CTS-R Self-Assessment

When to use the CTS-R Self-Assessment

The CTS-R Self-Assessment is a cognitive behavioural therapy (CBT) supervision and reflective-practice resource, designed to support therapists and trainees in developing their clinical skills rather than as a client-facing worksheet.

You can preview it in full above, then use it within your own practice, supervision or training — completing it on any device or printing it as a PDF.

How it works

Most people work through it in around 20 minutes. It moves through three short steps:

1. Session Information
2. CTS-R Competency Ratings — Rate each competency from 0 (Incompetent) to 6 (Expert). Use the anchors as guidance.
3. Overall Reflection

Every resource in the library shares the same clean, consistent layout, works on any phone, tablet or computer, and can be completed on screen or exported as a print-ready PDF.

The CBT approach behind it

In common with other CBT methods, the CTS-R Self-Assessment works by noticing the links between situations, thoughts, feelings, physical sensations and behaviour — and finding practical ways to change unhelpful patterns. The aim is not positive thinking but a clearer, shared understanding of what keeps a difficulty going — and practical, testable ways to change it.

Like the rest of the Formulate library it follows an evidence-based CBT structure, applied here to building and reflecting on clinical skill rather than to a specific presenting problem.

Evidence & sources

This worksheet is grounded in established cognitive behavioural therapy theory and practice. Key sources include:

• Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
• Beck, A.T. (2005). The current state of cognitive therapy: A 40-year retrospective. Archives of General Psychiatry, 62(9), 953-959. doi:10.1001/archpsyc.62.9.953