Date Situation Physical Negative Thought Positive response to Actions and Consequences Duration
Sensations negative thought (Minutes)
Describe what happened, Example: Misinterpretation of Describe helpful things you Describe what you did and what
where you were, when it Dizziness, chest body sensation: Ex: “I could have said to yourself. happened as a result of the panic
happened, and who you pain, nausea, am going to faint”. attack
were with? etc.
Describe the worst thing
that could happen?
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