When It Is Used
Use it when motivation for therapy or symptom-related change is uncertain or fluctuating during CBT engagement.
The Change Process Balance Sheet
The Change Process Balance Sheet is a CBT for psychotic symptoms worksheet for practitioners working with a patient whose motivation for therapy or symptom-related change is uncertain or fluctuating. It helps the therapist and patient define the current problem and record negative consequences of the current problem, positive aspects of the current problem, personal benefits expected from changing, and personal.
Explore the four-part balance sheet
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Tool guide
Learn more about this tool
Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.
What It Captures
The worksheet captures the current problem, negative consequences, positive aspects or perceived gains, personal benefits of changing, and personal costs or fears of changing.
Relevant Limits
The tool does not interpret psychotic symptoms, score motivation, infer insight, or generate change targets automatically.
Is this the same as a generic pros-and-cons worksheet?
No. It preserves the specific four-prompt Change Process Balance Sheet structure for CBT engagement around a current problem.
Can it be revisited later?
Yes. First completion versus revisit is a supported setting, and prior entries can be shown when revisiting motivation.
Does the tool score motivation?
No. It organizes patient-reported motivational material without scoring or clinical conclusions.
Does sample demo content carry into my account?
No. Saving keeps the tool and supported setup, not the fictional demo formulation.