"Panic Diary Template"

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PANIC DIARY
Day
Situation:
Main body
Negative thought
Answer to negative
Behaviour &
How
&
What happened?
sensations
Misinterpretation of body
thought
Consequence
long
(e.g.
Who with, where etc
sensation: E.g. “I’m having a
Date
Dizziness, mind-
What did you or could you
What did you do?
panic
heart attack”, “I’m going to
racing, breathless,
have said to yourself that
What happened as a result
lasted?
faint”
shaking, palpitations,
would have helped?
of the panic attack?
(mins)
What was the worst that could
chest pain, nausea,
happen?
choking feeling)
www.getselfhelp.co.uk
www.get.gg
PANIC DIARY
Day
Situation:
Main body
Negative thought
Answer to negative
Behaviour &
How
&
What happened?
sensations
Misinterpretation of body
thought
Consequence
long
(e.g.
Who with, where etc
sensation: E.g. “I’m having a
Date
Dizziness, mind-
What did you or could you
What did you do?
panic
heart attack”, “I’m going to
racing, breathless,
have said to yourself that
What happened as a result
lasted?
faint”
shaking, palpitations,
would have helped?
of the panic attack?
(mins)
What was the worst that could
chest pain, nausea,
happen?
choking feeling)
www.getselfhelp.co.uk
www.get.gg