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The Duchy of Jerald

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REBT Self-Help Form<br />

What is the situation that you are upset about?<br />

Answer: I had a stroke I've had people pack up my house into safe storage. That part happened<br />

today. Gave my car back last week. All that <strong>of</strong>f my plate.<br />

What are the unhealthy negative emotions that you are experiencing?<br />

Answer: Hurt guilt shame embarrassment<br />

What self-defeating behaviors would you like to change?<br />

Answer: Withdrawing<br />

What demand are you making about the situation?<br />

Answer: Life must be convenient I must 'do well' or I'm inadequate and worthless.<br />

Dispute: Why must life be convenient? Who says I can't stand it. Why must I 'do well? What is<br />

do well? How am I inadequate and worthless?<br />

Rational Belief: No where is it written that life must be convenient. In fact I am discovering<br />

strength. Inadequate and worthless are just labels. <strong>The</strong>y don't describe me. I'm better able to do<br />

certain things or not. Asking for help is not a crime.<br />

In what way are you awfulizing about the situation?<br />

Answer: This feels awful<br />

What are you saying to yourself about the situation that indicates low frustration tolerance?<br />

Answer: I can't stand this<br />

What beliefs show that you are rating people instead <strong>of</strong> rating their actions?<br />

Answer: I'm a waste <strong>of</strong> space.<br />

How are you overgeneralizing about the situation?<br />

Answer: I'll never get better and my life Wil get worse.<br />

Dispute: Any evidence?<br />

Rational Belief: None.the opposite is true.<br />

What are your new healthy negative emotions?<br />

Answer: Sadness concern disappointment<br />

What are your new self-helping behaviors?<br />

Answer: Asking for help. Asking for what I want. Exercising. Tackling unpleasant tasks<br />

without delay

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