Using the Thought Record for Anger Reduction in Cognitive Behavioral Therapy

Abstract

While Cognitive Behavioral Therapy (CBT) is one of the frontline treatments for anger given its empirical backing, there is limited research focusing on the effectiveness of the specific techniques used in CBT. One of the most popular tools used to facilitate cognitive restructuring is the thought record worksheet, but there is very minimal research on this tool in particular. Given the importance of cognitive restructuring in long-term treatment of anger, this present study focuses on using thought records for anger reduction in particular. Qualitative information was obtained from five licensed psychologists and processed through the use of Interpretative Phenomenological Analysis (IPA). Themes and subthemes were identified based on the research questions addressing psychologists’ overarching opinions on using the thought record for anger, teaching the thought record in therapy, differentiating anger from other emotions, and assessing thought content for those with problematic anger. Findings indicate that clinicians find this tool to be effective but challenging when used for anger reduction, especially with patients who are unwilling to engage in the task, hold strong beliefs around their automatic thoughts, or when thoughts are related to external factors. Suggestions were provided with how to mitigate these challenges including the use of motivational interviewing, validating anger, perspective taking, and recognizing consequences for anger. Additionally, participants identified alternative useful CBT interventions for anger such as recognizing triggers, assertive communication, mindfulness, relaxation techniques, and thought defusion.