Cognitive Therapy of Anxiety Disorders

175

From

Cognitive Therapy of Anxiety Disorders: Scienc

e and Practice

by David A. Clark and Aaron T. Beck. Copy

right 2010 by The Guilford Press. Permission to photocopy

this appendix is granted to purchasers of this book fo

r personal use only (see copyright page for details).

aPPENDIX 5.10

Anxious Reappraisal Form

Name:

Date:

Instructions:

Please complete the form below to record your perspective whe

n feeling anxious and when not feeling anxious. When you are

anxious, describe the worst outcome that you fear most and rate its felt p

robability from 0 (not at all likely to happen) to 100 (absolutely

expect it to happen). Then indicate how well you think you could co

pe with the anxiety and rate your level of confidence in yourself from 0 (no

confidence) to 100 (absolute confidence). Next repeat the form when you are n

ot feeling anxious. As you look back on those anxious situations,

what is the expected outcome and what is your perceived ability to cope w

ith your anxiety?

When Feeling anxious

When Not Feeling a

nxious

Feared Outcome

Ability to Cope with Anxiety

Expected Outcome

Ability to Cope with Anxiety

[Describe worst outcome and rate

its probability 0–100]

[Describe coping ability and

confidence 0–100]

[Describe most likely outcome and

rate its probability 0–100]

[Describe coping ability and

confidence 0–100]