| 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 | Lorie |
| Age | 55-64 |
| Patient condition details | Adhd |
| Patient condition | Generalized Anxiety 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 |
Patient Name: Lorie
Age: 55-64
Condition Summary: ADHD and Generalized Anxiety Disorder
Therapy Experience: Brief (1-5 sessions)
Current Medication: ADHD Medications
Needed Behavioral Change: No particular behavioral change identified
This worksheet is designed for you, Lorie, as a tool to help identify thought patterns and behaviors that may contribute to feelings of anxiety and ADHD symptoms. Reflect on the sections and fill them out as best as you can to help guide your therapy sessions.
Describe a recent situation where you felt anxious or struggled to focus due to ADHD symptoms.
Example: "I attended a family gathering but felt anxious about socializing and had difficulty focusing on conversations."
Your Situation:
What thoughts went through your mind during this situation? Be specific about negative thoughts that may have contributed to your anxiety.
Example: “Everyone is judging me,” or “I will embarrass myself.”
Your Thoughts:
Identify the feelings you experienced during this situation. Rate the intensity (0-10) based on how strong each feeling was.
| Feeling | Intensity (0-10) |
|---|---|
| Anxiety | __ |
| Frustration | __ |
| Shame | __ |
What evidence supports your negative thoughts?
What evidence contradicts your negative thoughts?
Create a more balanced thought that considers both sides of the evidence identified above.
Re-evaluated Thought:
List any coping strategies you can use when you feel anxious or distracted. Consider mindfulness techniques, grounding exercises, or behavioral activation activities.
If applicable, list situations that cause anxiety and rank them from least to most anxiety-provoking (1 being least, 10 being most). Consider facing these situations gradually.
| Situation | Anxiety Rating (1-10) |
|---|---|
| Engaging in small talk | __ |
| Attending a social event alone | __ |
| Speaking in front of a group | __ |
Identify at least two specific, achievable goals you want to work on in the next few weeks related to your anxiety or ADHD management.
Outline your long-term goals over the next few months regarding your anxiety management and ADHD symptoms.
After each session or worksheet completion, reflect on what you learned and how you plan to apply it moving forward.
Any additional notes or thoughts you want to document, including questions for your therapist.
Use this worksheet regularly to track your thoughts, feelings, and progress. It will be an ongoing resource as you work through your therapy sessions. Remember, small changes can lead to significant shifts in behavior and emotional well-being.
Next Steps:
Lorie, you are taking a positive step towards managing your ADHD and anxiety. Continue to reach out for support and celebrate your progress!