page one is the Example Sheet: a four-column grid of Situation, Thoughts, Feelings and Behavior filled in, followed by an alternative thought row and a reflection line. Page two is the Practice Sheet, the same layout left empty for the client’s own situation.

Based on Aaron Beck’s cognitive therapy (CBT). Beck, J. S. (2020). Cognitive Behavior Therapy: Basics and Beyond (3rd ed.). Guilford Press.

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Your Author

Tracy Collins, LCP

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.