Cognitive Therapy of Anxiety Disorders

176

From Cognitive Therapy of Anxiety Disorders: Science and Practice by David A. Clark and Aaron T. Beck. Copyright
2010 by The Guilford Press. Permission to photocopy this appendix is granted to purchasers of this book for personal
use only (see copyright page for details).

aPPENDIX 5.11

Diagram of Cognitive Case Conceptualization of Anxiety

Name: Date of Initial Assessment Session:

a. CURRENT DIaGNOSTIC INFORMaTION
[Based on ADIS or SCID; duration refers to length of current disorder]

Primary axis I diagnosis Duration:

Secondary axis I diagnosis: Duration:

Tertiary axis I diagnosis: Duration:

Additional subclinical diagnoses:

Number of episodes of primary diagnosis:

B. SYMPTOM PROFILE

beck Anxiety Inventory Total: beck Depression Inventory–II Total:

Cognitions Checklist—Anxiety: Cognitions Checklist—Depression:

Hamilton Anxiety Rating Scale Total Score (optional):

Penn State Worry Questionnaire Total:

Pretreatment Daily Anxiety Mean (sum of ratings over week/7):

C. PROFILE OF IMMEDIaTE FEaR RESPONSE

Situational analysis

List Primary External Triggers List Primary Internal/Cognitive Triggers

1.

2.

3.

4.

5.

1.

2.

3.

4.

5.



First apprehensive Thoughts/Images

List Core Automatic Anxious Thoughts/Images

[present during episodes of anxiety]

1.

2.

3.

4.



(cont.)