CBT WORKBOOK
Sep. 21st, 2022 01:13 amTHOUGHTS affect our BEHAVIORS & EMOTIONS. What we THINK affects how we act & feel.
BEHAVIORS affect our THOUGHTS & EMOTIONS. What we DO affects how we think & feel.
EMOTIONS affect our THOUGHTS & BEHAVIORS. What we FEEL affects what we think & do.
★ Thoughts = Cool tones? // Emotions = Warm tones? // Behaviors = Neutral tones?
★ THOUGHTS ARE NOT OBJECTIVELY FAULTLESS!! THEY CAN BE FALSE, TOXIC, DISTORTED, ETC.! THEY CAN ALSO BE ILLOGICAL!!
★ We don't seem to know many thought-based nousfoni??? LOOK FOR THEM! They're probably ANCIENT
★ EMOTIONS are INHERENTLY TIED TO THOUGHTS! As most nousfoni we deal with are EMOTION-ANCHORED, that means their ULTIMATE roots are THOUGHTS!!! That is a GAME CHANGER!!!
★ many Brown nousfoni fall under RED/ ORANGE and THAT'S why they are so volatile & emotional???
★ Besides achromes, do some "pastels" hold "behavior" functions, if this color theory is correct? Could THEY be beneficial SOCIALS???
★ "WISE MIND" nousfoni are FUSION HUES like PURPLE!!!
"If you let your negative thoughts go unchallenged, then you will begin to feel negative emotions."
+ THAT is why we MUST fill our thoughts with the Word of God!!
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THOUGHT RECORDS
(originally written in realtime, as far as possible.)
SITUATION / EVENT = What was going on? Where were you? Who was there?
THOUGHTS = What went through your mind? How much did you believe those thoughts (0-100)?
FEELINGS / EMOTIONS = What emotions did you experience? How intense was each emotion (0-100)?
BEHAVIOR = How did you act? What did you do?
(092122)
#1
SITUATION =
+ Writing about lunch experience mistakes in journal
+ Alone, at unit table
THOUGHTS =
+ "I keep making such foolish decisions without thinking" (100)
+ "Why am I so ruled by compulsion and emotions?" (90)
+ I feel like I'm inherently broken" (70)
EMOTIONS =
+ Shame (100)
+ Anger (50)
+ Despair (30)
+ Numb (20)
BEHAVIOR =
+ Mood started to drop
+ Feeling self-loathing
#2
SITUATION =
+ Blood pressure taken by Chris w/ beard
+ IMMEDIATELY after journaling
THOUGHTS =
+ "I hope I'm being socially proper/ nice/ friendly/ agreeable/ entertaining enough"
+ He seems OK with us; I guess I'm not that bad after all"
EMOTIONS =
+ Happy (50)
+ Dissociated (60)
+ Anxious (30)
BEHAVIOR =
+ Smile
+ Forgot about problems
+ "Social mode"
#3
SITUATION =
+ Chris left, bluntly, after getting our blood sugar
+ We tried to sound like we were "knowledgeable"; mimicking his speech
THOUGHTS =
+ "Why can't I keep my dumbass mouth shut" (100)
+ "Stop being so proud & a kissass" (100)
+ "I hate how I act around people" (100)
EMOTIONS =
+ Anger (70)
+ AWFUL SHAME & humiliation (100)
+ Self-loathing (90)
+ Fear of rejection & disdain/ judgment (90)
+ Self-harm thoughts (60)
BEHAVIOR =
+ Wanted to hide away & dissociate
+ Wanted to ignore world
#4
SITUATION =
+ dinner out on the unit
+ person SCREAMING psychotically in adjacent ward like our brother used to
+ at table alone, with nurse & two other patients across room
THOUGHTS =
+ "That sounds just like our brother"
+ "God help that poor person"
+ "I'm scared of what this is making me remember"
+ "I feel unsafe"
+ "They can't hurt me though; they don't even know I'm here"
EMOTIONS =
+ Terror (85)
+ Panic (50)
+ Pity (80)
+ Fear (90)
BEHAVIOR =
+ Tried not to focus on it
+ Deep breathing
+ Closed eyes
+ Reminding myself "they can't get in here, they can't get at me"
+ Tried to stay grounded
(092622)
#1
SITUATION =
+ got a fluid tracking sheet as I went over the limit once
+ sitting at table, doing solo work
+ staff member walked up and gave it unannounced
THOUGHTS =
+ "I just won't drink ANY water then"
+ "I can't forgive myself for being so stupid & arrogantly thinking "I'd be fine" with drinking all that water last week"
+ "They'll never forget this. I'll never be forgiven."
+ "I feel SO ashamed & condemned/ humiliated"
EMOTIONS =
+ SHAME (100)
+ Despair (90)
+ Self-loathing (100)
+ Anger (85)
+ Sadness; disappointed (90)
BEHAVIOR =
+ Withdrew into self
+ Hid paper
+ Terrified TO drink water
+ Gave up hope of improvement
#2
SITUATION =
+ Art/ music group
+ At table, alone
+ Staff & patients nearby in room
THOUGHTS =
+ "Oh no, they're playing MORE triggering songs"
+ "I CANNOT cope with this"
+ "I'll never be able to get over this; it's too unavoidable & intense"
+ "I'm so scared; I want to run & hide"
+ "Why am I SO strongly disturbed by SOUNDS & music?"
EMOTIONS =
+ ABSOLUTE PANIC (100)
+ Terror/ dread (100)
+ Hatred (90)
+ Rage/ violence (80)
+ Despair/ hopeless (100)
+ Existential panic (100)
+ Self-hatred (95)
+ Numbness (90)
BEHAVIOR =
+ Want to throw up
+ Want to scream & sob
+ Want to run away & hide
+ Want to break the guitar
+ Want to die so I can be safe/ free
+ Shaking & dissociating
+ Hate self for being like this
+ Trying not to meltdown
+ Writing this so I can dissociate a bit
#3
SITUATION =
+ asked for milk option; chose a BIG fear food
+ Alone at table
+ Staff member asking
+ Art group nearby
THOUGHTS =
+ "I MUST stop being a coward & pick that fear food already"
+ "CHOCOLATE IS A SEX FOOD + TRAUMA"
+ "CHOCOLATE WILL KILL YOU + INFECT YOU"
EMOTIONS =
+ GUILT (100)
+ Self-hatred (1000)
+ Self-disgust (100)
+ Fear for life (90)
+ PANIC (100)
+ Despair (100)
BEHAVIOR =
+ Told myself I HAD to face it or it'd haunt me FOREVER as that "unconquered fear"
+ Almost died BUT I DRANK IT
(102122)
#1
SITUATION =
+ Asked for milk option; chose the EASY/ USUAL option
+ Alone at table
+ Staff member asking
+ Other patients just resting nearby
THOUGHTS =
+ "I don't know if I can handle that challenge today; I'm a bit stressed"
+ "YOU COWARD"
+ "STOP CHICKENING OUT AND FACE YOUR FEARS"
EMOTIONS =
+ RAGE (100)
+ Shame (100)
+ Guilt (100)
+ Anxiety (100)
+ (all this together was bad enough to make me shake)
BEHAVIOR =
+ Sat there & shook with anxious fear & guilty shame-panic for a few minutes
+ Decided I couldn't cope with the guilt; got up, went to staff, & picked the chocolate milk
#2
SITUATION =
+ Talking to nutritionist; mealplan increased; could choose either an extra CS or Ensure at each meal. Chose Ensure, then changed mind & chose CS. REGRETTED THIS.
+ In room with nutritionist & student assistant
THOUGHTS =
+ "Ensure will add sugar to EVERY meal, AND I'm still afraid it's "poison" from past illness"
+ "BUT an extra CS feels like gluttony/ binges"
+ "YOU F*CKING COWARD!!!"
+ "STOP RUNNING AWAY FROM SUGAR!"
EMOTIONS =
+ ABSOLUTE WRATH (1000)
+ PANIC (100)
+ Regret (100)
+ Guilt (100)
+ Shame (100)
+ LEGIT BLINDING INTENSITY
BEHAVIOR =
+ Freaked out at table; couldn't calm down
+ Got up & went to room; SELF-ABUSED!!!
+ Too angry to even let myself cry; did try
+ Staff came in; I told them the problem
+ Decided to stick it out until Monday, then tell team
(102322)
#1
SITUATION =
+ Before bed, looked at body in bathroom mirror; noticed the stomach is getting rounder & abdomen is thicker/ wider
+ In bathroom by my room
+ Alone
THOUGHTS =
+ "TBAS's body looks like this"
+ "It looks so feminine now; it's disgusting; it's so foreign & wrong"
+ "I don't want to look like a woman"
+ "I'm scared; is this my life now?"
+ "I look JUST LIKE my abusers now"
EMOTIONS =
+ DISGUST (100)
+ FEAR (100)
+ DESPAIR (100)
+ numb (90)
+ shame (90)
+ anger (80)
BEHAVIOR =
+ So disturbed & frightened that I went numb & dissociated HARD
+ Couldn't pull myself together; nearly forgot how to brush teeth
+ Kept having flashbacks; gave in to despair
+ Went to bed, feeling hollow & hopeless
(102422)
#1
SITUATION =
+ Kelsey asked for lunch exchanges; chose the HARD milk option, BUT chose an "easy" CS instead of "too much dessert" OR the suspectedly "self-abusive" Doritos
+ Alone at table
+ Art group nearby
THOUGHTS =
+ "Doritos will just spike my panic right now"
+ "Am I doing the wrong/ cowardly thing by NOT choosing Doritos again?"
+ "Dad ALWAYS serves crisps with burgers; this is good loving practice for THAT"
+ "Is choosing the easier option going to make me a runaway coward again?"
EMOTIONS =
+ Confusion (80)
+ Anxiety (90)
+ Shame (70)
+ Worry (95)
+ Hope (80)
+ Frustration (80)
+ Struggling to ALLOW choices that AREN'T blatantly stressful
BEHAVIOR =
+ Asked for reassurance on choice
+ Explained the motives of my choice & doubts as to their validity if they weren't a "challenge"
+ DIDN'T BEAT MYSELF UP!
+ Didn't fall into a second-guessing spiral!
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THOUGHT RECORD ASSESSMENT
Do you see any themes of patterns? Are there thoughts that appear many times?
LOTS of guilt/ shame, terror, rage, panic, humiliation, despair, self-hatred. OVERWHELM. Extreme emotional "yo-yo"-ing, catastrophizing, "perfectionistic" expectations-- things "only exist AS absolutes." Lack of self-integrity & stability; shutdown/ dissociation under stress. UNFORGIVING of own errors/ bad choices; "defining" self AS improper/ unwise decisions/ reactions.
How do I seem to see, or define myself?
Foolish, ignorant, helpless, "ruled by emotion," proud, "a kissass," "not nice enough," violent, manipulative, "socially unacceptable," "unwanted/ improper/ disgusting," constantly in danger, stupid, blind, uncaring, unforgivable, condemned, cowardly, hypocritical, cruel, selfish, "INHERENTLY BROKEN/ UNFIXABLE," BAD
How does this make me feel about myself?
Disgusted, hopeless, furious, HATEFUL. I have SO MANY OBJECTIVELY HARMFUL/ OFFENSIVE QUALITIES that WON'T GO AWAY, it seems IMPOSSIBLE to even TRY to "be good"; I'd just be a LIAR/ HYPOCRITE by "pretending NOT to be evil." I see myself as INHERENTLY, UNFIXABLY "BAD." And the worst part is I DON'T WANT TO BE, but I feel damned & stuck. It makes me suicidal on the worst days.
What assumptions might I have about other people & relationships?
Relationships can ONLY be "abusive" or toxic, BECAUSE OF ME. I ALWAYS damage/ abuse the other person until they hate me (rightfully) & cut off all contact. Relationships "only occur because you're trying to USE/ GET SOMETHING FROM the other person, by dishonestly "grooming" them to like you, blinding them to your corrupt motives & hidden cruel/ cold heart." OBJECTIFICATION!
How do these assumptions make me feel about other people & relationships?
Paradoxically, I WANT a relationship TO dote on someone & love them & live entirely for them, BUT THEY never want to meet that symbiotic yearning. They have "other interests" and I just become unwanted/ abusive from trying. I CANNOT "end a relationships" as I NEVER WANT TO so I get stuck even if they cast me off and/or neglect/ use me? I feel like a monster, bleeding them dry. BUT!!! I ALSO AVOID GENERAL SOCIAL INTERACTION because relationships are INHERENTLY INTIMATE & TOTAL; therefore ALL "casual interaction" is VIOLATION, abusive & terrifying & demanding ALL of me to be met with blithe emptiness. I LOSE MYSELF and CANNOT cope with the unrequited totality, OR the intensity OF giving it without intimacy? WHICH I STILL FEAR in those casual situations BECAUSE OF "ABSOLUTES"-- if they're NOT close NOW, then ALL "closeness" with them IS HOLLOW & FEELS LIKE RAPE.
How have your core beliefs & schemas influenced you (emotionally, physically, behaviorally, & socially)?
E= Chronic depression & rage; self-hatred; moral panic; no hope for real change; POLAR EXTREME emotional intensity
P= Isolating; want to "get rid of myself" (starving); self-abuse; wanting to be weak/ sedated/ "HARMLESS"
B= Perfectionistic people-pleasing; violently lashing out; try too hard OR give up; "good girl OR bad girl" (no middle ground)?
S= Avoiding all social interaction WHILE desperately WANTING to be superclose to people; either doting on or ignoring/ either adoring or resenting; "ALL OR NOTHING"
In what ways will you be more aware of your beliefs & schemas? What effect will this have?
Apparently, EVERYTHING is "black & white" for me. I need to learn HOW to see "gray" WITHOUT destroying my already-damaged moral compass.
★ I CANNOT "BE GOOD" IF I SEE MYSELF AS "IRREDEEMABLY BAD" & "UNFIXABLE; INHERENTLY BROKEN"-- and these two beliefs HAVE BEEN MADE UNTRUE BY THE DEATH OF CHRIST!!! His Cross CAN SAVE EVEN ME.
Identify some cognitive distortions in your thought record and list them.
- Only focusing on the bad
- Insisting that I, or something external, "must" or "should" be/ not be a certain way
- Assuming a catastrophic outcome (Negative consequence avalanches)
- Absolute self-judgments & condemnations
- Assuming I know how/ what others think
- Assuming that if I feel anxious I MUST be in trouble/ guilty
- Assuming that if I do/ don't do a certain action, a certain consequence WILL happen
What is the emotional affect these cognitive distortions have on you?
They make me MISERABLE! I feel incapable of doing well OR being good, causing despair/ self-hatred/ moral panic. I feel like I'm doomed to failure/ offense. I assume everyone is "secretly loathing me"? I feel like the weight of the world is on my shoulders. I'm paranoid, desperate, anxious, irritable, & cynical. I'm UNABLE TO "BE MYSELF" AT ALL! My emotions get STUCK in a negative tunnel-vision loop and eventually may numb out altogether, AND/OR EXPLODE.
How do these cognitive distortions affect your behavior?
I get VERY paranoid, rigid, & CONTROLLING, as well as perfectionistic? I try to "guess" EVERY possible threat, expectation, consequence, & obligation. I close out the world to avoid the constant stress. I dissociate & depersonalize, and resort to fawning & self-abuse. I avoid risks, I reject positivity, I procrastinate, I blameshift, etc. I'm a mess. I cannot think straight, and I CANNOT distinguish myself as a person! I'm a ball of nerves & rage & tears, and I CAN'T FUNCTION. (If I feel trapped/ threatened enough, I can ALSO give in to a blind reactive VIOLENCE.)
How do these cognitive distortions affect your sense of self?
It DESTROYS all sense of self, in truth-- I instead see "myself" as ONLY a conglomeration of "bad things," of sins & failures & offenses. I have NO "unique qualities," no goals or dreams, no hopes or interests-- the distortions turn me into a hollow "survival machine" seeing danger at every turn, yet "incapable of doing anything right." I feel DOOMED and therefore ALL "identity" is rejected & destroyed, except FOR anything destructive!! It's lethally ironic-- I BECOME" the distortions & disorder, once they "smother" everything of ME.
How do these cognitive distortions affect your relationships?
I can't maintain any, and WON'T make any. The distortions wrongly assume that EVERYONE is "abusive," in essence-- that they are constantly monitoring & judging my behavior, hate me/ are disgusted by me/ WILL punish or hurt me, etc. I assume that I CANNOT be a good influence to others, AND that others are "secretly out to take advantage of/ use/ destroy me"??? Thus assuming that ALL human contact will end in disaster/ abuse/ overwhelm, I avoid it completely. Relationships with family become strained & distant. Friendships implode.
Can you identify a strongly-held core belief of yours that may have influenced these distortions?
With relationships: "People only want me in order to use me"; "People only enter relationships/ talk to you in order to GET something from you." (Abuse/ Mom sourced)
In general: "I always mess up/ do things wrong"; "I am inherently a bad/ broken person"; "Trying to be my own person/ unique is WRONG/ SELFISH"; "I must always be useful"; "I must always be "appealing" to others"; "If I do one thing bad/wrong, it corrupts/ invalidates ALL the "good" I have ever done;" etc.
How will you be more aware of these distortions in the future? What impact will that have on your life?
First I MUST really look at those beliefs & find their roots! Then I can figure out WHY/HOW I developed those beliefs, ESPECIALLY under WHAT circumstances! Becoming aware of distortions AS distortions, in general, makes them easier to recognize. I must practice GENERATING & APPLYING healthy, positive, FACTUAL alternatives, REGULARLY, to diminish habits of distortion!
Did you learn anything about the way your brain works, or your style of thinking, from this process?
I CATASTROPHIZE A LOT!! I assume the "worst possible outcome." I ALSO beat myself up BRUTALLY, whenever I fail to meet my own perfectionist standards. I react based on emotionally-charged assumptions/ fears, instead of reasoning = I take my FEELINGS as facts, and they're typically VERY skewed, because I'm thinking of myself as inherently incompetent/ offensive/ helpless/ bad/ etc.
How can you remember to use CBT methods to challenge distorted thinking in everyday life?
LIVING AS OUR SYSTEM. We naturally "examine evidence" and "substitute" language; we use the "double standard" & "defining" methods in communication; we are brave enough TO "experiment," and being multiple ALWAYS involves us considering "cost-benefits"; "shades of gray," & "other possibilities," as well as "what-ifs." We're just learning how to "survey" outside!
In any case, though, regardless of applied methods, the infallible help is always PRAYER!!!!
What will get in the way of using these methods? How can you plan ahead to avoid these barriers?
GETTING SOLO-STUCK "DOWNSTAIRS." The BEST way to prevent/ break this is to KEEP UP REGULAR COMMUNICATION, so that it FINALLY becomes our DEFAULT again!! STILL, we ALSO NEED to find/ use TANGIBLE REMINDERS to "ping/ call" helpful people in tough situations. Regularly reviewing/ healing memories & mindsets is also vital, OUTSIDE of stressful times!
How does the new way of thinking, after challenging the old way, affect your emotions & behaviors?
IT STABILIZES our emotions, helps us control behavior, and generally restores our sense of selfhood. We're open & curious, ABLE to consider the bigger picture AND be compassionate with ourself. Negative emotions are SPOKEN TO AS PEOPLE, respected & heard & comforted, balancing their pain with hope WITHOUT rejecting their VALID REALITY! THEY are the keys to true & total healing; we MUST understand & work with them!
How does this new way of thinking impact your sense of self?
It ALLOWS us to exist AS THE FULL SPECTRUM, acknowledging ALL hues & opening doors of communication for them, giving us the opportunity to UNDERSTAND, COMMUNICATE, CONNECT, SYMPATHIZE, AND EMPATHIZE. By tuning into our TOTAL self & embracing ALL OF US, we CAN exist "outside" as well; the Socials are no longer tragically isolated & suppressed/ unhealthy!!
How would this new way of thinking influence your relationships?
By being open to such communication, understanding, & compassion, we CAN have healthy relationships in general, as we become empowered to face difficulties AND conquer/ assuage/ respect fears while honoring the needs of ALL involved! Treating ourself kindly, & thinking in a healthy manner, will also ENABLE us to be just as sincerely kind & compassionate to others, and to behave in a mutually healthy way-- no more toxic enabling!
What would life be like if you were able to consistently challenge your distorted thinking?
It would be so refreshing. We'd finally be "in control" of our thought processes, ABLE to CHOOSE how to respond, NOT REACT, in a sensible & beneficial & healthy way. We'd no longer be "enslaved" to negative assumptions & distortions. Our overall mindset will be brighter, clear, and full of hope & compassion. We will be more in touch with reality, AND our own beliefs/ thoughts! We will have a broader, wiser perspective. We will THRIVE.
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CORE BELIEFS & AUTOMATIC THOUGHTS
+ IRONICALLY, listing our automatic negative thoughts is a GREAT way to "lure out" COMPASSION as it "externalizes" them? Hides self-applicability. Reading them triggers instinctive consolatory/ merciful responses, NOT agreement!!! START THERE to build genuinely balanced core beliefs; THAT'S already proof of ROOTS!!
+ A negative core belief ALSO invalidates positive thoughts; seeks its OWN "evidence" AGAINST them, as to why they're not REALLY positive. e.g. "Knowing all that trivia IS stupid," etc. Like a BULLY. Pushes you around & mocks you baselessly. CRUEL & RUDE.
+ Negative beliefs ignore all contradicting evidence and that is a demonic DENIAL OF TRUTH!!
+ Everyone has their own "distorted lenses" through which they see the world, and so everyone sees their own "realities"-- BUT THAT DOESN'T MAKE THEM TRUE!!!
CHRIST IS TRUTH AND GUESS WHAT.
HE LOVES ALL OF US UNCONDITIONALLY.
THAT'S REALITY, DESPITE OUR FAILURES.
WE'RE ALL LOVED AND THERE IS HOPE & HEALING FOR EVEN THE MOST BROKEN.
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