Chronic Pain Thought Record
Trigger Situation Emotion(s) Intensity of Pain Negative Alternative Result
(0 - 10) (0 - 10) Thoughts/Images Perspective
(0 - 10)
Describe what was going on, Describe what you felt at that Rate intensity of pain from 0 (no Describe what you were thinking Consider another perspective. Is What could say, imagine, or do
where were you, when did it time pain at all) to 10 (intense pain) or what bothered you. this another perspective a fact or differently to cope?
happen, who you were with? opinion?
How intense was the emotion? Describe what those thoughts Describe what helped or would
mean to you and what they say What would someone else say have helped?
about you or the situation. about this situation? What
advice would you give to
What is the worst that can someone else in this situation?
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