Mark Zauss - Rumination Reduction Worksheet - MARK ZAUSS

Rumination Reduction Worksheet

Double Board Certified Counseling Services, Inc. — Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC‑TMC, ADHD‑CCSP, C‑DBT, CCTP

Provider 1

Practice: Double Board Certified Counseling Services, Inc.

Clinician: Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC‑TMC, ADHD‑CCSP, C‑DBT, CCTP

Website: markzausstherapy.com • Phone: 407‑734‑1008

Client Name

Date

Briefly describe what set off the rumination, the main worry/theme, and where you were when it started.

Situation / Trigger

Main Rumination Theme

Distress (0–100) 50%

Urgency to Fix (0–100) 50%

Fatigue (0–100) 30%

Confidence You Can Cope (0–100) 60%

Capture the automatic thought, examine evidence, and generate a balanced alternative thought. Re‑rate emotion intensity after.

Automatic Thought(s)

Emotion(s) & Intensity (0–100)

Evidence For

Evidence Against

Balanced / Alternative Thought

Re‑rate Emotions (0–100)

If the thought is not actionable now, schedule a brief “worry window.” Kindly redirect your attention until then.

Start Time

Duration (minutes)

End Time

Target Topic (one line)

Redirect Activity

If Actionable: Smallest Next Step

Answer one or two prompts to loosen the grip of the thought. Keep responses short and concrete.

What’s the evidence this will actually happen?

What evidence suggests I could cope even if it did?

Am I confusing a feeling with a fact? What’s the factual view?

If a friend had this thought, what would I tell them?