Here’s some additional information about how you can continue making progress toward your treatment goals even after terminating therapy.
I utilize a cognitive behavioral treatment model. This means that therapy sessions focus on understanding the relationships between thoughts, emotions, and behaviors. Anxiety, depression, and relationship problems are often rooted in cognitive distortions, which are misconceptions of reality. We can improve symptoms and feel more in control of our lives when we can challenge and replace these cognitive distortions with more accurate and compassionate thoughts.
It’s helpful to remember the cognitive behavioral model as the ABCDE model.

A- activating event. This can be any situation or experience.
B- beliefs. These are the thoughts through which we interpret the experience.
C- consequences. These are the emotions and behaviors, what we feel and do in response.
D- disputation of beliefs. This is where we identify and challenge cognitive distortions, or unhelpful thoughts.
E- effective new beliefs. This is where we engage the restructured cognitions, or more balanced thinking that empowers us to make choices which better reflect our values.
Any time you catch yourself feeling an uncomfortable or intense emotion, or having a stressful interaction with someone, journaling about it using the format below can help you process it and make wise-minded choices thereafter.
ABCDE Journal Template
A Activating Event
This may be either an actual event or situation, a thought, mental picture or recollection.
B Beliefs
1. List all statements that link A to C. Ask yourself: “What was I thinking?” “What was I saying to myself?” “What was going through my head at the time?”
2. Find the most distressing (hot) thought and underline it
3. Rate how much you believe this thought between 0 to 100.
C Consequences
1.Write down words describing how you feel.
2. Underline the one that is most associated with the activating event.
3.Rate the intensity of those feelings (0 to 100).
4. Jot down any physical sensations you experienced, or actions carried out
D Disputation
1.Check the hot thought against the list of Cognitive Distortions and see which it falls under.
2. Challenge the distorted thought. Evaluate evidence for/against.
3.Think of other possible explanations for or interpretations of the activating event.
4.Re-rate how much you believe the hot thought from B 0 to 100.
E- effective new beliefs
1.Find a more realistic, nonjudgmental thought. Rate how much you believe this thought between 0 to 100.
2.Engage the effective new beliefs by doing an activity or adaptive coping skill that reinforces it.
3.Re-rate the intensity of the feelings from C (0 to 100). Write down and rate any new feelings, like acceptance, compassion, or hope and rate those as well.
Happy journaling!









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