Dysfunctional Thought Record Guide
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ScribdTranslationsDysfunctional Thought Record Guide
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ScribdTranslationsEstefanía Cueto Castillo
Roleplay RPD
Therapist: Okay, we have already learned to identify automatic thoughts through the
cognitive model, okay?
Patient: That's right
Very well. There is a tool that will help us complement the previous exercise and the.
which will help you in future occasions with the dysfunctional thoughts that come to you
presenting. What we are going to learn today is the Dysfunctional Thought Record and
nos va a ayudar a través de diferentes pasos a realizar una modificación de esos pensamientos que
they generally make us uncomfortable or are unpleasant. It is important that we address it
practicing constantly and let me know if you have any questions, right?
Nod your head
At the beginning of the session, you mentioned that you had an unpleasant situation this week, is it
correct?
P: Yes, that is so.
I understand. I'm going to share a sheet where we will fill in the columns.
corresponding together using that event that happened this week, alright?
P: I think that's very good, I'm listening to you
First of all, if we look at the table, we find the first column 'date and time'.
Do you remember the day and approximate time of the event?
Yes, it was Saturday at 11 am
Alright, then help me write that information in the first column.
(writes)
Do you remember when we did the registration of the Cognitive Model? Where we made a
very brief description of the situation that caused us discomfort.
P: Yes, that's right
Let's say it's something very similar, if we observe, it's really easy to fill out.
this first column
P: Yes, it seems to be.
So you were telling me that what happened was that you agreed with your dad that he would take you to
a conference about your career and he did not arrive at the agreed time
Yes, and not only that, it made me miss the first 2 hours of the topics I wanted to attend.
the conference
I understand. So, in the ‘situation’ column we are going to summarize that event in words.
Estefanía Cueto Castillo
P: Ok (write)
T: Ready? Now let's move on to the third column 'automatic thought'. In this column what
What we will do is observe what is happening within our mind, it can be from something
memory, image, phrase, idea, etc. Could you describe what went through your mind at that moment?
Yes, I somewhat remember feeling very angry about my dad's tardiness.
T: Ok, I see that we are talking about the emotion you felt at the moment and which is more
easy to identify, we will address this point in the next column, okay?
Let us remember that automatic thinking is that which goes through our mind like that
example I was telling you about 'a person of academic excellence', their GPA at the time of graduation
9 instead of 10 was 'I'm a fool', just like the 3 examples we talked about regarding the boyfriends in the
movie. Do you remember it?
Yes, it's true. My thought was 'he/she doesn't take my things seriously.'
T: Ok. Now we have to rate that thought. From 0 to 10, how real is it?
This thought is for you?
An 8
T: Ok, now let's write the thought and the rating in the PA column
(writes)
Now that we have this column complete, let's move on to the emotion column which has been easy.
to acknowledge. Generally, it will happen this way; first, we will recognize the emotion and
after the thought, for which nothing happens and we can change the order a little.
Yes, I understand better the difference between thought and emotion.
Alright, anyway, if at any point you have a question, I will gladly help.
vamos a irlas resolviendo en tus sesiones
It's perfect
T: Let's continue. So the emotion you felt was anger
Yes, and also disappointment
I understand. How intense were they for you at that moment on a scale from 0 to 10?
I was really angry, I could say a 9 for both.
T: Ok, let's write them on the sheet
Now let's stop here for a bit, as for the next column 'alternate response'...
I have to explain the following: if we look below the table, there are some questions that
they are going to help us find that alternate answer
P: Yes, I'm already reading them while I listen to you.
Estefanía Cueto Castillo
It's very good, you're already getting an idea about the questions. Let's start with you
Talk about what evidence exists that the PA is true?
I remember that, since I was little, my mom has always made comments about my dad.
he is irresponsible, I confirm it because he always arrives late because of me, since he always says he has
things to do.
T: Ok. Do you think there is an alternative explanation for why dad doesn't take importance on
your activities?
P: Perhaps yes. I know my dad and I know that he has been very unpunctual all his life, not just with me, with
his own events, at work, with the family in general, etc.
T: Ok. What is the worst that happened?
Not reaching the conversation I wanted
The best?
Nothing really
What alternatives were available for you to get to the event?
P: I could have called him to ask how it was going, I didn't do it because I don't have the
enough trust
I could also take an Uber or ask a friend who also went to the conference to take us.
we would go together.
They are very good alternatives.
P: Yes, they are
Now let's see, what is the effect of believing in that thought?
A certain resentment towards my dad, I become irritable, I have a hard time.
T: Ok, now let's see, what do you think would be the effect of changing that thought?
Mainly not feeling angry and disappointed, I would improve my relationship with my dad from the
made the call to him and asked him, maybe also accepting that it is like this and that I have alternatives to
hello
Taking that into account, what should you do about it?
Improve communication with my dad definitely, not be so hard on him
If we realize, we already have a broader view of the situation. Now that we have
After completing the exercise, what would be your alternative response?
It got late for him, so it's no big deal, I have more options to get there. And it's really not
porque no le importe, solo puede llegar a ser impuntual
Let's write that answer in the column. How much do you believe in this alternative answer from 0 to 10?
Estefanía Cueto Castillo
We are going to give it a 7
Very well. Now tell me, how much do you still believe in the PA?
P: Now that we have developed more points about the evidence and lack of evidence, I believe that
is reduced to a 3
T: How intense is the emotion right now?
I give it the same grade.
T: Ok, let's note about the last column specifying Thought and Emotion with their
respective grades.
Finally, what will you do when a similar event occurs?
First I would like to talk to my dad and explain how this makes me feel and for another
Side, let's agree that when something similar happens, we communicate so that I can apply.
any alternative like the ones we discussed
Let's write this last part, please. Now that we have the complete picture, you are going to take it with you.
as homework this week, as it will help you practice it so that when you master it already
It is not necessary to resort to the RPD, but rather you can do it mentally, we will review it.
In each session, in case there are any doubts or comments regarding this, what do you think?
P: It's very good, I feel calmer now that we are working on this thought.
That's what matters. Do you have any questions about the picture?