> ## 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.

# Thought record

> Beck's 5-column cognitive restructuring worksheet — situation, thought, evidence, balanced thought, re-rating.

The thought record is the central CBT intervention. A trigger happened, an
automatic thought followed, an emotion landed — and you sit with the client
to examine the evidence, write a more even way to look at it, and re-rate
the belief and the feeling. Beck published this in 1979 and it still does
most of the work of cognitive restructuring forty-five years later.

Rivet uses the 5-column version (10 fields, four sections) in plain
client-facing language.

## What it captures

Four sections, each one a discrete piece of the cognitive model.

### Situation

A single textarea — *What was happening?* The trigger event, in the client's
own words. The anchor for everything that follows.

### Your thought and feeling

Four fields:

* The emotion, named simply
* Emotion intensity, 0-10 slider (none → worst)
* The automatic thought — the actual sentence that went through their mind
* Belief in the thought, 0-10 slider (not at all → completely)

The belief rating is the number that has to move.

### Examine the evidence

Three textareas:

* What points to the thought being true
* What points the other way
* A more even way to look at it — the balanced thought

The order matters. Evidence-for goes first deliberately. Asking what's *true*
about the thought before challenging it keeps the work non-invalidating, which
matters for clients who hear "let's challenge that thought" as "you're wrong
to feel that way."

### After

Two sliders:

* Belief in the balanced thought, 0-10
* Emotion intensity now, 0-10

If both moved, the restructuring landed. If neither moved, the thought wasn't
the right target — or the work is just starting.

## When to use it

Introduced session 2-4 of CBT after psychoeducation about the cognitive
model. Done as homework between sessions (3-7 entries per week is typical),
then reviewed at the top of the next session. Returned to repeatedly over a
12-20 session course — the same client may complete 30-60 records across
treatment.

In-session use is for the first few — you walk through one example with the
client to teach the structure. After that, the work is between sessions, with
the in-session time spent reviewing what the client brought.

## In-session mechanics

Open **Thought record** from the top-right corner (**Clinical templates ▾**). As the client describes the situation,
type into the situation field. As they describe the thought, the
automatic-thought field. The sliders are a natural conversation prompt —
*"how much did you believe that thought, zero to ten?"*

The whole record copies to the clipboard from the response detail. Paste it
into your session note and the thought record becomes part of the documentation
without any retyping.

## Citation

Beck, A. T. (1979). *Cognitive Therapy of Depression.* Guilford Press.

Modern canonical reference: Beck, J. S. (2020). *Cognitive Behavior Therapy:
Basics and Beyond* (3rd ed.). Guilford Press.

The 5-column thought-record structure is published clinical method,
uncopyrightable. All field labels and prompts in Rivet's thought record are
original — plain-language phrasing ("What was happening?", "A more even way
to look at it") was chosen deliberately over clinical-jargon style
("Situation", "Alternative Response") for trauma-informed-design fit.

## When not to use it

* **Acute trauma processing.** Cognitive restructuring of a fresh trauma
  memory can feel invalidating and is usually contraindicated until later in
  trauma-focused treatment. Use the [stuck point log](/clinical-templates/cbt/stuck-point-log)
  inside CPT, or shift to a trauma-specific modality (EMDR, PE, NET).
* **Strong emotion is still active in the room.** If the client is too
  flooded to engage the rational examination, do a grounding piece first
  (the [SUDS check-in](/clinical-templates/cbt/suds-check-in) before and
  after a brief grounding can scaffold this) and come back to the record
  when the client is regulated.
* **The thought is true.** The point of the worksheet is to test whether a
  thought is balanced, not to talk a client out of accurate appraisals.
  Problem solving or values work is often a better fit.

## Related articles

<CardGroup cols={2}>
  <Card title="Distortion check" icon="list-check" href="/clinical-templates/cbt/distortion-check">
    Eleven common thinking patterns the automatic thought might fit.
  </Card>

  <Card title="Behavioral experiment" icon="flask" href="/clinical-templates/cbt/behavioral-experiment">
    When the thought has a testable real-world prediction.
  </Card>

  <Card title="Stuck point log" icon="anchor" href="/clinical-templates/cbt/stuck-point-log">
    The CPT cousin for trauma-related stuck beliefs.
  </Card>
</CardGroup>
