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“Old” Core Belief: _________________________________Believability before experiment (0-100%): _______Believability after experiment (0-100%): _______“New” Core Belief: _________________________________Believability before experiment (0-100%): _______Believability after experiment (0-100%): _______Specific Thoughts and Behaviors Associated with New Core Belief (i.e., what to look for)1. ___________________________________________________________________________2. ___________________________________________________________________________3. ___________________________________________________________________________4. ___________________________________________________________________________Plan to Strengthen New Core Belief (i.e., what is your experiment?)__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Potential Problems/Obstacles (e.g., automatic thoughts, maladaptive behaviors, external factors)1. ___________________________________________________________________________Coping and problem solving strategy _________________________________________2. ___________________________________________________________________________Coping and problem solving strategy _________________________________________3. ___________________________________________________________________________Coping and problem solving strategy _________________________________________How likely is it that you will attempt the experiment (0-100%): _______Explain: ________________________________________________________________What is your predication for the outcome of this experiment?__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What was the outcome of this experiment? (i.e., thought or behaviors associated with new core belief?)__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Evidence for New Core Belief? _______________________________________________________________________________________________________________________Evidence Against New Core Belief? ___________________________________________________________________________________________________________________Thoughts and feelings moving forward: ___________________________________________________________________________________________________________________________ ................
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