Create a Cognitive Behavioral Therapy worksheet for a patient dealing with mentioned issue(s) and aiming for behavioral changes. Take into a...
aidemia--modules-cbt_worksheet_requestCreate 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 nameEmmy
AgeChild
Patient condition detailsSeparation anxiety, phobia for hockey games due to load noise and generalized anxiety disorder
Patient conditionPhobias
Relevant challengesNothing in particular
Therapy experienceNone
MedicationNone
Needed behavioural changeNo particular
How many pages1
Emergency contact
Any other preferences

Cognitive Behavioral Therapy Worksheet for Emmy

Patient Overview

Worksheet Goals

The primary goal of this worksheet is to help Emmy identify her thoughts, feelings, and behaviors, particularly in relation to her phobias and anxiety. Through this process, we will work on developing coping strategies and gradually facing fears in a supportive manner.


Part 1: Understanding Your Anxiety

Step 1: Identify Your Feelings

Take a moment to write down how you feel when you think about separation, loud noises, or attending hockey games.

  1. When I think about being separated from my parents, I feel:




  2. When I hear loud noises, I feel:




  3. When I think about going to a hockey game, I feel:





Step 2: Recognize Your Thoughts

What thoughts pop into your mind when you experience these feelings? Write down your thoughts.

  1. Thoughts about separation:




  2. Thoughts about loud noises:




  3. Thoughts about hockey games:





Part 2: Challenging Negative Thoughts

Step 3: Analyzing Your Thoughts

Now, let’s examine whether your thoughts might be overly negative or unrealistic. For each thought you have written down, try to answer these questions:

Example Format:

  1. Negative Thought: ____
    • Evidence For: _____
    • Evidence Against: _____
    • Balanced Thought: _____

Part 3: Coping Strategies

Step 4: Creating a Coping Toolbox

Think of strategies that can help you manage your anxiety. Choose activities you might enjoy or find comforting. Write them down below.

  1. Coping Strategies:




Step 5: Practicing Relaxation Techniques

Choose a technique to practice when you feel anxious. Here are some options:

Select a technique to practice:


Part 4: Gradual Exposure

Step 6: Creating an Exposure Ladder

Let's create a ladder to face your fear of hockey games. Start with something that feels manageable, and work your way up to your ultimate goal of attending a game.

Step 1:

Step 2:

Step 3:

Final Goal:


Reflection

At the end of each day, reflect on your experiences:


Conclusion

Remember, Emmy, progress takes time, and it is okay to feel afraid. By practicing these techniques and being gentle with yourself, you can work through your anxiety step by step. You are brave for reaching out for help!