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Guided discovery is the most frequently used technique to help patients articulate automatic thoughts in sessions. This process involves gentle eliciting, exploring, and questioning of the patient's thinking. Instead of trying to debate, convince, or sell patients on an idea, therapists ask Socratic-type questions that encourage the patient to expand his or her perspective and become actively involved in the learning process.

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Figure 7–1. Two-column thought recording.Source. Adapted from Wright JH, Beck AT, Thase ME: "Cognitive Therapy," in The American Psychiatric Publishing Textbook of Clinical Psychiatry, 5th Edition. Edited by Hales RE, Yudofsky SC, Gabbard GO. Washington, DC, American Psychiatric Publishing, 2008, pp. 1211–1256. Used with permission.

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