Cognitive Behavioral Therapy (CBT) is an effective treatment option for most psychiatric disorders. Its primary functions are to treat and regulate depression. Cognitive theory, the foundation of CBT, posits that our thoughts determine our emotions, behaviors, and responses. Automatic thoughts are the fast interpretations that come when a person is exposed to an experience or trigger. Those who suffer from depression or anxiety may experience the harmful effects of automatic thought. In such situations, negative automatic thoughts may be damaging and retrograde. CBT is designed to target negative and dysfunctional automatic thoughts, negative physiological reactions, self-defeating behaviors, and negative emotions (Matthews, 2018). CBT reduces these facets by supporting patients in locating evidence to disprove harmful beliefs and generating a fresh perception of triggers and experiences. This essay discusses the reasons why it may be difficult for sad individuals to record their natural thoughts and how various ethnic groups view negative ideas. Finally, it will investigate measures to increase the likelihood that patients will complete their record of automatic thoughts. It can be challenging for depressed patients to monitor their automatic thinking. Initially, depressed individuals frequently isolate and withdraw. As a result, individuals forego opportunities to acquire knowledge that would assist them in developing a more correct self-image (Matthews, 2018). Consequently, individuals have a tendency to focus on their negative thoughts and are unable to complete capturing their natural thoughts. Secondly, people with depression frequently feel hopeless. Being without hope is a negative notion in and of itself, as it deprives the patient of the bravery to seek treatment or actively participate in therapy. They lack the resources necessary to complete recording their automatic thoughts because they lack the motivation to improve. In addition to maladaptive intermediate beliefs and self-defeating behaviors, patients with depression face additional obstacles. They inculcate in their victims a fear of failure. Patients hesitate from attempting to finish the automatic thought recorders out of fear of failure. Culture has a tremendous influence on mental health. The way in which our culture regards mental health affects how we approach mental issues. My culture, which is White American, supports mental health in general. Many members of my ethnic community suffer from various mental health issues. The majority of these individuals suffer from anxiety and sadness. This suggests that they are having negative thoughts. In my society, negative thoughts are not stigmatized. As medical disorders, negative thoughts are recognised to exist. They are believed to be symptoms and markers of mental health problems. It is recommended that individuals express their negative thoughts with trusted family members, friends, or specialists. Additionally, when children experience negative thoughts, they are encouraged to seek assistance. As with numerous other diseases, it is believed that negative thoughts are temporary and treatable. Patients with negative thoughts obtain the essential support and resources to aid in their rehabilitation as a result. Despite the obstacles that depressed patients have when attempting to complete automatic thought recorders, there are ways to increase the likelihood that they will complete the record. First, patient education can help them comprehend the importance of completing this report and how it assisted CBT. Thirdly, the patient is more likely to complete the record if the therapist regularly monitors their progress and ensures that they consistently complete their automatic thought diaries. Setting goals and objectives and regularly monitoring progress are two strategies to demonstrate engagement (Unützer & Park, 2019). h