Predisposing & Protective Factors

Cognitive Behavioural Therapy

This worksheet is used in CBT and Schema Therapy to create a balanced, compassionate picture of your psychological development. By mapping both the factors that have made you more vulnerable to difficulties alongside those that protect and support you, you and your therapist can build a more complete formulation — one that acknowledges both challenge and strength.

⚠️ Predisposing Factors

Identify the biological, social, and psychological factors that have made you more vulnerable to difficulties over time

🛡️ Protective Factors

Recognise the strengths, resources, and positive beliefs that have protected and supported you

⚖️ Balance

Holding both perspectives together creates a more complete, compassionate picture of your psychological history

🌱 Growth

Understanding what shaped you — and what helps you — guides more meaningful, targeted therapeutic work

How to Use This Worksheet

Work through each section with your therapist, completing both the predisposing (left) and protective (right) columns. The predisposing column explores factors that have made you more vulnerable. The protective column explores factors that have supported, strengthened, and protected you. Holding both together creates a balanced, honest formulation.

1

Developmental History

Reflect on significant early life experiences, relationships, and events that have shaped you. The predisposing column captures what made things harder; the protective column captures what helped or shielded you during that time.

2

Core Beliefs

Identify the fundamental beliefs about yourself, others, and the world that emerged from your history. Predisposing beliefs tend to be self-critical or catastrophising; protective beliefs are more compassionate and balanced.

3

Underlying Assumptions

Explore the conditional rules — often "if...then" statements — that govern your behaviour. For example: "If I am not perfect, then I will be rejected." The protective column captures healthier, more flexible alternatives.

4

Strategies

Record the coping behaviours and approaches that have developed from your beliefs and assumptions. Predisposing strategies tend to maintain problems; protective strategies are more adaptive and helpful.

5

Current Experience

Map how these factors play out right now — in thoughts, emotions, behaviour, and body sensations. The predisposing column reflects the current problematic experience; the protective column reflects the healthier alternative you are working towards.

💡 Remember: This worksheet is completed collaboratively with your therapist. It is not a test — it is a tool for building shared understanding. Both columns matter equally: the predisposing column helps explain why you struggle; the protective column reminds you of what is already working in your favour.

My Predisposing & Protective Factors

Complete This Section With Your Therapist

Work through each section in order, completing both columns. Take your time — this formulation will deepen and evolve as your therapy progresses.

⚠️ Predisposing Factors
🛡️ Protective Factors
▼

Thoughts

Emotions

Behaviour

Body Sensations

Thoughts

Emotions

Behaviour

Body Sensations

🌿 Remember: A formulation is a working hypothesis — not a final verdict. Both columns matter equally: the predisposing column helps explain why you struggle, while the protective column reminds you of what is already working in your favour. This balance is the foundation for compassionate, effective change.

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