This worksheet helps clients catch rumination in real time and map what maintains it. Clients briefly record the situation, thoughts (including images or memories), emotions and body sensations, coping responses, and the short-term consequences (helpful or unhelpful). The optional reflection prompts support pattern-finding and planning—what tends to trigger rumination, which responses work best, and what to try differently next time. Use it as homework or as a session tool to build awareness and guide next-step interventions.

Best for

• Depression-related rumination and repetitive negative thinking

• Clients who struggle to notice patterns until they’re already deep in a spiral

• Building actionable insights for CBT/ACT-informed work