Panic Thought Worksheet
Panic Thought Worksheet
Thought Record Sheet
Situation Trigger
What do you think triggered the panic attack?
What was happening?
Who with?
Where?
When?
What were you doing?
0% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacks and to get in touch with one of iTherapy's counselors.
Physical Symptoms
What did you feel in your body?
Where did you feel it?
List all: e.g. heart palpitations, chest pain, breathless, choking, nausea, dizziness, hot, sweating, shaking
Underline or circle most frightening feeling
16% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacks and to get in touch with one of iTherapy's counselors.
Emotion/s
What was the emotion?
Rate intensity of emotion (0-100%)
Describe the emotion in one word (fear, panic, anxiety, terror, etc)
33% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacks and to get in touch with one of iTherapy's counselors.
Unhelpful Thoughts or Images
Write most unhelpful or distressing thoughts or images.
How much do you believe that thought? 0-100%
What was the worst that you thought might happen?
What would be the worst thing about that?
50% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacks and to get in touch with one of iTherapy's counselors.
Response to Thought
What would be a rational & more balanced perspective?
How much do you believe this different perspective? 0-100%
Is this fact or opinion?
Is there another way of looking at this?
What would someone else make of this?
What advice would I give a friend? Is my reaction in proportion?
Is the problem that something terrible is going to happen- or is it my belief that something terrible is going to happen that is causing physical symptoms of anxiety?
66% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacksand to get in touch with one of iTherapy's counselors.
Outcome
What did you do?
What was helpful?
Describe emotion (one word)
Re-rate intensity of emotion 0-100%
What are the consequences of acting this way?
What will help most?
What would be the best thing to do for me, and for this situation?
84% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacks and to get in touch with one of iTherapy's counselors.
To learn more about Panic Disorders/Attacks and to get in touch with one of iTherapy's counselors visit our Education and Resources Page for Panic Disorders and Panic Attacks
| Situation | Physical Symptoms | Emotion/s | Unhelpful Thoughts or Images | Response to Thought | Outcome |
|---|---|---|---|---|---|
Answer Question to Complete Worksheet |
Answer Question to Complete Worksheet |
Answer Question to Complete Worksheet |
Answer Question to Complete Worksheet |
Answer Question to Complete Worksheet |
Answer Question to Complete Worksheet |
| Situation |
|---|
Answer Question to Complete Worksheet |
| Physical Symptoms |
Answer Question to Complete Worksheet |
| Emotion/s |
Answer Question to Complete Worksheet |
| Unhelpful Thoughts or Images |
Answer Question to Complete Worksheet |
| Response to Thought |
Answer Question to Complete Worksheet |
| Outcome |
Answer Question to Complete Worksheet |
© Carol Vivyan 2009, permission to use for therapy purposes.
100% Complete
Your responses are private. They are not viewed by a clinician. If you feel like you need help, contact one of our therapists. Visit Education and Resources Page for Panic Disorders and Panic Attacks to learn more about Panic Disorders and Panic Attacks and to get in touch with one of iTherapy's counselors.
Thanks to www.getselfhelp.co.uk for this template.
