Cognitive Therapy of Anxiety Disorders

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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 7.2


Exposure Practice Record

Name: Date:


Instructions: Keep a record of your daily exposure practice sessions using this form. be sure to
record the initial, middle, and final anxiety rating as well as the type of exposure task completed
and its duration.


Date
and
Time Exposure Task

Duration
(minutes)

Initial
anxiety
(0 –100)

Midpoint
anxiety
(0 –100)

End-
point
anxiety
(0 –100)
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