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by John W. Ludgate, PhD
by John W. Ludgate, PhD

CBT Resources for Therapists: Handouts, Worksheets, and Forms to Enhance Your Practice

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Order Code :CRT
2021  134pp   ISBN: 9781568872247
• 8½" x 11" paperback

Dr. John Ludgate has come up with more than 60 reproducible handouts, worksheets, and forms for therapists and clients alike.  Following the skill-development focus of Cognitive Behavioral Therapy, homework assignments are an intrinsic part of CBT practice.  The homework assignments and handouts facilitate learning and generalization of skills that are helpful in reducing distress or changing behaviors.  Each section describes: who the resource is applicable to, when in therapy it is introduced, how to introduce it to the clients, how to deal with common problems that may come up, and recommended additional resources for therapists and clients.  Book also includes a link for purchasers to download reproducible materials and audio recordings for personal use, or for use with individual clients.

"In clear, simple language, John Ludgate lays out the basic principles of Cognitive-Behavior Therapy and describes a wide range of problems for which CBT is useful.  Better yet, he provides a treasure trove of worksheets and forms to help practitioners and clients deal with life’s problems more effectively.  I highly recommend this book, written by one of CBT’s master clinicians and trainers."
     -Scott Temple, PhD, Clinical Professor, Departments of Psychiatry & Medicine, University of Iowa Hospitals & Clinics

"Clinicians have been gifted this masterfully created collection of handouts, broken down with clinical explanations and detailed instructions, to maximize the effectiveness of the homework and in-session procedures used in CBT.  This allows clinicians everywhere to share the benefits of these pre-created and succinct handouts with their clients as they embark together in the treatment process."
     -Susan D. OldenKamp, LCPC, NCC, Founder of the CBT Center of Idaho, Certified CBT Diplomate of the Academy of Cognitive Therapy

"John Ludgate has compiled a treasure trove of clinical handouts and worksheets suitable for the CBT-oriented clinician.  This wonderful resource offers materials for supporting therapeutic change that are practical and user-friendly.  I enthusiastically recommend it."
     -R. Trent Codd, III, EdS, Executive Director, CBT Counseling Centers; VP of Clinical Operations - NC, Refresh Mental Health

Table of Contents

Section 1Handouts and Worksheets for General CBT Practice

Orientation to Cognitive Behavior Therapy
Establishing Treatment Goals
Establishing Motivation for Change
Conducting CBT Session by Session

Section 2Handouts and Worksheets for Cognitive Interventions

Identifying Thoughts
Evidence Review
Generating Alternatives
Working with Distortions
Costs and Benefits of Thoughts
Putting it All Together

Section 3Handouts and Worksheets for Behavioral Interventions    

Behavioral Activation
Pleasure Scheduling
Graded Task Assignment
Problem Solving

Section 4Handouts and Worksheets for Other Common Problems

Relapse Prevention
Arousal Reduction Methods
Dealing with Anxiety-Provoking Thoughts
Self-Criticism vs. Self-Compassion

Appendix:  Recommended Apps and Further Training

References and Recommended Reading

The following items are available via download link included in book.


01 - A Guide to Cognitive Behavior Therapy (Handout)
02 - Treatment Goals (Checklist)
03 - Need for Change Questionnaire
04 - No Change Benefits/Costs Worksheet
05 - Change/Modifying Benefits/Costs Worksheet
06 - Session Outline (Guide for client)
07 - CBT Session Notes (Progress notes for chart)
08 - Session Feedback (Questionnaire)
09 - Homework Summary (Questionnaire)
10 - Homework Record (Form)
11 - Homework Difficulties (Checklist)
12 - Therapy Preparation Sheet (Form)
13 - Negative Automatic Thoughts (Handout)
14 - Identifying Thoughts (Worksheet)
15 - Reviewing the Evidence (Worksheet)
16 - Generating Alternatives (Worksheet)
17 - Nine Ways to Make Yourself Miserable; Recognizing Distortions (Handout)
18 - Recognizing Distortions in Thinking (Worksheet)
19 - Analyzing the Effects of Thoughts/Beliefs (Worksheet)
20 - Questioning Thoughts (Worksheet)
21 - Answering Negative Thoughts (Worksheet)
22 - Ruminations (Handout)
23 - Rumination Diary (Worksheet/chart)
24 - Costs and Benefits of Rumination (Worksheet)
25 - Response to Ruminations (Worksheet)
26 - Activating Yourself (Handout)
27 - Mood and Activity Record (Chart)
28 - Activity Scheduling (Chart)
29 - Accomplishment and Pleasure Chart
30 - Increasing Pleasurable Activities (Form)
31 - Pleasurable Activities Checklist
32 - Setting Up a Plan for Increasing Fun or Pleasurable Activities (Handout)
33 - Graded Task Assignment (Worksheet)
34 - General Problem-Solving Procedure (Form)
35 - Recovery and Relapse (Handout)
36 - Goal Setting and Review of Therapy (Worksheet)
37 - Early Warning Signs of Relapse (Checklist)
38 - My Plan for Recognizing and Dealing with Setbacks (Worksheet)
39 - The Benefits of Learning Relaxation Techniques (Handout)
40 - Progressive Muscular Relaxation (Handout/Instructions to accompany audio recording)
41 - Tips for Getting the Most Out of Your Relaxation Practice (Handout)
42 - Relaxation Record (Chart)
43 - Breathing Exercises to Create Calm and Relaxation (Handout)
44 - Visualization Exercises (Handout)
45 - Applying Relaxation Strategies in 1 to 2 Minutes (Handout)
46 - Worry Control (Worksheet)
47 - De-catastrophizing (Worksheet)
48 - Guidelines for Dealing with Anger (Handout)
49 - Early Warning Signs of Anger (Worksheet)
50 - Anger Diary (Chart)
51 - Answering Negative Thoughts (Worksheet)
52 - Coping with Anger: Your Personal Plan (Worksheet)
53 - Guidelines to Assertive Behavior (Handout)
54 - Self-Esteem Assessment Questionnaire
55 - Self-Description (Form)
56 - Checklist of Strengths
57 - Improving Self-Worth (Form)
58 - Positive Daily Log (Chart)
59 - Changing Your Negative or Prejudiced View of Yourself (Handout)
60 - Keys to Self-Compassion (Handout)
61 - Steps to Self-Compassion (Handout)


Progressive Muscle Relaxation
Mindfulness Practice
Compassion and Acceptance Practice

About the Author
John Ludgate, PhD, is a licensed psychologist who has worked as a psychotherapist for almost 30 years. He currently works at the CBT Center of Western North Carolina, located in Asheville, NC. He specializes in treating mood, anxiety, relationship, and psychosexual disorders. As well as having an active clinical practice, he is involved in training and supervision in CBT. He obtained a Bachelor’s degree in Psychology from Trinity College, Dublin; a Master’s degree in Clinical Psychology from University of Edinburgh in Scotland; and a PhD from Trinity College, Dublin.  He trained at the Center for Cognitive Therapy under Dr. Aaron Beck, the founder of Cognitive Therapy, obtaining a Post-Doctoral Fellowship in Cognitive Therapy from the University of Pennsylvania in 1986. He subsequently became Assistant Director of Training at Dr. Beck’s Center. In the early 1990s, Dr. Ludgate was a Research Clinical Psychologist at the University of Oxford in England and served as a cognitive behavioral therapist in several outcome studies of panic disorder, agoraphobia, social phobia, and hypochondriasis. He subsequently worked as a clinical psychologist in state agencies and private practice. Dr. Ludgate’s first published books were Maximizing Psychotherapeutic Gains and Preventing Relapse in Emotionally Distressed Clients (1988), and Cognitive Therapy with Inpatients: Developing a Cognitive Milieu (co-edited with Aaron Beck and others, 1990). Other books he has authored include Cognitive-Behavioral Therapy and Relapse Prevention for Depression and Anxiety (2009); and Heal Your Self: A CBT Approach to Reducing Therapist Distress and Increasing Therapeutic Effectiveness (2012).  He has co-authored several other books including Overcoming Compassion Fatigue: A Practical Resilience Workbook (Teater & Ludgate, 2014); Teaching and Supervising Cognitive Behavioral Therapy (Sudak et al., 2015); and CBT Couples Toolbox (Ludgate & Grubr, 2018).  He has written numerous journal articles and book chapters in the field of cognitive behavior therapy for anxiety and depression. He has presented many seminars and workshops on cognitive behavioral approaches, both nationally and internationally. He is a Founding Fellow of the Academy of Cognitive Therapy and serves on the credentialing committee of the Academy.

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