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