Negative automatic thoughts

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Fictional case for peer practice.

CBTFictional

Negative automatic thoughts

A fictional client interprets a disappointing work review as proof of incompetence.

Client role brief

You received mixed performance feedback and now believe you are completely incapable.

Protects
Discounts positive feedback and overprepares.
Fears
Being exposed as incompetent.
Underneath
Disappointment and shame, and a wish to be seen as capable.

For the person playing the client: guard the first two, and let what is underneath show only when the therapist makes room for it.

Therapist objectives
  • Identify automatic thoughts
  • Explore evidence
  • Plan a behavioral experiment
Reflect afterward

What did you notice? Which response helped exploration? What would you try differently?

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