OCD Change Record
The purpose of this exercise is to identify and alter the negative thinking and behavioural patterns that maintain intrusive thoughts, obsessions and compulsions. Complete all sections of the exercise before submitting your results. You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email.
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1. Trigger / Intrusion: What was the situation, intrusive thought, image or initial feeling that triggered the OCD?
2. Initial Reaction: What feelings and reactions did you notice?
3. Intensity of Reaction: How strong was the initial reaction?

4. Obsession: Describe the rumination, worry or self-doubt that followed the trigger or intrusion.
5. Obsessional Patterns: Which of the following thinking errors are maintaining the problem?

6. Compulsion: Describe the unhelpful behaviours, habits or routines used to stop or control the obsessional thought and anxiety.
7. Effectiveness of Compulsion: How effective is the checking / reassurance seeking behaviour?

8. Alternative Response: What helpful, workable and sustainable action can you take in response to the OCD? E.g. Mindfulness, Rationalising, Acceptance / Willingness, Defusion, Competing Response, Slow Motion Focus, Committed Action.
9. Acceptance: What uncomfortable thoughts and feelings will you tolerate to support this alternative response?
10. Values and Goals: How will this move you closer to your values and goals?