23 Homework

Purpose: Identify and gently challenge underlying beliefs driving chronic worry, and build cognitive flexibility.

Part 1. Track Your Thoughts for Belief Clues

  • Identify 2–3 moments when anxiety was triggered.
  • Write down the thought and ask: “What belief would make this thought feel true?”
    • Optional: Consider an alternate, more flexible belief.
      • Example situation: Child has a meltdown.
        • Thought: “What if something’s wrong and I missed it?”
          • Underlying Belief: “If I don’t catch a problem early, I’m a bad mother.”
            • Alternate Belief: “Parenting is full of uncertainty; being present matters more than perfection.”

Part 2. Flexible Reframing in Real Time

  • Pause when noticing anxious thoughts and ask:
    • Is this 100% true?
      • What would I tell a friend in this situation?
      • Is there a more compassionate/flexible perspective?
    • Example: “Worrying doesn’t give control; it causes exhaustion. I can care without rehearsing every disaster.”

Part 3. Reflect in Writing (Optional)

  • Choose one situation where you applied flexible thinking and write a brief reflection:
    • What happened?
    • Underlying belief?
    •  Response?
    • How it felt afterward?

Part 4. Prepare for Next Session

  • Notes on 1–3 thoughts tracked with underlying beliefs.
  • Any attempts at flexible reframing.
  • Questions or reactions to the process.
  • Observations from PMR practice, worry time, and journaling.
  • Workbook Reading: Review Session 5

Optional Reflection:

  • Consider: What do you want to believe about yourself and what thoughts will support the development of healthy beliefs?

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Manualized CBT for Treating Anxiety Copyright © 2026 by Michael Campbell, Ashley Toland, and Elizabeth Ruegg is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.