What It Captures
The worksheet captures client-generated costs and benefits for both maintaining the current problem and changing it.
Change Process Balance Sheet for CBT Motivation Work
The Change Process Balance Sheet is a CBT engagement and motivation worksheet for practitioners working with clients who feel ambivalent about psychological treatment or changing a current problem. It helps the practitioner and client organize costs and benefits of the current problem and of change in one shared view.
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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.
Important Limitations
The tool does not calculate readiness, diagnose motivation, rank values, or recommend treatment steps automatically.
Can the worksheet be reviewed if a quadrant is empty?
Yes. Empty quadrants remain visible and are treated as discussion areas, not as evidence that no costs or benefits exist.
Can one worksheet cover multiple change targets?
No. Separate change targets should use separate balance sheets to avoid mixing different decisions.
Does the tool score decisional balance?
No. It provides an organized four-quadrant view and does not calculate a readiness or decisional balance score.