A Therapist’s Cheat Sheet to Writing Therapy Notes: Examples, Templates, and Best Practices

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05.11.2025
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A Therapist’s Cheat Sheet to Writing Therapy Notes: Examples, Templates, and Best Practices

Finally, while setting boundaries is crucial, it is just as important to respect others’ boundaries, including parents, children, romantic partners, managers, coworkers, and anyone else we interact with. Appropriate boundaries can look very different depending on the setting, but it’s important to set them in all areas of life where we interact with others. Dealing With Boundary Violations presents eight steps for dealing with boundary violations, especially when we are setting new boundaries in difficult situations.

Identifying Negative Thoughts / Cognitive Distortions

CBT sessions follow a structured, collaborative format where you and your therapist work as partners examining specific problems. After her fifth exposure – ordering during moderate crowd – Sarah reported something shifted. Understanding CBT techniques matters less than seeing how they work with actual problems. These composite scenarios represent patterns I consistently observe in practice. Someone realizes that interpreting their partner’s silence as anger creates entirely different feelings than interpreting it as tiredness. That recognition – that they have agency in the process – often marks the beginning of real change.

cbt examples

Dysregulation: Navigating Through Emotional Turmoil

However, this should not keep you from offering a conservative opinion on a client’s expected course, provided treatment recommendations are followed. Reframing involves helping the client develop alternative, more balanced interpretations of events. CBT focuses on the present and uses structured techniques to question and reshape unhelpful thoughts. Cognitive distortions also erode self-esteem by shaping a negative self-concept and reinforcing limiting core beliefs.

The ‘pie’ technique

Progress often follows a non-linear pattern with periods of rapid improvement, plateaus, and occasional temporary setbacks that precede breakthrough moments. We treat anxiety, depression, trauma, and bipolar disorder using evidence-based approaches like CBT, DBT, mindfulness, and trauma-focused therapies. Designed to fit into daily life, our services provide consistent support without requiring residential care. The beauty of these techniques lies in their accessibility and flexibility. They don’t require special equipment or extensive training to implement.

  • Without them, we would have to approach every problem as a brand-new one, with no preexisting experiences, problem-solving techniques, or lessons learned to draw from.
  • Addressing these root emotions and modifying thought patterns can lead to positive behavioral changes, aiding in treating mental health issues like anxiety or depression.
  • With consistent practice, you’ll develop the skill of automatically questioning unhelpful thoughts rather than accepting them as fact.
  • While they can be effective on their own, working with a therapist can provide additional guidance and support, especially as you tackle more challenging issues.

Cognitive Behavioral Therapy Techniques

Unhealthy thinking patterns, called cognitive distortions, can lead to the reinforcement of negative thoughts and emotions. Cognitive distortions are common but irrational ways of thinking that can negatively impact emotions and behavior. Everyone experiences cognitive distortions to some degree, so don’t be surprised if you can identify with a few of them. Cognitive behavioral therapy (CBT) can help you identify and replace negative or damaging behaviors learned in your past. Our Thought Record PDF is an easy-to-use template for tracking triggering situations, thoughts, responses, and outcomes.

  • The tips for keeping healthy boundaries in friendships include some points mentioned above, especially understanding your personal limits in terms of time and emotional investment.
  • This is because negative thinking is natural and it’s impossible to completely eliminate it, but outweighing negative thoughts with positive thoughts is possible.
  • That clarity about what CBT looks like when it’s working puts you in position to make an informed decision about your mental health care.
  • This exercise helps you break that cycle by scheduling positive activities into your day.
  • Research shows DBT reduces suicide attempts by 50% and psychiatric hospitalizations by 77% for people with borderline personality disorder compared to standard treatment.

Music Therapy Activities, Interventions & Tools

Therapists often use Socratic questioning, a guided form of inquiry that encourages the client to think critically about their beliefs. Clients are taught to become aware of their automatic thoughts, label distortions (like catastrophizing or mind reading), and evaluate whether those thoughts are accurate or helpful. CBT teaches people to recognize these distortions and replace them with more realistic, balanced thinking. Cognitive distortions often reflect how someone has learned to interpret the world—especially in the face of stress, trauma, or unmet needs.

What Is Rational Emotive Behavior Therapy? (+ REBT PDF)

The topic of much recent research, Cognitive Behavioral Therapy cognitive defusion, is a core component of Acceptance and Commitment Therapy (ACT). Problem-solving therapy is a useful CBT strategy that helps clients successfully confront challenging issues and discover straightforward answers. It can be thought of as developing a toolbox full of problem-solving tools. This treatment helps people by breaking down large, complex problems into smaller, more manageable bits, making it simpler to find answers and a clear path forward.

You have probably used it in school or at work as a way to come up with ideas. This Cognitive Behavioral Therapy technique is especially helpful for those people who act impulsively, such as those with impulsively, such as those with Attention-Deficit Hyperactivity Disorder (ADHD). Your therapist’s approach depends on your situation and what you want.

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