Cognitive Therapy of Anxiety Disorders

444

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 10.3

Worry about Worry Self-Monitoring Form

Name:

Date:

from

to:

Instructions

: This form should be completed during episodes of daily worry. T

ry to complete the form as close to the worry episode as possible in

order to increase the accuracy of your remarks.Date and Duration of Worry

Primary Worry Concern

[b riefly

describe your worries including the worst

outcome you are thinking about.]

Negative Thoughts about the Worry

Episode

[What are you thinking is so

awful or bad for you about having this

worry episode?]

Positive Thoughts about the Worry Episode

[What are you thinking might be

positive or beneficial for you about having

this worry episode?]

Extent of

Worry about

Worrying

[Rate 0–100]

*

*Note:

Rate extent of worry about worrying associated w

ith present episode from 0 (“not at all worried that I am worry

ing”) to 100 (“extremely worried that I had another worry

episode”)