John Turton - 05 ANXIETY worry and fear issues

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05 ANXIETY worry and fear issues

This form is for Profiling criteria of experiences of extreme anxiety or panic

Anxiety Profile

The purpose of this form is to gather a brief picture of your experience; how you are thinking about it and how you are responding. Please fill out the contact information.

Name
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LOCATE IT IN TIME AND SPACE IN RESPECT OF YOUR EXPERIENCE of ANXIETY

WHERE (the places) does your experience of this emotion happens most?

WHEN (the time of day/week/month) does it happen most?

WHO is most often involved?

How disruptive is it to your life?

Your motivation to work for change?

In respect to your experience of ANXIETY (or fears), choose the level of IMPACT from this scale.

The next three sections ask for what triggers Anxiety, what thoughts accompany it, and what reactions accompany it.

Anxiety is activated for me WHEN...
I am facing a threat
I am facing a danger
I am facing a challenge

OTHER SITUATIONS that activate Anxiety for me...

THOUGHTS that accompany my feeling ANXIOUS are...
I overestimate the negative features of the (event)
I underestimate my ability to cope with the threat
I create an even more negative threat in my mind
I have more task irrelevant thoughts than mere concern
I withdraw mentally from the (event)
I withdraw physically from the (event)

OTHER THOUGHTS that accompany my feeling ANXIETY...

REACTIONS that accompany my feeling ANXIETY...
I ward off the threat [event] with ritual, superstition etc.
I tranquilise my feelings with medication or substances.
I seek reassurance from others
I am taking medication prescribed by a medical professional

OTHER REACTIONS that accompany my feeling ANXIETY...

Please add comments you feel I need to know to understand you and your experience of anxiety?
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FOR FURTHER RESPONSE OR DISCUSSION CONTACT THE ONLINE COUNSELLOR

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John Turton - Online Counsellor (NZ)

05 ANXIETY worry and fear issues