Please provide the following contact information (email essential):
Birthdate (day/month/year)
Gender (Male/Female)
The Format of profiling your experience of ANXIETY is
1. WHEN (you identify the triggering or activating events) 2. I FEEL (you identify the level of impact that accompanies ANXIETY) 3. I RESPOND BY (you identify the behaviours or actions that accompany you feeling ANXIETY) 4. BECAUSE (you identify the thinking that accompanies the experience of ANXIETY)
1. WHEN (you identify the triggering or activating events)
2. I FEEL (you identify the level of impact that accompanies ANXIETY)
3. I RESPOND BY (you identify the behaviours or actions that accompany you feeling ANXIETY)
4. BECAUSE (you identify the thinking that accompanies the experience of ANXIETY)
WHEN I am facing a threat I am facing a danger I am facing a challenge Other WHENs I experience FEELINGS associated with Anxiety to this level 1. The absence of any distress. Feeling calm and totally relaxed 2. Neutral feeling or just OK, not as relaxed as could be 3. Increased discomfort, unpleasant, but in control 4. Noticeable discomfort or distress, perhaps agitation, but tolerable 5. Discomfort is very uncomfortable, but I can stand it. 6. Discomfort worsens and affects my life 7. Discomfort is severe and emotional pain interferes with my life. 8. Discomfort increases and it is in my thoughts constantly 9. Discomfort is nearly intolerable 10. Discomfort is extreme and the worst imaginable. I feel panicky and overwhelmed. I RESPOND BY Warding off the threat [event] with ritual, superstition etc. Tranquilising my feelings with medication or substances. Seeking reassurance from others
I am facing a threat I am facing a danger I am facing a challenge
Other WHENs
I experience FEELINGS associated with Anxiety
to this level 1. The absence of any distress. Feeling calm and totally relaxed 2. Neutral feeling or just OK, not as relaxed as could be 3. Increased discomfort, unpleasant, but in control 4. Noticeable discomfort or distress, perhaps agitation, but tolerable 5. Discomfort is very uncomfortable, but I can stand it. 6. Discomfort worsens and affects my life 7. Discomfort is severe and emotional pain interferes with my life. 8. Discomfort increases and it is in my thoughts constantly 9. Discomfort is nearly intolerable 10. Discomfort is extreme and the worst imaginable. I feel panicky and overwhelmed.
Warding off the threat [event] with ritual, superstition etc. Tranquilising my feelings with medication or substances. Seeking reassurance from others
Taking medication prescribed by a medical professional
Other Responses you make
BECAUSE 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 Becauses
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 Becauses
Please add comments you feel I need to know to understand you and your experience of anxiety?