RESUMO - Diagrama de Conceituação Cognitiva - (Beck, 1997)

_____/_____/_____
Profissional:_______________________________________________

Nome:________________________________________________________________________________

Queixa inicial: _________________________________________________________________________

_____________________________________________________________________________________

HD:__________________________________________________________________________________
Eixo DSM IV: _________________________________________________________________________

Dados relevantes da infância (Quais experiências contribuíram para o desenvolvimento e manutenção da crença central?)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________
________________________________________________________________________________________________________
____________________________________________________________________________________

Crenças Centrais(Qual é a crença mais central sobre si mesmo?)

________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________

Crenças intermediárias
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________

Estratégias Comportamentais (Quais comportamentos o ajudam a lidar com a crença?)

________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________
________________________________________________________________________________________________________
____________________________________________________________________________________

Situação 1 Situação 2 Situação 3

Qual foi a situação problemática?

Pensamentos Automáticos Pensamentos Automáticos Pensamentos Automáticos

O que passou por sua cabeça?

Significado Significado Significado

 O que o pensamento automático
significou para ele?

Emoção Emoção Emoção

Que emoção esteve associada
ao pensamento?

Comportamento Comportamento Comportamento

O que o cliente fez então?

Metas e Intervenções:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________

Assinatura sob carimbo: