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How to Set Up Homework Goals in the First CBT Session

Stephanie Beck
Stephanie Beck Guest Contributor

Many CBT therapists send the first homework before* they’ve agreed with the client on what they’re actually working toward. The thought record gets assigned, completion is patchy at best, and three weeks in the case has lost momentum without either of you knowing exactly when it slipped.

The fix is to do the goal first, in plain language, in the client’s own words.

After you’ve heard the presenting concern, ask: “By the end of our work together, what would be different in your week?”

Not “in your life.”

In your week. One week is concrete and manageable.

The answer will be specific, which is exactly what we want:

  • “I want to drive to work without panic on the 405.”

  • “I want to sleep through the night four nights out of seven, at minimum.”

Write it down in their words, not your translation of their words.

That sentence becomes the criterion for every homework assignment that follows.

If the assignment doesn’t move them toward that specific outcome, it’s the wrong assignment. If it does, your client already knows why they’re doing it.

The first homework is a small step toward that goal, not a generic intake form.

If the goal is panic on the drive to work, the first homework is a one-week panic tracker that captures the morning commute. If the goal is sleeping through, the first homework is a sleep diary with a single column for what was on their mind at the worst waking. The form is short. The connection to the goal is obvious.

In my-cbt, the Information tab on the case file is where the goal goes, in the client’s own words.

Customize to your needs.

Every assignment you send can refer to it in the personal message field:

“This is to capture what’s happening on the 405 drives, so we can build the picture by next session.”

Personal context for the client.

Your client opens the assignment and reads that line at the top, before they complete the form. They know they’re collecting data for what they came in for, not doing generic therapist-assigned schoolwork.

If the goal changes as treatment progresses, you update the Information tab. The assignments that follow should then refer to the new wording and context. You’re not relying anymore on your memory to keep the homework aligned with the goal you set together.

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