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Automatic thought record

Identify triggers, automatic thoughts, and balanced alternatives — with examples that reflect family pressure and shame.

When to use: After a distressing interaction, rumination spike, or shame-heavy moment — in session or as between-session homework.

Clinician tip: Normalize family-duty and reputation themes; avoid framing balanced thoughts as ‘choosing self over family.’

Identify triggers, automatic thoughts, and balanced alternatives — with examples that reflect family pressure and shame. Use the worksheet in session or as homework. Preview the layout on the right — tap it or choose View full preview below for the complete on-screen version.

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Write what happened in plain language. Automatic thoughts are often harsh, absolute, or shame-based ("I failed everyone"). A balanced thought is fair, flexible, and actionable — it does not have to sound cheerful.

Common triggers in our community: disappointing parents, comparison with cousins, visa or career uncertainty, caregiving overload, marriage pressure, or hiding struggle to protect family reputation.

Situation / triggerAutomatic thoughtFeeling 0–10Evidence for / againstBalanced thought

Worked example (you may delete before printing for a client)

Aunt asked why I'm not married yet at a family dinner."Everyone thinks I'm a failure. I'm letting my parents down."8 — shame, heat in faceFor: I felt judged. Against: One comment ≠ whole family; I am employed and caring for my parent."This hurt. I can set a boundary and still respect my family."

Re-rate feeling (0–10) after the balanced thought: ______

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Disclaimer: For professional use in your practice only. Not emergency care. Not legal or medical advice. Customize templates for your jurisdiction and ethics code. You may use with clients; do not resell or republish as your own product without permission.