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Symptom Monitoring: Basic Form
(Click here to view an example of a completed form.)
Trigger
(Internal or External):
Automatic Thoughts
(Things that I Assume are True) (% out of 100%):
Discomfort Level (0-10):
Behavior
(Things I Did; Things Observable to Others):
Dispute the Automatic Thoughts
(Possible Alternative Viewpoints):
Discomfort Level:
New Behavior or Plan of Action:
(i.e. Fight Maladaptive Thoughts &/or Engage in Pro-Active Behavior):