Daily Mood Log Template
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1
2Daily Mood Log
Step One: Describe the upsetting event: __________________________________
____________________________________________________________________
Step Two: Record your negative feelings – and rate each one from 0 (least) to 100
(most). Use words like sad, anxious, angry, guilty, lonely, hopeless, frustrated, etc.
E
R
E
R
E
R
MOTION
ATING
MOTION
ATING
MOTION
ATING
1.
3.
5.
2.
4.
6.
Step Three: The triple-column technique
Automatic Thoughts
Distortions
Rational Response
Write your negative
Identify the distortions in
Substitute more realistic
thoughts and estimate your
each Automatic Thought.
thoughts and estimate your
belief in each one (0-100)
belief in each one (0-100)
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Parent category: Medical