CBT Members

CBT Triangle: Thoughts, Feelings, Behaviours

A foundational CBT worksheet with the cognitive triangle diagram, fillable boxes for thoughts, feelings and behaviours in a situation, and a reflection on change.

1-page fillable PDF · US Letter (prints on A4) · CBT psychoeducation

Key facts

Approach / concern
CBT
Technique
CBT psychoeducation
Format
Fillable PDF, 1 page (US Letter / A4)
Access
Pro and Advanced plans (3-day free trial)
For
Licensed clinicians to use with clients
Updated
October 2026

What is the CBT Triangle: Thoughts, Feelings, Behaviours?

The CBT (cognitive) triangle illustrates the interconnection of thoughts, emotions and behaviours. It’s typically the first model introduced in cognitive behavioural therapy to show how changing thinking or behaviour can change how we feel.

Why it works

The cognitive model underpins CBT, one of the most evidence-based psychotherapies (Beck, 2021). Simple, visual models help clients understand and engage with treatment (Greenberger & Padesky, 2015).

When to use it

  • First sessions of CBT
  • Teens and adults new to therapy
  • Groups and psychoeducation
  • Before thought records

How to use it in session

  1. Explain the triangle with a neutral example.
  2. Map a recent situation together.
  3. Highlight the connections.
  4. Explore changing one corner.
  5. Introduce thought records or behavioural experiments next.

Clinician tips

  • Include body sensations with feelings.
  • Use client-generated examples.
  • Keep it simple at first.

Worked example

Situation: friend didn’t text back. Thought: “She’s upset with me.” Feeling: anxious, tight stomach. Behaviour: checked phone constantly. Change: “She’s probably busy” → less anxious → put phone away.

Sharing with clients

Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.

Frequently asked questions

Do thoughts always come first?

Not necessarily. Each corner influences the others; the triangle is a loop rather than a straight line.

Is this suitable for children?

Yes, with simple language and examples, from about age 8.

References

Beck, J. S. (2021). Cognitive behavior therapy: Basics and beyond (3rd ed.). Guilford Press.

Greenberger, D., & Padesky, C. A. (2015). Mind over mood (2nd ed.). Guilford Press.

This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.