Attention - Self-Monitoring Record

The Attention - Self-Monitoring Record is a structured tool designed to collect valuable information about how what clients pay attention to in different situations.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Editable version (DOC)

An editable Microsoft Word version of the resource.

Overview

Developing self-monitoring skills teaches clients to systematically observe and record specific targets such as their own thoughts, body feelings, emotions, and behaviors. Though it’s usually introduced early in the therapy process, it can continue to provide an inexpensive and constant measure of problem symptoms and behaviors throughout treatment. The Attention - Self-Monitoring Record worksheet is designed to help clients document what they focus on in various situations.

Why Use This Resource?

Self-monitoring is a cornerstone of cognitive-behavioral therapy, supporting both assessment and intervention. This resource assists clients in observing and recording important information that can:

  • Enhance awareness and insight into the focus of one's attention.
  • Inform case conceptualizations, treatment planning, and intervention.
  • Provide a measure of change during treatment.
  • Support and encourage client-therapist collaboration.

Key Benefits

Structured

Provides a clear, organized format for capturing clients' experiences.

Insightful

Promotes awareness of the factors influencing attention.

Engaging

Encourages active participation in therapy.

Flexible

Can be used to support assessment, intervention, and symptom monitoring.

Who is this for?

Social Anxiety Disorder

Excessive self-focused attention in social situations.

Post-Traumatic Stress Disorder (PTSD)

Hypervigilance and attention biases towards perceived threats.

Generalized Anxiety Disorder (GAD)

Heightened attention to worries and sources of uncertainty.

Integrating it into your practice

01

Introduce

Explain the benefits and rationale for self-monitoring.

02

Identify

Agree targets for self-monitoring.

03

Practice

Provide instructions for completing the record and rehearse with the client.

04

Review

Review the client's completed self-monitoring record.

05

Adjust

Modify self-monitoring based on progress, shifting focus as needed.

Theoretical Background & Therapist Guidance

Self-monitoring is a technique where clients systematically observe and record their thoughts, feelings, emotions, and behaviors to enhance awareness and gain insight into their challenges. It is commonly used in cognitive behavioral therapy (CBT) and involves two main components: discrimination (recognizing target phenomena) and recording (documenting occurrences).

Self-monitoring can be faciliating using various tools such as diaries, logs, and records, aimed at helping clients engage in their treatment by fostering self-control and autonomy. Data collected can inform case formulation and intervention planning, as it assists in identifying prevalent problems, unhelpful thinking patterns, triggers, and coping behaviors. Typically, self-monitoring is introduced early in therapy, particularly for covert phenomena like rumination or self-criticism. Clients may begin with simple tasks and advance to more detailed records exploring the connections between thoughts, feelings, and behaviors.

Psychology Tools self-monitoring records have been carefully designed to focus on particular targets. Typically, each form has a standard version that collects essential data about the target behavior, as well as an Extended version that gathers additional information on the consequences of client behaviors. This extra data can help form hypotheses about reinforcing factors.

The Attention - Self Monitoring Record is designed to help clients capture information about what they pay attention to in different situations. It includes columns to record information about: situational context; focus of attention (with additional prompts about an internal or external focus); emotional and physiological reactions; and coping responses. An additional ‘extended’ version of the form includes a column for recording the consequences of these coping responses, which may help therapists generate hypotheses about how the client’s existing coping strategies contribute to the maintenance of their difficulties.

What's inside

  • A comprehensive introduction to self-monitoring.
  • Detailed therapist guidance for introducing self-monitoring.
  • References and further reading for learning more about self-monitoring.
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FAQs

Self-monitoring involves systematically observing and recording specific targets that are related to the client's difficulties.
It supports client engagement, informs case conceptualization and treatment planning, and provides an ongoing measure of clients’ difficulties.
Begin with a simple focus and encourage the client to record key data immediately after relevant experiences to ensure it is as accurate as possible.

How This Resource Improves Clinical Outcomes

Integrating self-monitoring records into therapy supports:

  • Enhanced understanding and awareness of attention.
  • Data-driven insights for more effective treatment planning and intervention.
  • Increased client engagement and insight into their difficulties.

References And Further Reading

  • Bornstein, P.H., Hamilton, S.B., & Bornstein, M.T. (1986). Self-monitoring procedures. In A.R. Ciminero, K.S. Calhoun, & H.E. Adams (Eds) Handbook of behavioral assessment (2nd ed). New York: Wiley.
  • Clark, D. M. (2001). A cognitive perspective on social phobia. In W. R. Crozier, L. E. Alden (Eds) International handbook of social anxiety: Concepts, research and interventions relating to the self and shyness. Chichester: John Wiley & Sons.
  • Cohen, J.S., Edmunds, J.M., Brodman, D.M., Benjamin, C.L., & Kendall, P.C. (2013). Using self-monitoring: implementation of collaborative empiricism in cognitive-behavioral therapy. Cognitive and Behavioral Practice, 20(4), 419-428.
  • Kennerley, H., Kirk, J., & Westbrook, D. (2017). An Introduction to Cognitive Behaviour Therapy: Skills & Applications. 3rd Edition. Sage, London.
  • Korotitsch, W. J., & Nelson-Gray, R. O. (1999). An overview of self-monitoring research in assessment and treatment. Psychological Assessment, 11(4), 415.
  • Persons, J.B. (2008). The Case Formulation Approach to Cognitive-Behavior Therapy. Guildford Press, London.
  • Proudfoot, J., & Nicholas, J. (2010). Monitoring and evaluation in low intensity CBT interventions. In J. Bennett-Levy et al. (Eds.), Oxford guide to low intensity CBT interventions (Oxford Guides to Cognitive Behavioural Therapy) (pp.97-104). Oxford University Press. https://doi.org/10.1093/med:psych/9780199590117.003.0007 .
  • Warnock-Parkes, E., Wild, J., Thew, G. R., Kerr, A., Grey, N., Stott, R., ... & Clark, D. M. (2020). Treating social anxiety disorder remotely with cognitive therapy. The Cognitive Behaviour Therapist, 13.
  • Wells, A., & Sembi, S. (2004). Metacognitive therapy for PTSD: A core treatment manual. Cognitive and Behavioral Practice, 11(4), 365-377.