Worry – Self-Monitoring Record

The Worry – Self-Monitoring Record is designed to help clients capture information about situations where they engaged in worry. Consistent with contemporary treatment approaches, this self-monitoring record deliberately focuses on worry processes as well as worry content.

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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

Self-monitoring is an effective technique for observing and recording specific targets like thoughts, emotions, and behaviors. The Worry – Self-Monitoring Record allows clients to record key information about worrying including: triggers and situational context; a brief summary of the content and the duration of the worry; consequences of the worry; and categorization of the worry as ‘real’ or ‘hypothetical’.

Why Use This Resource?

Monitoring worry can be used as both an assessment tool and an intervention:

  • Fosters client insight into the process and content of worry.
  • Supports psychological distancing and decentring.
  • Provides data to inform case formulation and intervention planning.

Key Benefits

Awareness

Increases client awareness of worry and it's consequences.

Insight

Helps clients distinguish between different 'types' of worry.

Collaboration

Supports client-therapist collaboration in addressing worry.

Tracking

Helps track progress over time.

Who is this for?

Generalized Anxiety Disorder (GAD)

Helps identify broad or diffuse worries.

Health Anxiety

Documents health-related worries and their triggers.

Other Difficulties

Difficulties where worry is present, such as perfectionism and social anxiety.

Integrating it into your practice

01

Identify

Begin by identifying the specific target for self-monitoring, such as health-focused worries.

02

Discriminate

Teach clients to identify and pay attention to triggers and contexts for worrying.

03

Record

Instruct clients to document their worries during or immediately after an episode.

04

Categorize

Help clients classify worries as real or hypothetical.

05

Review

Regularly review self-monitoring records to gather more data or monitor change.

Theoretical Background & Therapist Guidance

Self-monitoring is an integral component of cognitive behavioral therapy (CBT), and is used as both an assessment and intervention tool (Korotitsch & Nelson-Gray, 1999). It not only aids in the development of helpful skills such self-observation and decentring, but provides valuable data for case conceptualization and intervention planning.

What's inside

  • Guidance on the process and rationale for self-monitoring.
  • A self-monitoring worksheet specifically designed for worry.
  • Detailed prompts and therapist instructions to help clients make the most of this tool.
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FAQs

To enhance awareness and understanding of worry, including the content, process, antecedents, and consequences of worry.
Clients should be encouraged to record worries consistently, either during or immediately after worry episodes.
Explore potential barriers such as a lack of understanding, insufficient practice, or environmental interferences.

How This Resource Improves Clinical Outcomes

By systematically tracking worry patterns, this tool helps:

  • Increase client awareness and insight.
  • Clarify worry triggers and content.
  • Distinguish between types of worries.
  • Promote engagement and collaboration in therapy.

References And Further Reading

  • Bornstein, P. H., Hamilton, S. B., & Bornstein, M. T. (1986). Self-monitoring procedures. Handbook of behavioral assessment (2nd ed). New York: Wiley.
  • 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
  • Wilkinson, A., Meares, K., & Freeston, M. (2011). CBT for worry and generalised anxiety disorder. Sage.