Anxiety Self-Monitoring Record (Archived)

NOTE: An improved version of this resource is available here: Anxiety Self-Monitoring Record. Older versions of a resource may be archived in the event that they are available in multiple languages, or where data indicates that the resource continues to be frequently used by clinicians. 

Self-monitoring is a fundamental tool in cognitive behavioral therapy (CBT). This Anxiety Self-Monitoring Record is designed to help clients to better understand their anxious thoughts and responses.

Self-monitoring is a fundamental tool in cognitive behavioral therapy.

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Introduction & Theoretical Background

Self-monitoring is a fundamental tool in cognitive behavioral therapy (CBT). Self-monitoring can be used to:

  • Identify negative automatic thoughts (NATs)
  • Help clients understand the links between thoughts, emotions, body sensations, and responses

This Anxiety Self-Monitoring Record is designed to help clients to better understand their anxious thoughts and responses.

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Therapist Guidance

Clients should be instructed to record specific instances in which anxious thoughts, feelings, or responses were prompted.

  1. In the first column (Situation) clients should be instructed to record what they were doing when they started to notice a significant change in how they were feeling. Training clients to record specific details (such as who they were with, where they were, and what had just happened) is often helpful when later elaborating a memory for an event, or simply in understanding the reasons for subsequent thoughts and responses
  2. In the second column (Emotions and body sensations) clients should be instructed to record the emotional reactions that caught their attention in that moment (which can typically be described using single words, e.g. anxious, scared, terrified) and associated body sensations (e.g. tightness in my stomach). Clients should be encouraged to rate the intensity of these sensations on 0–100% scale.
  3. In the third column (Anxious thoughts) clients

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References And Further Reading

  • Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. Guilford press.
  • Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

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