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    15 views1 page

    Traditional CCD Fillable

    Uploaded by

    bss

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    (TRADITIONAL) COGNITIVE CONCEPTUALIZATION

    DIAGRAM WORKSHEET

    Name: Date: Diagnosis:

    RELEVANT LIFE HISTORY and PRECIPITANTS

    CORE BELIEF(S) (during current episode)

    INTERMEDIATE BELIEFS: CONDITIONAL ASSUMPTIONS/ATTITUDES/RULES (during


    current episode)

    COPING STRATEGIES (during current episode)

    SITUATION #1 SITUATION #2 SITUATION #3

    AUTOMATIC THOUGHT(S) AUTOMATIC THOUGHT(S) AUTOMATIC THOUGHT(S)

    MEANING OF A.T. MEANING OF A.T. MEANING OF A.T.

    EMOTION EMOTION EMOTION

    BEHAVIOR BEHAVIOR BEHAVIOR

    © 2018. Adapted from J. Beck (2020) Cognitive Behavior Therapy: Basics and Beyond, 3rd edition.

    Beck Institute for Cognitive Behavior Therapy • One Belmont Ave, Suite 503 • Bala Cynwyd, PA 19004 • beckinstitute.org

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