graded task assignment worksheet cbt

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Cognitive Behavioural Therapy Worksheets and Exercises

The following Cognitive Behavioural Therapy – CBT worksheets and exercises can be downloaded free of charge for use by individuals undertaking NHS therapy or by NHS practitioners providing CBT in primary or secondary care settings. These worksheets form part of the Think CBT Workbook, which can also be downloaded as a static PDF at the bottom of this page. Please share or link back to our page to help promote access to our free CBT resources. 

The Think CBT workbook and worksheets are also available as an interactive/dynamic document that can be completed using mobile devices, tablets and computers. The interactive version of the workbook can be purchased for single use only for £25. All Think CBT clients receive a free interactive/dynamic copy of the workbook and worksheets free of charge.

Whilst these worksheets can be used to support self-help or work with other therapists, Cognitive Behavioural Therapy is best delivered with the support of a BABCP accredited CBT specialist. If you want to book an appointment with a professionally accredited CBT expert, call (01732) 808626, complete the simple contact form on the right side of this page or email [email protected]  

Please note: if you are a private business or practitioner and wish to use our resources, please email [email protected]  to purchase a registered copy. This material is protected by UK copyright law. Please respect copyright ownership.

Exercise 1 - Problem Statements

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Exercise 2 - Goals for Therapy

Exercise 3 - personal strengths / resources, exercise 4 - costs / benefits of change, exercise 5 - personal values, exercise 6 - the cbt junction model, exercise 7 - the cross-sectional cbt model, exercise 8 - the longitudinal assessment, exercise 9 - layers of cognition, exercise 10 - cognitive distortions, exercise 11 - theory a-b exercise, exercise 12 - the cbt thought record, exercise 13 - cognitive disputation "putting your thoughts on trial", exercise 14 - the cbt continuum, exercise 15 - the self-perception continuum, exercise 16 - the cbt responsibility pie chart, exercise 17 - noticing the thought, exercise 18 - four layers of abstraction, exercise 19 - semantic satiation, exercise 20 - the characterisation game, exercise 21 - speed up / slow down, exercise 22 - word translation, exercise 23 - the time-traveller's log, exercise 23a -the time-traveller's log continued, exercise 24 - leaves on a stream, exercise 25 - the traffic, exercise 26 - clouds in the sky, exercise 27 - taming the ape - an anchoring exercise, exercise 28 - the abc form in functional analysis, exercise 29 - pace activity exercise, exercise 30 - graded hierachy of anxiety provoking situations, exercise 31 - the behavioural experiment, exercise 32 - act exposures exercise, exercise 33 - worry - thinking time, exercise 34 - submissive, assertive & aggressive communication, exercise 35 - sleep hygiene factors, exercises 36 - 38.

(Abdominal Breathing, Aware Breathing & The Five-Minute Daily Recharge Practice)

Exercise 39 - Wheel of Emotions

Exercise 40 - linking feelings and appraisals, exercise 41 - personal resilience plan, exercise 42 - cbt learning log, act with choice exercise, angels and devils worksheet, transdiagnostic model of ocd worksheet, tuning in exercise, penguin-based therapy (pbt), big picture exercise, post-therapy journal, catch it-check it-change it exercise.

A brief cognitive change exercise for identifying and altering negative thinking

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Download The Think CBT Workbook Here

To get a free copy of the 90 page Think CBT Workbook and Skills Primer, click on the download button and save the PDF document to your personal drive or device. The free version of the Think CBT Workbook is presented as a static PDF, so that you can read the document on your device and print worksheets to complete by hand.

In return for a free copy of the workbook, please help us to promote best practice in CBT by sharing this page or linking back to your website or social media profile.

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Graded Task Assignment

This exercise involves breaking down overwhelming tasks or goals into smaller, manageable steps to reduce feelings of being overwhelmed or stuck..

Welcome to the Graded Task Assignment Cognitive Behavioral Therapy (CBT) exercise, a structured approach to gradually facing and conquering avoidance behaviors that contribute to distress and limitations in daily life. This exercise aims to help you break down overwhelming tasks or situations into smaller, manageable steps, allowing you to build confidence and overcome avoidance patterns.

By systematically challenging avoidance and gradually increasing exposure to feared activities, you can expand your comfort zone and regain control over your life. Take a few moments to explore this exercise and embark on a journey of growth, resilience, and personal empowerment.

What is Graded Task Assignments?

A CBT clinician uses graded task assignment to teach the patient how to break down an activity into a series of smaller, more manageable steps. The patient is encouraged to initially attempt to complete the first step only. Once that step has been completed, the patient can move on to the next step. Once success with that step has been achieved, the next step is attempted, and so on.

Select tab 2 at the top right to see an example.

An Example of Graded Task Assignments

Joe wanted to do an activity but felt like it was too difficult. Below is a partial example showing how we broke it down into more manageable steps. Try to fill out box 4 and 5 with your suggestions. Once you are finished, select the box number to see what we came up with.

What are the Advantages?

What are the advantages of breaking activities into smaller steps?

Select the play button for the answer.

CBT Worksheets, Handouts, And Skills-Development Audio: Therapy Resources for Mental Health Professionals

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Resource type

Therapy tool.

Mastering Your Adult ADHD: A Cognitive-Behavioral Treatment Program (Second Edition): Workbook

Treatments that work™.

Grounding Techniques Menu

Information handouts.

Cognitive Distortions – Unhelpful Thinking Styles (Extended)

Mastering Your Adult ADHD: A Cognitive-Behavioral Treatment Program (Second Edition): Therapist Guide

Fight Or Flight Response

Cognitive Distortions – Unhelpful Thinking Styles (Common)

Managing Bipolar Disorder: Therapist Guide

Managing Bipolar Disorder: Workbook

Early Maladaptive Schemas

Audio Collection: Psychology Tools For Developing Self-Compassion

Assertive Communication

Therapy Blueprint (Universal)

Window Of Tolerance

Embracing Uncertainty

Grounding Techniques

Thought Record (Evidence For And Against)

Effective Weight Loss: An Acceptance-Based Behavioral Approach: Workbook

Theory A / Theory B

Effective Weight Loss: An Acceptance-Based Behavioral Approach: Clinician Guide

Intolerance Of Uncertainty

Obsessive Compulsive Disorder (OCD) Formulation

Unhelpful Thinking Styles (Archived)

How To Forgive

Negative Parenting Styles (Schema Therapy)

Assertive Responses

Before I Blame Myself And Feel Guilty

Scaling - Beliefs About Yourself

Using Behavioral Activation To Overcome Depression

Activity Menu

Worry Flowchart

Cross Sectional Formulation

Audio Collection: Psychology Tools For Relaxation

Survey – Testing Your Beliefs

Prompts For Challenging Your Negative Thinking

Mastery Of Your Anxiety And Worry (Second Edition): Workbook

Enhancing Sexuality: A Problem-Solving Approach To Treating Dysfunction (Second Edition): Workbook

Thought Distortion Monitoring Record

Behavioral Activation Activity Diary

Responses To Threat: Freeze, Appease, Flight, Fight

Behavioral Experiment (Portrait Format)

Social Anxiety Formulation

Motivational Systems (Emotional Regulation Systems)

Managing Your Substance Use Disorder (Third Edition): Workbook

Low Self-Esteem Formulation

Behavioral Experiment

Emotions Motivate Actions

Anxiety - Self-Monitoring Record

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (Second Edition): Therapist Guide

Worry Postponement

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (Second Edition): Client Workbook

Relaxed Breathing

Unrelenting Standards

Examining Your Negative Thoughts

Unmet Emotional Needs

Guidelines For Better Sleep

Fair Fighting Rules For Resolving Conflict

How Trauma Can Affect You (CYP)

What Keeps Obsessive Compulsive Disorder (OCD) Going?

Decatastrophizing

Enhancing Sexuality: A Problem-Solving Approach To Treating Dysfunction (Second Edition): Therapist Guide

Habituation

Progressive Muscle Relaxation

What Is Cognitive Behavioral Therapy (CBT)?

Fear Ladder

Post-Traumatic Stress Disorder (PTSD) Formulation

What Is Worry?

Compassionate Thought Challenging Record

Panic Formulation

What Keeps Generalized Anxiety And Worry Going?

Exposure And Response Prevention

Scaling - Testing Your Assumptions

Reactions To Trauma

What Keeps Depression Going?

Friendly Formulation

Longitudinal Formulation 2

Understanding Generalized Anxiety And Worry

Treating Your OCD With Exposure And Response (Ritual) Prevention (Second Edition): Workbook

Overcoming Depression (Second Edition): Workbook

Self-Sacrifice

Intrusive Thoughts Images And Impulses

Evaluating Unhelpful Automatic Thoughts

The Coping Long Term With Active Suicide Program (CLASP): A Multi-Modal Intervention For Suicide Prevention: Clinician Guide

Values: Connecting To What Matters

What Is Rumination?

Audio Collection: Psychology Tools For Mindfulness

What Are Schemas?

Checklist For Better Sleep

Understanding Obsessive Compulsive Disorder (OCD)

[Free Guide] Understanding Post-Traumatic Stress Disorder (PTSD)

Safety Plan

Simple Thought Record

Abandonment

Managing Substance Use Disorder (Third Edition): Practitioner Guide

Managing Social Anxiety (Third Edition): Workbook

Types Of Dissociation

Changing Avoidance (Behavioral Activation)

What is psychology tools.

Psychology Tools develops and publishes evidence-based psychotherapy resources and tools for mental health professionals. Our online library gives you access to everything you need to deliver more effective therapy and support your practice. With a wide range of topics and resource types covered, you can feel confident knowing you’ll always have a range of accessible and effective materials to support your clients, whatever challenges they are facing, whatever stage you are at, and however you work.

Choose from assessment and case formulations to psychoeducation, interventions and skills development, CBT worksheets, exercises, and much more. Our resources include detailed therapist guidance, references and instructions, so they are equally suitable for those with less experience but who want to expand their practice. Each resource explains how to work with the material most effectively, and how to use it with clients.

Are these resources suitable for you?

Psychology Tools is used by thousands of professionals all over the world as a key part of their practice and preparation, and our resources are designed to be used with clients who experience psychological difficulties or distress. Professionals who use our resources include:

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Psychology Tools resources are perfect for individuals, teams and students, whatever their preferred modality, or career stage.

What kinds of resources are available at Psychology Tools?

Psychology Tools offers a range of relatable, engaging, and evidence-based resources to ensure that your clients get the most out of therapy or counseling. Each resource has been carefully designed with accessibility in mind and is informed by best practice guidelines and the latest scientific research.

Therapeutic exercises are used in many evidence-based psychotherapies including cognitive behavioral therapy, rational emotive behavior therapy, compassion-focused therapy, schema therapy, emotion-focused therapy, systemic family-based therapies, and several others.

Therapists and counselors benefit from incorporating exercises into their work. They can be used to:

• Introduce and explain key concepts.
• Collect information about clients’ difficulties.
• Bring therapeutic ideas to life.
• Keep therapy active and engaging.
• Alleviate distress and/or reduce problematic symptoms.
• Practice new skills and coping strategies.
• Develop new insights and self-awareness.
• Give clients a sense of accomplishment and progress.

Psychology Tools offers a variety of exercises that you can use with your clients as a part of therapy or counseling. These interventions can be incorporated into your sessions, assigned as homework tasks, or used stand-alone interventions. Many of our exercises are either evidence-based (meaning they have been shown to effectively treat certain difficulties) or evidence-derived (meaning they form part of a treatment program that has been shown to effectively treat certain difficulties).

The exercises available at Psychology Tools have a variety of applications. You can use them to:

• Develop case conceptualizations , formulations, and treatment plans.
• Address specific difficulties, such as worry, insomnia, and self-focused attention.
• Introduce clients to new skills, such as grounding , problem-solving, relaxation, and assertiveness .
• Support key interventions, such as exposure and response prevention, safety planning with high-risk clients, and perspective-taking.
• Plan treatments and prepare for supervision.

Psychology Tools exercises have been developed with practicality and convenience in mind. Most exercises include simple step-by-step instructions so that clients can use them independently or with the support of their therapist or counselor. In addition, therapist guidance is available for each exercise, which includes a detailed description of the task, relevant background information, an overview of its aims and potential uses in therapy, and simple instructions for its delivery. A comprehensive list of references is also provided so that you can access key studies and further your understanding of each exercise’s applications in psychotherapy.

Did you know that 40 – 80% of medical information is immediately forgotten by patients (Kessels, 2003)? The same is probably true of therapy and counseling, so clients will almost always benefit from having access to additional written information.

Psychology Tools information handouts provide clear, concise, and reliable information, which will empower your clients to take an active role in their treatment. Learning about their mental health, helpful strategies and techniques, and other psychoeducation topics helps clients better understand and overcome their difficulties. Moreover, clients who understand the process and content of therapy are more likely to invest in the process and commit to making positive changes.

Psychology Tools information handouts can help your clients:

• Understand their difficulties and what keeps them going.
• Learn what therapy is and how it works.
• Understand what they are doing in therapy and why.
• Remember and build upon what has been discussed during sessions.
• Create a personalized collection of resources that can used between appointments.

Our illustrated information handouts cover a wide variety topics. Each has been informed by scientific evidence, best practice guidelines, and expert opinion, ensuring they are both credible and consistent with evidence-based therapies. Topics featured among these resources include:

• ‘ What is… ’ handouts. These one-page resources provide a concise summary of common mental health problems (e.g., anxiety , depression , low self-esteem ), key therapeutic approaches (such as cognitive behavioral therapy, eye movement desensitisation and reprocessing , and compassion-focused therapy), and psychological mechanisms which maintain the problem (such as worry and rumination ).
• ‘ What keeps it going… ’ handouts. These handouts explain the key mechanisms that maintain difficulties such as burnout, panic disorder, PTSD, and perfectionism. You can use them to inform your case conceptualization or as a roadmap in therapy.
• ‘ Recognizing… ’ handouts. These guides can help you identify and assess specific disorders.
• Simple explanations of key psychological concepts, such as safety behaviors , psychological flexibility, thought suppression, and unhelpful thinking styles .
• Overviews of important psychological theories, such as operant conditioning and exposure.

Each information handout comes with guidance written specifically for therapists and counselors. It provides suggestions for introducing psychoeducation topics, facilitating helpful discussions related to the handout, and ensuring the content is relevant to your clients.

Worksheets are a core ingredient of many evidence-based therapies such as CBT. Our worksheets take many forms (e.g., diaries, diagrams, activity planners, records, and questionnaires) and can be used throughout the course of therapy.

How you incorporate worksheets into therapy or counselling depends on each client’s difficulties, goals, and stage of recovery. You can use them to:

• Assess and monitor clients’ difficulties.
• Inform treatment plans and guide decision-making.
• Teach clients new skills such as ‘self-monitoring’ or ‘thought challenging’.
• Ensure that clients apply their learning in the real world.
• Track their progress over time.
• Help clients to take an active role in their recovery.

Clients also benefit from using worksheets. These tools can help them:

• Become more aware of their difficulties.
• Identify when, how, and why these problems occur.
• Practice using new skills and techniques.
• Express and explore difficult feelings.
• Process difficult events.
• Consolidate and integrate insights from therapy.
• Support their self-reflection.
• Feel empowered and build self-efficacy.

Psychology Tools offers a wide variety of worksheets. They include general forms that are widely applicable, disorder-specific worksheets, and logs that are used in specific therapies such as CBT , schema therapy, and compassion-focused therapy . These resources are typically available in editable or fillable formats, so that they can be tailored to your client’s needs and used in a flexible manner.

Guides & self-help

People want clear guidance on mental health, whether for themselves or a loved one.

Our ‘ Understanding… ’ series is designed to introduce common mental health difficulties such as depression, PTSD, or social anxiety. Each of these guides uses a clear and accessible structure so that readers can understand them without any prior therapy knowledge. Topics addressed in each guide include:

• What the problem is.
• How it arises.
• Where it might come from.
• What keeps it going.
• How the problem can be treated.

Other guides address important topics such as trauma and dissociation, or the effects of perfectionism. They usually contain a mixture of psychoeducation, practical exercises and skills development. They promote knowledge, optimism, and positive action related to these difficulties, and have been informed by current research and evidence-based treatments, ensuring they are consistent with best practices.

Therapists can use Psychology Tools guides in several ways:

• As a screening tool. Clients can read the guide to see if the difficulty or topic is relevant to them.
• As psychoeducation. Each guide provides essential information related to the difficulty or topic so that client can develop a better understanding of it.
• As self-help. Each guide describes key skills and techniques that can be used to overcome the difficulty.

Each guide contains informative illustrations, practical examples, and simple instructions so that clients can easily relate to the content and apply it to their difficulties.

Therapy audio

Audio exercises are a particularly convenient and engaging way help your clients and can add variety to your therapeutic toolkit. Psychology Tools audio resources can help your clients:

• Augment and consolidate their learning in therapy.
• Practice new techniques.
• Integrate skills and practices into their daily lives.
• Access additional support when they need it.
• Create a sense a continuity between your meetings.

A variety of audio resources are available at Psychology Tools. Each one has been developed and recorded by highly experienced clinical psychologists and can be easily integrated into your therapeutic practice. Audio collections include:

• Psychology Tools for Developing Self-Compassion
• Psychology Tools for Relaxation
• Psychology Tools for Mindfulness
• Psychology Tools for Overcoming PTSD

Many of these audio resources are widely applicable (e.g., mindfulness-based tools), although problem-specific resources are also available (e.g., tools for overcoming PTSD). You can use these tools:

• During your therapy sessions.
• As a homework task for clients to complete.
• As a stand-alone intervention or ongoing part of therapy.

Authored by leading psychologists including David Barlow, Michelle Craske, and Edna Foa,  Treatments That Work™  is a series of workbooks based on the principles of cognitive behavioral therapy (CBT). Each pair of books in the series – therapist guide and workbook – contains step by step procedures for delivering evidence-based psychological interventions. Clinical illustrations and worksheets are provided throughout.

You can use these workbooks:

• To plan treatment for a range of specific difficulties including depression, obsessive compulsive disorder (OCD), social anxiety, and substance use.
• As a self-help intervention that you guide the client through during sessions.
• As a supplement to therapy, which clients work through independently.
• To consolidate the content of your sessions.
• As an ongoing intervention at the end of treatment (e.g., for difficulties that haven’t been fully addressed).

Each book is available to download chapter-by-chapter, and Psychology Tools members with a currently active subscription to our ‘Complete’ plan are licensed to share copies with their clients.

Archived resources

We work hard to keep all resources up to date, so we regularly review and update our library. However, we understand that you might get used to a certain version of a resource as part of your workflow. Instead of removing older versions, we keep some in our archive so that you can still access them if you want to. We also clearly explain if an improved version is available, so you can choose which you prefer.

Series and ranges

As well as many topic-specific resources, we also publish a variety of ranges and series.    

• The ‘What is…’ series. These one-page resources cover a range of common mental health problems. In client friendly language they provide a concise summary of the problem, what it can feel like, what maintains it and an overview of key evidence-based therapeutic approaches (e.g., CBT, EMDR, and compassion-focused therapy) to treatment.
• The ‘What keeps it going…’ series . These are one-page diagrams that explain what tends to maintain common mental health conditions such as burnout, panic disorder, PTSD, and perfectionism. You can use them to inform your case conceptualization or as a roadmap in therapy. They provide a quick and easy way for clients to understand why their disorder persists and how it might be interrupted.
• The ‘Recognizing…’ series can help you identify and assess specific disorders.
• The ‘Understanding…’ series is a collection of psychoeducation guides for common mental health conditions. Friendly and explanatory, they are comprehensive sources of information for your clients. Concepts are explained in an easily digestible way with plenty of case examples and diagrams. Each guide covers symptoms, treatments and some key maintenance factors .
• The ‘Guide to…’ resources give clients a deep dive into a condition or treatment approach. They cover a mixture of information, psychoeducation, practical exercises and skills development to help clients learn to manage their condition. Each of these guides offers psychoeducation about the topic alongside a range of practical exercises with clear instructions to help clients identify, monitor, and address their symptoms.
• The ‘ Self-monitoring’ collection provides problem-specific records designed to help you and your clients get the most from this essential but often overlooked technique. Covering a broad range of conditions, these worksheets allow you to give clients a tool that is targeted to their experience, with relevant language and prompts.

Multilingual library of translations

Did you know that Psychology Tools has the largest online, searchable library of multilingual therapy resources? We aim to make our resources accessible to everyone. With over 3500 resources across 70 languages, you can give clients resources in their native language, enabling a deeper understanding and engagement with the treatment process. Translations are carried out by specially selected professional translators with experience of psychology, and our pool of volunteer mental health professionals. We also make sure that the resource design is the same for each translated resource so that you can be confident you know what section you are looking at, even if you don’t speak the language.

Simply find the resource you want to use, then explore which languages that resource is available in, or you can see all the resources available in a particular language by using our search filters.  

What formats are the resources available in, and how can I use them?

People work in different ways. Our formats are designed to reflect that, so you can choose the style that suits how you and your client want to work. Psychology Tools resources are perfectly formatted to work whether you practice face to face, remotely, or use a blended approach.

• Professional version. Designed for clinicians, this comprehensive option includes everything you need to use the resource confidently. As well as the resource, each PDF contains useful information, including therapist guidance explaining how to use the resource most effectively, descriptions that provide theoretical context, instructions, therapist prompts, and references. Some resources also include case examples and annotations where appropriate.
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• Editable PowerPoint documents are useful if you want to make any changes to the resource structure, or personalize it for your client.
• Editable Word documents are also useful if you want to make changes to the resource, and are more suited to printing.

How do we design our resources to support your practice?

Our resources are informed by evidence-based treatments, best practice guidelines, and the latest published research. They are written by highly experienced therapists and experts in mental health, ensuring they are effective and as up to date as possible. In addition, every resource goes through a rigorous peer review process to confirm they are accurate and easy to use.

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Kessels, R. P. C. (2003). Patients’ memory for medical information . Journal of the Royal Society of Medicine, 96 , 219-222.

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Cbt training 7 (demonstrations), graded task assignments and effective behaviour change plans.

SESSION 1 OF 5

Duration 10mins 43secs

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Audio version of this session is only available to paid membership plans.

In this demonstration Dr. Nina Josefowitz covers graded task assignments and how to create an effective behaviour change plan. Graded task assignments involve breaking a large, overwhelming task into doable chunks and then planning the first couple of chunks. When a large task is broken down into chunks it starts to feel more manageable.  

ALL SESSIONS IN THIS MODULE: CBT Training 7 (Demonstrations)

Graded task assignments and effective behaviour change plans « you are here.

In this demonstration Dr. Nina Josefowitz covers graded task assignments and how to create an effective behaviour change plan. Graded task assignments involve breaking a large, overwhelming task into doable chunks and then planning the first couple of chunks. When a large task is broken down into chunks it starts to feel more manageable.

Relaxation Strategies 

In this demonstration Dr. Nina Josefowitz covers how to incorporate relaxation strategies into therapy. These relaxation strategies involve consciously slowing down breathing. Two breathing strategies, Deep Breathing and Box Breathing, are demonstrated, as well as how and when to practice them.

Imagery Rehearsal 

In this demonstration Dr. Nina Josefowitz covers how to use imagery rehearsal to help clients practice a new behaviour they would like to try. Imagery rehearsal enables clients to try a new behaviour in their mind and become more comfortable with the behaviour.

Problem Solving 

In this demonstration Dr. Nina Josefowitz covers how to use a problem-solving approach to help clients face their problems and solve their difficulties. Problem solving is an important tool clients can take away from therapy. When clients make impulsive decisions or avoid making decisions, it is often because they lack problem-solving skills. The essence of...

Behavioural Activation Part 1

In this demonstration, Dr. Nina Josefowitz covers how to monitor a client’s daily activities using a Daily Activities Schedule (DAS). She then explores specific questions that can help the client see a pattern between their daily activities and their mood.

ALL MODULES IN THIS SERIES

CBT Training 1

with Dr Nina Josefowitz

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CBT Training 2

Cbt training 3, cbt training 4.

CBT Training 5 (Demonstrations)

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