Panic Attack Thought Record Sheet
Trigger Situation Physical symptoms Emotion(s) Negative Thought Response to Thought Outcome
(0 - 10) Image
How much do you Re-rate your
believe that thought? emotion(s)
(0 - 10) (0 - 10)
Describe what was going on, Describe your emotion in one What is the worst thing that Is this fact or opinion? What consequences did you
where were you, when did it word e.g. panic, terror, anxiety, could happen? What is the worst consider?
happen, who you were with? fear, etc thing about that? Was the problem really about
something terrible is going to What will be the most helpful for
What were you doing? happen or is it my belief that me in this situation?
something terrible is going to
happen that was causing
physical symptoms of anxiety?
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