Chain Analysis Worksheet
Trace a problem behaviour back through the chain of vulnerability factors, events, thoughts, emotions, and actions that led to it — then identify intervention points.
Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed
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Chain Analysis Worksheet
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The Chain
Breaking the Chain
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When to use the Chain Analysis Worksheet
The Chain Analysis Worksheet is an interactive dialectical behaviour therapy (DBT) worksheet. Consider this resource when exploring how a client responds to intense emotions, distress or relationship difficulties, and where acceptance or a change in response might fit.
It is designed to be used within therapy rather than as a standalone self-help tool: a therapist introduces it, works through it collaboratively, and helps make sense of what it surfaces. You can preview the full worksheet above, then assign it digitally for clients to complete between sessions on any device or download it as a print-ready PDF.
How it works
Most people work through it in around 20 minutes. It moves through two short steps:
- The Chain
- Breaking the Chain
Completed on the Formulate platform, your client's answers are saved automatically and shared straight back to you, so you can review them before the next session rather than waiting for a paper copy to come back.
The DBT approach behind it
The Chain Analysis Worksheet draws on dialectical behaviour therapy (DBT). DBT brings acceptance and change together: recognising an experience as it is while considering a different response. Its skills include mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. These offer ways to notice what is happening, stay with difficult moments, understand emotions and communicate needs. The therapist and client can consider which skills fit the situation.
It is intended as one part of a wider course of therapy rather than as advice or a diagnosis. The therapist can help decide how it fits the work and discuss what emerges.
Evidence & sources
This worksheet draws on dialectical behaviour therapy. Key sources include:
- Linehan, M.M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.
- Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
For use alongside professional support
Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.
If you need urgent help now:
- Emergency services: 999 — if you or someone else is in immediate danger
- Samaritans: 116 123 — free, day or night, 365 days a year
- SANEline: 0800 689 5555 — 4:30pm–10:30pm, every day
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