Panic Diary

The Panic Diary is a structured tool created to gather information about panic and panic symptoms.

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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

The Panic Diary is a cognitive behavioral therapy (CBT) diary for panic symptoms. Clients can record panic attack frequency along with information about accompanying body sensations and negative thoughts.

Why Use This Resource?

Self-monitoring is a cornerstone of cognitive behavioral therapy (CBT), supporting both assessment and intervention. This resource assists clients by focusing on:

  • Pain location and intensity.
  • Activities associated with increases or decreases in pain.
  • Pain-related coping strategies.

Key Benefits

Insightful

Promotes awareness of the factors contributing to panic.

Engaging

Encourages active participation in therapy.

Flexible

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

Who is this for?

Panic Attacks

Clients experiencing sudden, intense episodes of fear or discomfort accompanied by physical symptoms such as a racing heart or shortness of breath.

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

Effective treatment of panic involves (among other components): monitoring symptoms, identifying catastrophic thinking, and cognitive restructuring. This cognitive behavioral therapy (CBT) diary for panic targets all three of these areas. Record panic attack frequency along with information about accompanying body sensations and negative thoughts. There is additional space for a rational 'answer to the negative thought'.

What's inside

  • An introduction to panic and self-monitoring.
  • 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 panic and panic attacks.
  • Data-driven insights for more effective treatment planning and intervention.
  • Increased client engagement, awareness, and insight into their difficulties.

References And Further Reading

  • Barlow, D. H., & Craske, M. G. (2006). Mastery of your anxiety and panic. Oxford University Press.
  • Whalley, M. G. (2017). Psychology tools for overcoming panic. Psychology Tools.