Cognitive Therapy of Anxiety Disorders

443

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 10.2

Worry Exposure Form

Name:

Date:

from

to:

Instructions

: This form is to be completed immediately after engaging in a w

orry exposure homework assignment.

Date and Duration of Session

Worry Topic and Its

Catastrophic Outcome

[Rate

quality of exposure to catastrophic

outcome on 0–100 scale]

*

anxiety/ Distress

During Session

[0–100 scale]

anxious Thoughts about

Worrying

[Record any negative

thoughts about engaging in the worry

exercise]

Countering a

nxious Thoughts

about Worry

[Record how negative

thoughts in previous column were

countered]

anxiety/Distress

after Session

[0 –100]

*Quality of exposure refers to the ability to form a vivid a

nd prolonged image of or thinking about the worst outcome on a s

cale from 0 (did not imagine/think about catastrophe) to

100 (strong, vivid, and prolonged image or thinking of ca

tastrophe)