aidemia--modules-cbt_worksheet_request	Create a Cognitive Behavioral Therapy worksheet for a patient dealing with mentioned issue(s) and aiming for behavioral changes. Take into account the details listed further.
Full name
Age	Child
Patient condition details
Patient condition	Panic Disorder
Relevant challenges	Nothing in particular
Therapy experience	Brief (1-5 sessions)
Medication	ADHD Medications
Needed behavioural change	No particular
How many pages	1
Emergency contact
Any other preferences

Cognitive Behavioral Therapy (CBT) Worksheet

Patient Information

Name: ___

Age: _____ (Child)

Date: ___

Therapist: ___

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Overview of Panic Disorder

Panic Disorder is characterized by recurrent, unexpected panic attacks. During these episodes, children may experience intense fear or discomfort and a variety of physical symptoms such as heart palpitations, sweating, shaking, shortness of breath, and feelings of impending doom. The goal of this worksheet is to provide tools and strategies that can help in managing symptoms and reducing panic episodes.

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Goals for Therapy

• To help the child understand their feelings and symptoms related to panic.
• To develop coping strategies to manage anxiety.
• To enhance self-awareness and emotional regulation.

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Recognizing Panic Symptoms

Step 1: Identifying Feelings and Physical Symptoms

Instructions: During a panic attack or moments of anxiety, encourage the child to identify what they feel. Use the table below to help them outline their feelings and physical sensations experienced during a panic episode.

Situation	Feelings	Physical Symptoms
1.
2.
3.

Example:

Situation	Feelings	Physical Symptoms
School Presentation	Nervousness, fear	Rapid heartbeat, sweating

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Cognitive Restructuring

Step 2: Challenging Negative Thoughts

Instructions: Help the child identify negative thoughts during panic attacks. After identifying them, challenge those thoughts using rational thinking. Use the table below.

Negative Thought	Evidence For	Evidence Against
1. "I’m going to embarrass myself."
2. "Something bad will happen."
3. "I can't handle this."

Example:

Negative Thought	Evidence For	Evidence Against
"My friends will laugh at me."	Sometimes my friends joke around.	My friends are supportive and kind.

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Coping Strategies

Step 3: Developing Healthy Coping Mechanisms

Instructions: Encourage the child to develop and write down strategies that help in managing their panic.

1. Deep Breathing

   • Count to four while breathing in.
   • Hold the breath for a count of four.
   • Count to four while breathing out.

2. Grounding Techniques

   • Identify five things you can see.
   • Identify four things you can touch.
   • Identify three things you can hear.
   • Identify two things you can smell.
   • Identify one thing you can taste.

Additional Strategies:

• Visual Imagery: Picture a calm and safe place.
• Positive Affirmations: "I am safe," "I can handle this."

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Action Plan for Panic Episodes

Step 4: Implementing Strategies

Instructions: Create an action plan for the child when they feel a panic attack coming on. This will act as a guide for what to do next.

1. Recognize the initial signs of panic:

   • ---

2. Utilize a coping strategy:

   • ---

3. Ground yourself by:

   • ---

4. Use positive affirmations:

   • ---

5. Talk to someone you trust if needed:

   • ---

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Reflection and Feedback

Instructions: At the end of each week, reflect on the following questions:

• What strategies worked well in managing panic?
• What situations triggered panic this week?
• How did you feel after using your coping strategies?

Date	Reflection

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Notes for Parents/Caregivers

• Support your child in practicing these techniques regularly.
• Encourage open discussions about their feelings and experiences.
• Ensure that they understand panic attacks are a part of their condition, and they can navigate through them with practice.