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Challenging Beliefs Worksheet

CPT's integrative A–G worksheet — situation to new belief

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The integrative worksheet — A through G. Use one sheet per stuck point. Move through the columns in order; the last two are where the new belief lives.

A
Situation

What happened?

B
Stuck point / thought

The belief connected to the situation. Rate how strongly you believe it (0–100%).

Belief in B (%)
none
1
2
3
4
5
6
7
8
9
10
most
C
Emotion(s)

Name the feelings. Rate each 0–100%.

D
Challenge the thought

Use the Challenging Questions and Patterns of Problematic Thinking to test the belief.

E
Problematic patterns

Which patterns is this stuck point falling into?

F
Alternative thought

A more balanced statement based on what you wrote in D. Rate how strongly you believe it now (0–100%).

Belief in F (%)
none
1
2
3
4
5
6
7
8
9
10
most
G
Re-rate

Re-rate belief in B and the emotions in C now.

Belief in B now (%)
none
1
2
3
4
5
6
7
8
9
10
most
Emotion intensity now (%)
none
1
2
3
4
5
6
7
8
9
10
most

References & further reading

Conceptual background and further reading, not validation of this handout. Named instruments and methods belong to their original authors; custom prompts and trackers are not validated versions of those instruments.

  • Resick, P. A., Monson, C. M., & Chard, K. M. (2017). Cognitive Processing Therapy for PTSD: A Comprehensive Manual. Guilford Press.
© 2026 TherapistAssist · For clinical use · Not a substitute for assessment
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About this worksheet

The Challenging Beliefs Worksheet is the integrative tool that carries CPT through its final phase, sessions 8 to 12 of the standard protocol. It pulls everything earlier in CPT into a single page: an activating event (A), a stuck point (B) with its initial belief strength, the feelings that follow (C), the challenging questions that examine the belief (D), the problematic-thinking patterns at play (E), an alternative more balanced thought (F), and the re-rated feelings and belief strength (G). The structure looks busy on first sight, but it's the worksheet that reliably produces shifts in stubbornly held over-accommodated beliefs about safety, trust, power, esteem, and intimacy — the five themes CPT returns to throughout the protocol. Standard practice is one Challenging Beliefs Worksheet per day across the final five sessions, working through the five themes in turn. Pair with the second Impact Statement at session 12 to make change visible to the client.

When to use it

  • Sessions 8–12 of standard CPT, after Patterns of Problematic Thinking is introduced.
  • Daily homework, with the focus rotating through the five CPT themes (safety, trust, power, esteem, intimacy).
  • When a stuck point hasn't moved despite Challenging Questions work — the integrative format often shifts what the simpler worksheets couldn't.
  • Also useful outside CPT for senior CBT work on entrenched core beliefs, though the language and structure are CPT-specific.

How to use it

  1. 1
    Carry forward a stuck point

    From the log. Rate initial belief strength 0–100 and current emotion 0–100 — these are your baselines for column G.

  2. 2
    Run the challenging questions (D)

    Either summarize from a recent Challenging Questions Worksheet or run a fresh quick pass. Don't skip — this column does most of the work.

  3. 3
    Tag the problematic patterns (E)

    Mark every pattern that fits. Pattern awareness is what makes the new belief stick beyond this single instance.

  4. 4
    Write an alternative belief (F)

    Not the opposite — a more balanced, defensible version. 'I have to be perfectly safe' becomes 'I can take reasonable precautions and still live.'

  5. 5
    Re-rate emotion and belief strength (G)

    Same 0–100 scales as column A. Track movement across the week. By session 12, most stuck points should drop meaningfully — even 20 points is clinically significant.

Frequently asked questions

What do the columns A through G stand for in the Challenging Beliefs Worksheet?+

A = activating event, B = stuck point (with initial belief strength), C = feelings (with initial intensity), D = challenging questions, E = problematic thinking patterns, F = alternative balanced thought, G = re-rated feelings and belief strength. It integrates every earlier CPT worksheet.

How is this different from the Challenging Questions Worksheet?+

The Challenging Questions Worksheet is a focused 10-question disputation of a single belief. The Challenging Beliefs Worksheet wraps that disputation inside a full A–G structure that also tracks patterns, alternative thought, and outcome. It's the integrative late-protocol tool; Challenging Questions is the mid-protocol training tool.

How many Challenging Beliefs Worksheets should a client complete?+

Standard CPT assigns one per day from session 8 through session 12 — roughly 25 to 35 across the final phase. Rotating through the five themes (safety, trust, power, esteem, intimacy) helps ensure even coverage.

What if the alternative belief in column F still feels false to the client?+

Common. Rate it 0–100 — even a belief the client only half-buys (say, 40/100) is doing useful work and tends to gain strength with repeated worksheets. Don't force a high rating; track the trajectory over the week instead.

Worksheet — Challenging Beliefs Worksheet — provided by TherapistAssist for clinical use. Not a substitute for assessment or treatment.