Cognitive Therapy of Anxiety Disorders

488

From D. A. Clark (2004, p. 179). Copyright 2004 by T

he Guilford Press. Reprinted in

Cognitive Therapy of Anxiety Disorders: Science

and Practice

by David A. Clark and

Aaron T. Beck. Permission to photocopy this appendix i

s granted to purchasers of this book for personal use only (

see copyright page for details).

aPPENDIX 11.1

Daily Record of Primary Obsession

Name:

Date:

Primary obsession: Instructions:

In consultation with your therapist, please record the obsessional thought

, image, or impulse that is most troubling for you at this

time. Record the approximate number of times you experienced th

e obsession on a particular day. Then complete the rating scales for each day

which indicate your most typical experience of the obsession for that day. Th

is form should be completed at bedtime each evening.

Day of Week

approximate Frequency

of Obsession during the Day

average Distress of

Obsession

(0 = none to

100 = extreme, panic-like )

Intensity of Effort to Control Obsession

(

0 = no effort to control to 100 = frantic

effort to stop thinking the obsession)

Intensity of Urge to Engage in Compulsion or Neutralization

(0 = no urge to 100 = irresistible urge)

SundayMondayTue sdayWednesdayThursdayFridaySaturdaySundayMondayTue sdayWednesdayThursdayFridaySaturday