Pain Diary

The Panic Diary is a structured tool created to gather information about pain intensity and activity.

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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.

Fillable version (PDF)

A fillable version of the resource. This can be edited and saved in Adobe Acrobat, or other PDF editing software.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Self-monitoring of thoughts, feelings, and symptoms is an essential skill for clients engaged in cognitive behavioral therapy (CBT). In this Pain Diary, clients can record activity and pain intensity. The results can be examined to look for any patterns in how the pain changes over the course of the day and the week, and how it relates to activity.

Why Use This Resource?

The Pain Diary offers a structured method for clients to monitor and analyze their pain, essential for effective CBT interventions. It aids in understanding the complex interplay between activities, context, and pain levels, enabling better management.

  • Encourages systematic recording of pain experiences.
  • Helps uncover patterns and triggers in pain fluctuations.
  • Facilitates conversations between clients and therapists about pain management strategies.
  • Empowers clients with data to inform treatment planning.

Key Benefits

Insightful

Promotes awareness of the factors contributing to pain.

Clear

Provides a clear framework for tracking pain intensity and potential triggers.

Engaging

Encourages active participation in therapy.

Flexible

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

Who is this for?

Pain

Clients experiencing persistent or recurrent physical discomfort that impacts their mood or daily functioning.

Integrating it into your practice

01

Introduce

Explain the benefits and rationale for keeping a diary.

02

Identify

Discuss and agree what will be recorded in the diary.

03

Practice

Rehearse completing the diary in-session.

04

Review

Review the client's completed diary.

05

Adjust

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

Theoretical Background & Therapist Guidance

Self-monitoring is a technique in which clients learn to systematically observe and record specific targets such as their own thoughts, body feelings, emotions, and behaviors. The aim is to improve clients’ awareness of their experiences and the contexts in which they occur, in order to help them gain insight into their symptoms and difficulties. Self-monitoring supports collaboration between the therapist and client, and creates opportunities to formulate and test hypotheses about these difficulties. Self-monitoring is usually introduced early in therapy, and provides an inexpensive and continuous measure of problem symptoms and behaviors throughout treatment.

In this Pain Diary, clients can record activity and pain intensity. The results can be examined to look for any patterns in how the pain changes over the course of the day and the week, and how it relates to activity.

What's inside

  • An introduction to the resource.
  • Therapist suggestions for using the resource with clients.
  • 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 client's difficulties.
Practice with the client beforehand and encourage them to complete the diary immediately after relevant experiences to ensure it is as accurate and helpful as possible.

How This Resource Improves Clinical Outcomes

Integrating diary keeping into therapy supports:

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

References And Further Reading

  • Winterowd, C., Beck, A. T., & Gruener, D. (2000). Cognitive therapy for chronic pain patients. Springer.