When adjusting to a head injury it can be common to experience low mood or depression. An effective way to manage this is using principles of Cognitive Behavioural Therapy to “challenge thoughts”.


  • What is the evidence ?

            What evidence do I have to support my thoughts ?

What evidence do I have against them ?


  • What alternative views are there ?

How would someone else view this situation ?

How would I have viewed this situation in the past ?


  • What is the effect of thinking the way I do ?

Does it help me, or hinder me from getting what I want ?  How ?


  • What thinking error am I making ?

(a)   Am I thinking in all-or-nothing terms

ignoring the middle ground ?


            (b)   Am I catastrophizing

overestimating the chances of disaster ?


(c)   Am I personalizing

blaming myself for something which is not my fault ?


(d)   Am I focusing on the negative

looking on the dark side; ignoring my strengths ?


(e)   Am I jumping to conclusions

predicting the future and mind-reading ?


            (f)   Am I living by fixed rules

fretting about how things ought to be; overusing the words

                  should, must and can’t ?


  • What action can I take ?

What can I do to change my situation ?

Am I overlooking solutions to problems on the assumption they

won’t work ?