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REBT Personal Committment to Change


This form is to help you firm up your committment to work on changing self-defeating behaviours and emotions.

[form] Personal Committment Plan You have taken the time to pinpoint your problem areas. You rated their frequency, intensity and duration in terms of personal cost and seriousness and also your desire to change them. This is a very good start. However without a committment of some kind to change you will need to do more than just be aware of them. To get up the effort requires a firm committment. Why? Because only you can make the difference. Note to yourself from the file you've been sent, which of those are the most upsetting and detrimental to your quality of life and effectiveness. THEN Make a promise to yourself in the body of this form, to make a formal committment to change and put the full weight of your integrity behind it. PURPOSE To make a full, major committment to make the desired changes. DIRECTIONS Fill out and put your name to this document. Pick someone else whom you trust and to whom you feel okay about being accountable to in terms of this committment. Ask them to place their name and email in here too as part of your committing to change. [textarea,committment to work on self defeating areas,4,70,I commit myself and take full responsibility for doing whatever is necessary to overcome the following painful and/or self-defeating feelings and behaviours] 1. [text,target behaviour/emotion01,50] 2. [text,target behaviour/emotion02,50] 3. [text,target behaviour/emotion03,50] 4. [text,target behaviour/emotion04,50] 5. [text,target behaviour/emotion05,50] [textarea,committment to self enhancing outcomes,4,70,I commit myself to and take full responsibility for doing whatever is necessary to develop the following pleasurable and/or self-enhancing feelings and actions] 1. [text,pleasure target behaviour/emotion01,50] 2. [text,pleasure target behaviour/emotion02,50] 3. [text,pleasure target behaviour/emotion03,50] 4. [text,pleasure target behaviour/emotion04,50] 5. [text,pleasure target behaviour/emotion05,50] [textarea,life long committment,3,70,I will continue to keep my committment for doing whatever is necessary to eliminate self-defeating patterns and for promoting my well-being for the duration of therapy and for the rest of my life.] The person making this committment Your Name[text,r_name,30] Your Email [text,r_email,30] The Witness to this committment Accountability Witness Name[text,Witness Name,30] Witness Email [text,Witness email,30] [checkbox,send copy,checked] To get a copy leave this checked. [submit,SEND this Entry][reset,Start Over again] [/form]

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