For clinician-guided CBT skills practice and session review. This worksheet is educational and does not replace diagnosis, crisis planning, or medical care. If someone is in crisis, contact the 988 Suicide & Crisis Lifeline.

Free CBT worksheet

Free CBT Thought Record

Work through situations, automatic thoughts, emotions, evidence, balanced thoughts, and action steps in a browser-based CBT worksheet with Markdown export.

What a CBT Thought Record Helps Review

A CBT thought record slows down the sequence between a situation, an automatic thought, emotional intensity, supporting evidence, alternate evidence, a balanced thought, and a next action. It gives clinicians and clients a concrete worksheet to review cognitive patterns without turning the session into a vague recap.

Use It Between Sessions or Live in Session

The worksheet can be used during CBT, anxiety treatment, depression treatment, relapse prevention, or skills practice. Entries stay in the browser unless copied or exported, and clinical judgment remains with the treating clinician.

Related CBT and Anxiety Tools

Frequently Asked Questions

What is a CBT thought record? +

A CBT thought record is a worksheet for identifying a situation, automatic thoughts, emotions, evidence, balanced alternatives, and next actions.

Who is this tool for? +

It is for clinician-guided CBT skills practice, therapy homework review, and session work. It is not a diagnostic instrument.

Can I export the thought record? +

Yes. You can copy or export the worksheet as Markdown for your documentation workflow.

Is worksheet content stored by CoralEHR? +

No. The public tool runs in the browser unless you copy or export the content.

Next step

See the anxiety workflow we are building

Use the free thought record now, then see the closest current CoralEHR specialty page for anxiety and OCD work: ERP documentation, SUDS tracking, assessments, notes, and progress.

EHR for ERP therapists