01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

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 is the situation, thought, memory, image or sensation that is triggering the OCD?
2. Initial Reaction: What feelings, urges or reactions am I noticing?
3. Intensity of Reaction: How strong is the initial reaction?





4. Obsession: What introspections, ruminations, worries or self doubts follow the trigger or intrusion?
5. Obsessional Patterns: Which of the following OCD patterns are maintaining the problem?






6. Re-appraisal: What is a helpful and values congruent response to the obsessional thought?
7. Compulsion: What unhelpful checking, control or reassurance-seeking behaviour is used to stop or avoid the obsessional anxiety?
8. Effectiveness of Compulsion: How effective is the checking, control or reassurance-seeking behaviour?




9. Alternative Response: What helpful, workable and sustainable action can I take in response to the OCD?
10. Acceptance / Willingness: What uncomfortable feelings am I willing to make space for to achieve this?
11. Values / Goals: How will this move me closer to my personal values and goals?
12. Satisfaction / Accomplishment: How rewarding will it feel to face up to the OCD in the service of my personal values and goals? (Rate 0-100%).