Homework in Cognitive Behavioral Therapy (CBT) reinforces learning & helps clients apply therapeutic techniques in real-life situations.
Effective homework assignments can enhance treatment outcomes by promoting behavioral change & self-reflection between sessions.
Tailoring homework to individual needs & capabilities increases engagement & fosters a sense of accomplishment.
Homework assignments have been a central feature of the cognitive behavioral therapy (CBT) process since the 1970s (Kazantzis, 2005).
Homework in CBT provides the opportunity to transfer different skills and lessons learned in the therapeutic context to situations in which problems arise; however, they need to be crafted thoughtfully and with the client in mind to be effective.
Creating appropriate opportunities to translate learned principles into everyday practice is fundamental for ensuring that therapeutic interventions have their intended effects.
In this article, we’ll explore why homework is so essential to CBT interventions and show you how to design CBT homework that will keep your clients engaged and on track to achieving their therapeutic goals.
Before you continue, we thought you might like to download our five positive psychology tools for free. These engaging, science-based exercises will help you effectively deal with difficult circumstances and give you the tools to improve the resilience of your clients, students, or employees.
Many psychotherapists and researchers agree that homework is the chief process by which clients experience behavioral and cognitive improvements from CBT (Kazantzis et al., 2000).
Therapists from the Beck Institute emphasize that most of the work of getting better happens outside of sessions, although they’ve updated the term to an “action plan” instead of homework (Beck & Broder, n.d.).
We can understand why homework in CBT is so crucial by looking into the behaviorist, social learning, and cognitive theories of psychology.
Behaviorist theory
Behaviorist models of psychology, such as classical and operant conditioning, argue that CBT homework delivers therapeutic outcomes by helping clients to unlearn or relearn associations between stimuli and particular behavioral responses (Franklin et al., 2005).
For instance, imagine a person who has been in a traumatic car accident and now reacts with severe fright upon hearing a car’s wheels skidding on the road. This person’s therapist might work with them to learn a new, more adaptive response to this stimulus, such as training them to apply new relaxation or breathing techniques in response to the sound of a skidding car.
Drawing from the behaviorist principles of operant conditioning theory (Staddon & Cerutti, 2003), a therapist can assign homework to a client to test the utility of different behaviors as avenues for attaining reward or pleasure.
For instance, imagine a client who resists drawing on their support network because of an unhealthy belief that they should handle everything independently. As homework, this client’s therapist might encourage them to test what happens when they ask their partner to help them with a small task around the house.
From a behaviorist perspective, CBT homework provides opportunities for clients to experiment with stimuli and responses and to assess the utility of different behaviors in their everyday lives.
Social learning and cognitive theories
Scholars have also drawn on social learning and cognitive theories to understand how clients form expectations about the difficulty or discomfort of completing CBT homework assignments (Kazantzis & L’Abate, 2005).
A client’s expectations can be shaped by a range of factors, including past experience, modeling by others, current physiological and emotional states, and encouragement from others (Bandura, 1989).
This means it’s important for practitioners to design homework activities that clients perceive as having clear advantages by highlighting the benefits of CBT in advance.
For instance, imagine a client whose therapist tells them about another client’s significant psychological improvements following their completion of a daily thought record.
By identifying with this person, who is of a similar age and presents similar psychological challenges, the focal client may subsequently demonstrate increased commitment to completing their own daily thought record through vicarious modeling.
This is just one example of how social learning and cognitive theories may explain a client’s commitment to completing CBT homework.
What Types of Homework Are There?
There are many different types of CBT homework that a therapist can use to propel a client’s progress.
While not exhaustive, this list provides a solid understanding of the types that exist.
1. Thought records
Thought records are perhaps the most used tool in CBT because they get at the heart of CBT’s premise: that our thoughts are the cause of much of our distress, and they can be modified. This type of assignment gives clients an opportunity to document, analyze, and challenge their thoughts through a range of CBT techniques.
2. Behavioral experiments
Returning to the behaviorist perspective on homework, many CBT home exercises hinge on methodically testing fears, distortions, and ideas through real-world practice. These are called behavioral experiments, and they can help clients observe outcomes and adjust their perceptions.
3. Activity scheduling
Another common type of CBT homework is activity scheduling, or making an action plan. Such activity-scheduling exercises guide clients in determining their goals and reflecting on how the activity made them feel afterward.
4. Relaxation and grounding exercises
A staple in many types of therapy, relaxation and grounding exercises are also powerful in CBT. Deep breathing, grounding via the five senses, progressive muscle relaxation, and visualization techniques can help clients be present and manage distressing symptoms (Zorbas, 2023).
With this range of CBT homework exercises in mind, let’s turn to some examples to improve our understanding.
Download 5 Free Positive Psychology Tools
Start thriving today with 5 free tools grounded in the science of positive psychology.
Download Tools
3 Examples of CBT Homework
To see how CBT homework works in action, it is helpful to visualize real-world scenarios. Consider the following three examples.
1. CBT homework for PTSD
Jill, a 32-year-old Afghanistan war veteran, struggles with post-traumatic stress disorder (PTSD) from her deployment. Jill works through CBT exercises with a therapist, including worksheets that guide her in building her self-awareness and monitoring her thoughts, emotions, and behaviors related to her triggers.
Once she has a better idea of the CBT triangle in the context of her lived experience, Jill can work with her therapist to challenge the unhelpful thinking and replace it with more adaptive thoughts and beliefs (American Psychological Association, 2017).
2. CBT homework for anxiety
Zara is feeling anxious after being laid off and is struggling to find new work. She is referred to a cognitive behavioral therapist who helps her identify her anxieties around interviewing and entering the workforce again.
As part of her homework, she keeps a record of her distorted thoughts that lead to emotional distress. In session, she goes over these thoughts with her therapist and deconstructs and challenges them to foster healthier thinking (Miller, 2024).
3. CBT homework for depression
Colin is a middle-aged man who is struggling with depression and problematic alcohol use after going through a divorce, losing custody of his children, and juggling a high-pressure job.
He works with a cognitive behavioral therapist to identify and address the negative thinking that is leading to his distress. As homework, Colin keeps a weekly diary tracking activities associated with better and worse emotional outcomes, helping him identify which behaviors work for and against his goals.
During therapy sessions, he discusses the connection between his thoughts, emotions, and behaviors with his therapist and devises new, more functional beliefs (Miller, 2024).
As a practitioner, you have likely seen how CBT homework can help struggling clients. It’s time to get hands-on assignment ideas.
5 Assignment Ideas and CBT Homework Worksheets
These five assignment ideas and CBT worksheets can kick-start your clients’ extracurricular journey, helping them identify their challenges, try new ways to address them, and foster their growth.
1. Education on CBT exercises
A good first step in assigning CBT between-session practices to your clients is a video to introduce them to the concept and prime them to dig into the assignments you will give them.
This video is a great option that explains things in terms that are simple and easy to understand.
It opens with some education, providing clients with a list of common cognitive distortions and faulty thinking styles that they may be struggling with.
The first step instructs the client to pause — a vital moment that enables the subsequent work.
The second step is to identify the trigger. It could be a comment or look someone else made or even a thought arising in their mind. The client is directed to write down the pertinent information: who, what, when, where, and why.
Third, the client notes their automatic thoughts that arose after the triggering event.
Next, the client records what emotion(s) they are feeling and rates each on a scale from 1 to 10.
In the fifth step, the worksheet guides the client in determining what alternate thoughts or beliefs could be chosen instead of the automatic, distressing thoughts.
Finally, the worksheet closes with the client re-rating the intensity of their emotion(s) on a scale of 1 to 10.
This methodical exploration of an upsetting event and the cognitive and emotional fallout that ensued can give clients clarity over their own internal experiences and show them the alternative options at their disposal. It is a powerful technique that can lead to significant changes in beliefs and thinking.
3. Core beliefs CBT Formulation
The Core Beliefs CBT Formulation worksheet offers clients an opportunity to do some powerful restructuring work, tackling their most problematic thoughts and beliefs.
It starts with identifying the situation, thought, and corresponding emotion that are causing distress, along with building a narrative around the theme tying them together.
Next, it guides the client in identifying the possible core belief underlying the distress and listing some coping strategies that may be helpful in managing it.
Finally, the core beliefs worksheet instructs clients to describe a significant event that triggered this belief and the coping strategies that were employed at the time.
This retrospective homework exercise can be highly effective for identifying core negative beliefs that have affected clients throughout their lives and may be difficult to pinpoint otherwise. It’s a classic CBT technique, connecting thoughts, emotions, and behaviors into one cohesive story.
It focuses on how the thought–emotion–behavior connection can be used to foster more positive experiences and feelings.
This worksheet includes six steps:
Think of a recent positive experience.
Identify the positive thoughts identified during the experience.
Identify the positive emotions felt during the experience.
Identify the behaviors that were engaged in as a result of this positive experience that enhance or prolong it.
Reflect on the connections among thoughts, emotions, and behaviors, and how each influenced and benefited the others.
Come up with ideas for how such positive thoughts could be employed in other, similar scenarios.
Through this worksheet, clients will gain a better understanding of how thoughts, emotions, and behaviors can work together in a positive cycle to manifest happiness and foster greater wellbeing.
5. Behavioral experiments
The Behavioral Experiments to Test Beliefs worksheet is a great choice for clients who are logical thinkers and want straightforward exercises to test and challenge their beliefs.
Here are the steps:
Identify the original dysfunctional belief and rate how strongly the client believes in it.
Derive a hypothesis from this belief to come up with an alternative belief and rate how strongly they believe the alternative belief.
Design an experiment to test this alternative belief. The client must consider what circumstances need to be in place for the hypothesis to be tested. Where would they need to go? What would they need to do or observe?
Carry out the experiment to test the belief under these circumstances.
Record their observations of how the test went and what the outcomes were.
Reflect upon those observations. The client should ask themselves how the dysfunctional belief holds up against the alternative belief and rate how strongly they believe in the alternative belief.
This homework assignment gives clients the opportunity to intentionally confront their negative core beliefs and challenge them, replacing them with healthier alternatives.
No matter what homework tasks you assign to your clients, the important thing to remember is that they need to be customized to the client.
Some worksheets and resources can be handed to your clients as they are, but in many cases, adapting them to fit your client’s unique situations, problems, and strengths will get the best therapeutic results.
Adaptations may be needed to accommodate the client’s cultural background. CBT has historically been developed within Western contexts, and the vestiges of this perspective can make homework feel inaccessible or incompatible with a client’s lived experience if they don’t fit that mold (Rhodes, 2023).
There are also adaptations that can be made for vulnerable populations, including children and people with a trauma history. Questions may need to be modified to be age appropriate and sensitive to the client’s triggers.
In addition to adapting homework to these background considerations, assignments should also reflect the client’s identified priorities. If the client wants to focus on specific goals or address particular needs, the worksheets should reference these goals and needs as often as possible.
When a client feels that the homework you assign is a good fit for them, culturally and personally, they will be more likely to complete it and reap the rewards of successful CBT work (Rhodes, 2023).
To do this, make sure the homework is:
Meaningful to the client
Relevant to the goals of the therapy
Salient to the focus of the session
Agreeable to both therapist and client
Appropriate to the sociocultural context
Practiced in the session to improve skills
Doable
Able to begin small (with simple, small steps)
Accompanied by a clear rationale and written instructions
Accompanied by a backup plan for any reasonably predictable obstacles (Tompkins, 2002)
With these considerations in mind, you’ll be able to assign meaningful and effective homework in CBT to your clients.
17 Science-Based Ways To Apply Positive CBT
These 17 Positive CBT & Cognitive Therapy Exercises [PDF] include our top-rated, ready-made templates for helping others develop more helpful thoughts and behaviors in response to challenges, while broadening the scope of traditional CBT.
For those who are interested in diving deeper into CBT techniques and homework assignments, PositivePsychology.com has a lot to offer.
To learn more about the basics of CBT and the theories underpinning its success, check out this article on the positive CBT triangle. It will provide an overview of this foundational idea and explain how it can help your clients challenge and replace distressing, unhelpful negative thoughts and behaviors.
The free Recognizing How We Think, Feel, and Behave worksheet is another helpful tool that provides both education and a simple CBT homework practice for your clients. It clarifies the link between thoughts, emotions, and behaviors and prompts clients to consider how it applies to their life.
Another excellent free worksheet is the Coping Styles Formulation worksheet. It helps therapists and clients work together to build a good understanding of the client’s main problems and identify healthy coping strategies to address them.
If you’re looking for more science-based ways to help others through CBT, this collection contains 17 validated positive CBT tools for practitioners. Use them to help others overcome unhelpful thoughts and feelings and develop more positive behaviors.
A Take-Home Message
With a track record of more than 50 years, CBT homework is undeniably a best practice when helping clients with specific needs or concerns.
Being able to tailor it appropriately to effect therapeutic interventions is indicative of its contribution to therapeutic success.
We hope this article has inspired you to create better homework that your clients want to engage with.
What’s next?
If you are searching for even more effective ways to aid clients, consider this article offering more than 35 CBT exercises and worksheets.
Let us know if you’ve found success using any of the activities we’ve explored with your own clients — we’d love to hear from you.
How do we make sure clients do their CBT homework?
To foster compliance with homework assignments, therapists should ensure that the assignments are meaningful and doable, customized to the client’s goals and issues, and culturally and age appropriate (Rhodes, 2023; Tompkins, 2002). They should also ensure clients understand why and how completing the homework will benefit them.
What are some common examples of CBT homework?
The most common CBT homework assignments include thought records, behavioral experiments, activity schedules, and grounding and relaxation techniques (Zorbas, 2023). Good homework increases the clients’ awareness of the thought–emotion–behavior connection in the context of their own daily lives.
Franklin, M. E., Huppert, J. D., & Roth Ledley, D. (2005). Obsessions and compulsions. In N. Kazantzis, F. P. Deane, K. R. Ronan, & L. L’Abate (Eds.), Using homework assignments in cognitive behavior therapy (pp. 219–236). Routledge.
Kazantzis, N. (2005). Introduction and overview. In N. Kazantzis, F. P. Deane, K. R. Ronan, & L. L’Abate (Eds.), Using homework assignments in cognitive behavior therapy (pp. 1–6). Routledge.
Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in cognitive and behavioral therapy: A meta‐analysis. Clinical Psychology: Science and Practice, 7(2), 189–202. https://doi.org/10.1093/clipsy.7.2.189
Kazantzis, N., & L’Abate, L. (2005). Theoretical foundations. In N. Kazantzis, F. P. Deane, K. R. Ronan, & L. L’Abate (Eds.), Using homework assignments in cognitive behavior therapy (pp. 9–34). Routledge.
Tompkins, M. A. (2002). Guidelines for enhancing homework compliance. Journal of Clinical Psychology, 58(5), 565–576. https://doi.org/10.1002/jclp.10033
Courtney E. Ackerman, works as a mental health policy researcher for the state of California, focusing on population mental health and wellbeing, peer support, and violence prevention. She is passionate about fostering transformational change in California's mental health system. She also works as a research consultant with individuals and organizations on a freelance basis, generating insights and identifying actionable solutions. Courtney is guided by her curiosity and a commitment to authentic connections.