Automatic Thoughts Questionnaire

1 Medical and Social ServicesMedical and Social ServicesMedical and Social TOOLC ognitive Behavioral Therapy WorksheetAutomatic Thoughts I feel like I m up against the I m no Why can t I ever succeed?4. No one understands I ve let people I don t think I can go I wish I were a better I m so My life is not going the way I want it I m so disappointed in Nothing feels good I can t understand this I can t get What s wrong with me?15. I wish I were somewhere I can t get things I hate I m I wish I could just What s the matter with me?21. I m a My life is a I m a I ll never make I feel so Something has to There must be something wrong with My future is It s just not worth I can t finish 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4

2 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 5 Name: _____ Date: _____Instructions:Listed are a variety of Thoughts that pop into people s heads. Please read each thought and indicate how frequently, if at all, the thought has occurred to you over the past week. Please read each item carefully and circle the appropriate answers on the answer sheet in the following fashion: 1 = not at all 2 = sometimes3 = moderately often4 = often5 = all the timeFor more information, contact your local mental health authority or behavioral health