Situation, Symptom & Thought Record

Date & Time Describe what happened before you started feeling What were the symptoms? What were you thinking about? Please Write Anything That Comes To
upset emotionally or bad physically. What emotions Mind! Please review your thoughts after writing them to identify emotionally charged thoughts.
were you feelings & what Bodily Sensations were you Identify the emotion and intensity 0-10.
having in the situation? Label & rate the intensity of
your emotion/body issue on a scale from 0-10 intensity.