Thought Labeling: CBT Exercises, Worksheets, Videos

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Work step-by-step through the Self-Monitoring & Awareness exercise with the virtual coach.

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Introduction

A single sentence can masquerade as hard fact when it’s really just a “what-if.” By labeling each thought the moment it appears as Fact, Opinion, Prediction, Judgment, Memory, or Plan, you create a split-second of distance. That pause (called decentering) drops emotional intensity and primes the brain for accurate problem-solving.

Self-Monitoring and Awareness: Thought Labeling fine-tunes the Automatic Thought Log (SM1) by tagging each thought for what it is, not what it claims to be.
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Instructions

Goal: Label 10 thoughts per day for one week.
Time per label: Approximately 30 seconds.

Step 1: Pull a Thought
Use your Automatic Thought Log or catch a fresh thought in real time.
Short, verbatim wording works best.

Step 2: Choose a Label
Pick the best fit from the list: Fact · Opinion · Prediction · Judgment · Memory · Plan.
When in doubt, ask: “Could a camera confirm this?”

Step 3: Mark Emotion (0–10)
Write the feeling associated with the thought and rate its intensity from 0 to 10.
Spikes show which labels hit hardest.

Step 4: Note Action Urge
Record the impulse the thought sparked. Argue, avoid, scroll, snack, etc.
This helps build awareness for future behavioral skills.

Step 5: Tally Patterns
At the end of the day, count how many of each label you used.
Your most common type is your prime “distortion arena.”

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Worksheet & Virtual Coach

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FAQs

Why label the thought first instead of challenging it right away?

Research shows that simply categorizing a thought reduces extreme emotional reactions and overthinking (Fresco et al., 2007). We will focus on challenging the thoughts in the Cognitive Restructuring exercises later on.

Isn’t everything a mix of fact and opinion?

Sure! But pick the dominant element. “My boss frowned, so I’ll be fired” → Fact (frowned) + Prediction (fired). Label the prediction; we rarely react to the fact alone.

What if I overthink the label?

Go with your gut in under five seconds. Speed trains automatic meta-awareness.

Do I need all six labels?

Start with the list above. If another category pops up often (e.g., Catastrophe), add it. Just keep the total under eight so the system stays quick.

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Disclaimer

If you have any behavioral health questions or concerns, please talk to your healthcare or mental healthcare provider. This article is supported by peer-reviewed research and information drawn from behavioral health societies and governmental agencies. However, it is not a substitute for professional behavioral health advice, diagnosis, or treatment.

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