Anxiety Symptoms Record Worksheet for Panic Attacks – FREE PDF

When someone is trying to make sense of panic symptoms, this printable anxiety symptoms worksheet gives them a simple way to sort what they notice in their body, thoughts, feelings and behaviour.

Printable anxiety symptoms worksheet with three columns for somatic or physiological symptoms, cognitive or affective symptoms, and behavioural symptoms.

This anxiety symptoms record worksheet for panic attacks is a structured printable sheet for noting what happens during an episode of panic or intense anxiety. It helps the user separate physical sensations, thoughts, emotions and actions, so patterns can be discussed more clearly in a CBT session, counselling appointment, wellbeing check-in or support planning conversation. It provides a consistent format that can make repeated reactions easier to compare over time and discuss during support.

The worksheet can be used by adults or older teenagers who are exploring panic attacks, anxiety symptoms, avoidance behaviours or panic disorder with a therapist, mental health practitioner, counsellor or support worker. It may also be useful as a home learning or reflection activity between appointments, allowing the person to record examples while they are still fresh.

  • Record somatic or physiological symptoms, such as shortness of breath, chest tightness or lightheadedness.
  • Note cognitive or affective symptoms, such as frightening thoughts, fear of having a heart attack or feeling overwhelmed.
  • Identify behavioural responses, including avoiding places, objects or people, or only going out with trusted people.

Print the worksheet for use in lessons, psychoeducation sessions, one-to-one support, revision of coping work or personal record keeping. Its clear layout makes it easy to download, complete by hand and bring to a follow-up discussion. Produced by the Centre for Clinical Interventions.

FREE PDF DOWNLOAD: ANXIETY SYMPTOMS RECORD WORKSHEET FOR PANIC ATTACKS – FREE PDF

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