> ## Documentation Index
> Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt
> Use this file to discover all available pages before exploring further.

# CBT and behavioral worksheets

> Thirteen worksheets covering thought records, behavioral activation, exposure, problem solving, values, and the in-session SUDS check-in — when each one earns its place.

This is the part of the Rivet template library that does most of the day-to-day
work of CBT and behavioral therapy. Thought records, behavioral experiments,
exposure logs, activity check-ins, values clarification, sleep and mood
tracking, the SUDS check-in you reach for after a grounding exercise. The
worksheets you've been printing for fifteen years, now one tap inside the
session.

None of these are screening measures. There's no total score, no severity
band, no async send-to-client psychometrics to worry about. They're clinical
worksheets — structured space for a specific intervention.

## What's in this group

<CardGroup cols={2}>
  <Card title="Thought record" icon="lines-leaning" href="/clinical-templates/cbt/thought-record">
    The foundational Beck 5-column cognitive restructuring worksheet.
  </Card>

  <Card title="Distortion check" icon="list-check" href="/clinical-templates/cbt/distortion-check">
    Eleven common thinking patterns, checkbox grid, plain-language definitions.
  </Card>

  <Card title="Activity check-in" icon="check" href="/clinical-templates/cbt/activity-check-in">
    Behavioral activation — one activity, mastery and pleasure ratings.
  </Card>

  <Card title="Behavioral experiment" icon="flask" href="/clinical-templates/cbt/behavioral-experiment">
    Bennett-Levy five-stage experiment design and review.
  </Card>

  <Card title="Exposure log" icon="stairs" href="/clinical-templates/cbt/exposure-log">
    Single-exposure SUDS triplet — predicted, peak, end.
  </Card>

  <Card title="Problem solving" icon="puzzle-piece" href="/clinical-templates/cbt/problem-solving">
    D'Zurilla five-stage structured problem-solving worksheet.
  </Card>

  <Card title="Values clarification" icon="compass" href="/clinical-templates/cbt/values-clarification">
    ACT values across eight life domains, importance and alignment.
  </Card>

  <Card title="Stuck point log" icon="anchor" href="/clinical-templates/cbt/stuck-point-log">
    CPT stuck-point identification and Socratic challenge.
  </Card>

  <Card title="Mood diary" icon="chart-line" href="/clinical-templates/cbt/mood-diary">
    Sub-twenty-second daily mood capture with optional sleep and context.
  </Card>

  <Card title="Sleep diary" icon="moon" href="/clinical-templates/cbt/sleep-diary">
    Consensus Sleep Diary single-day entry for CBT-I.
  </Card>

  <Card title="SUDS check-in" icon="gauge" href="/clinical-templates/cbt/suds-check-in">
    Before and after distress rating across one intervention.
  </Card>

  <Card title="Self-compassion break" icon="hand-holding-heart" href="/clinical-templates/cbt/self-compassion-break">
    Neff's three-component mindfulness, common humanity, self-kindness exercise.
  </Card>

  <Card title="Target identification" icon="crosshairs" href="/clinical-templates/cbt/target-identification">
    EMDR Phase 3 assessment — image, NC, PC, VOC, emotion, SUDS, body sensation.
  </Card>
</CardGroup>

## In-session or as homework

Most of these worksheets work in either mode. The split that matters in
practice:

| Worksheet             | Typical in-session use                        | Typical homework use              |
| --------------------- | --------------------------------------------- | --------------------------------- |
| Thought record        | Walk through one example                      | 3-7 entries per week              |
| Distortion check      | Quick pattern call during thought-record work | Recognition aid between sessions  |
| Activity check-in     | Review yesterday's activities                 | One activity per day              |
| Behavioral experiment | Design together                               | Execute, log, bring back          |
| Exposure log          | In-vivo work during the session               | Each between-session attempt      |
| Problem solving       | Define and brainstorm together                | Implement first step              |
| Values clarification  | Domain-by-domain in session                   | Reflection between sessions       |
| Stuck point log       | Socratic challenge in-room                    | Sometimes assigned for practice   |
| Mood diary            | 20-second opener                              | Daily, ideally same time each day |
| Sleep diary           | Review patterns                               | Daily for 1-2 weeks of baseline   |
| SUDS check-in         | Before/after one in-session intervention      | Rarely homework                   |
| Self-compassion break | Brief 5-10 minute exercise                    | When self-criticism arises        |
| Target identification | EMDR Phase 3 at session start                 | Never homework                    |

## When to pull one mid-session

In a video session, open the picker from the top-right corner
(**Clinical templates ▾**); outside a session, from the **+** menu or the client's
record. The CBT and behavioral group is one tap. Pick the worksheet and fill
it as the session goes — you fill the fields as the client talks, and the
client doesn't see it. It's a practitioner-side workspace.

## As homework between sessions

The send-to-client flow is reserved for screening and outcome measures
(PHQ-9, GAD-7, the trauma instruments). These worksheets aren't sent as
an async link — the clinical model is that the client fills them on paper
or in their own notes app and brings the content into the next session.
That's the mode the underlying interventions were designed for.

If you want the client to capture their own thought records or activity logs
between sessions, the most common pattern is a shared note tool the client
already uses (Apple Notes, Google Keep, a paper notebook). The Rivet template
becomes the in-session review surface — you re-enter the content with them,
which has its own clinical value (re-engagement, organization, the
Socratic-ness of redoing the work together).

## The ACT and self-compassion process measures

These three are questionnaires rather than worksheets — they measure a process
you are working on rather than structuring the work itself. They sit here
because the work they track is done with the worksheets above.

<CardGroup cols={2}>
  <Card title="AAQ-II" icon="chart-column" href="/clinical-templates/cbt/aaq-ii">
    Psychological inflexibility — the dominant ACT process measure. Clinical cutoff at 24.
  </Card>

  <Card title="CFQ-7" icon="chart-column" href="/clinical-templates/cbt/cfq-7">
    Cognitive fusion — how entangled a client is with their own thoughts. Elevated from 28.
  </Card>

  <Card title="SCS-SF" icon="chart-column" href="/clinical-templates/cbt/scs-sf">
    Neff's Self-Compassion Scale, short form. Six subscales, higher meaning more self-compassion.
  </Card>
</CardGroup>

## What lives elsewhere

A few worksheets that look like they'd belong here actually sit in adjacent
groups:

* **Calm place, Container, Body scan, Future template** — EMDR resourcing and
  closure. See the [EMDR templates group](/clinical-templates/emdr/overview).
* **Safety plan** — Stanley & Brown 6-step suicide-risk safety plan. See the
  [Crisis group](/clinical-templates/crisis/safety-plan).
* **PCL-5, ITQ, CPSS-5, BSL-23** — trauma-symptom self-reports. See the
  [screening group](/clinical-templates/screening/overview).

## Related articles

<CardGroup cols={2}>
  <Card title="In-session administration" icon="play" href="/clinical-templates/in-session-administration">
    The mechanics of opening a template inside a video session.
  </Card>

  <Card title="Measurement-based care" icon="chart-line" href="/measurement-based-care/index">
    How outcome measures (PHQ-9, GAD-7) work alongside these worksheets.
  </Card>
</CardGroup>
