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					                                                                  Social Anxiety – Thought Record Sheet

 Trigger Situation                Emotions             Negative Thoughts                   Self-focus              Safety Behaviours            Balanced/Rational                   Outcome
                                   (0 – 10)               and Images                                                                               Response to
                                                                                                                                                Thoughts and Self-             Re-rate emotion
                                                                                                                                                      focus                        (0 – 10)
Describe what was going    Describe what you felt at   Describe what you were       Where was your focus of       How did you cope? What       Look at the bigger picture.   What did I choose to do?
on, where were you, when   the time                    thinking or what bothered    attention when you felt       strategies did you use?                                    What could I have done
did it happen, who you                                 you.                         anxious?                                                   Consider another way of       differently?
were with?                 How intense was the                                                                    What did you do to hide it   looking at this situation.
                           emotion?                    What is the worst that can   What did you notice about     or prevent others from                                   Outer-focus: look around,
                                                       happen?                      yourself?                     noticing?                    What would someone else     listen – move focus away
                                                                                                                                               say about this situation?   from self
                                                                                    What do you imagine you                                    What advice would I give to
                                                                                    look like or how others see                                that person?
                                                                                    you?
                                                                                                                                               Are my fears accurate?




                                 www.psychologyresource.ca        © Dr. Virginia Chow, 2012 This document can be distributed freely         Montreal Anxiety Therapy

				
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