Behvaviour Change Worksheet

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BEHAVIOUR CHANGE WORKSHEET

PURPOSE
Behaviour chain analysis is used to understand the components that prompt, contribute to, and
reinforce an unwanted behaviour that an individual would like to change. This helps identify where
change is possible and where acceptance may be needed.

INSTRUCTIONS
Collaboratively explore the what, where, when, and how of the target behaviour to reach a
full understanding of its occurrence. Next, identify consequences, the prompting event, and
vulnerabilities around this event. Identify the links in the chain between the prompting event and the
target behaviour; include thoughts, feelings, body sensations (urges), and actions. There can be as
many “links” in the chain as needed to explain how things unfolded. Seek to understand where skills
(including acceptance) could be inserted for a different outcome if faced with a similar situation in
the future.

What is the target behaviour I am trying


to understand?

What vulnerabilities was I experiencing


that made the behaviour more likely?

What event got the whole thing going?

What are the thoughts, feelings,


actions, and body sensations that lead
to the target behaviour?

What consequences did you notice?


(Consider whether consequences
were immediate or delayed; positive or
negative; in self or others.)

How can I reduce my vulnerabilities?

Can anything be done to help reduce


the impact of the prompting event?

How can you interrupt or work on


thoughts, emotions, and behaviours that
lead to the target behaviour?

CRISIS & TRAUMA *Note: This tool is best used in conjunction with other key skills of Dialectical Behaviour Therapy to address
RESOURCE INSTITUTE
high-risk, high-shame behaviour. Full instructions for use occur in our one-day DBT Workshop.
www.ctrinstitute.com • 877.353.3205

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