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Anxiety (Types: Generalized, Health, Panic, Phobia, Social)

This page contains information about the following forms of anxiety:

  • generalized anxiety disorder (GAD)
  • health anxiety (hypochondriasis)
  • panic disorder
  • phobia
  • social anxiety

Psychology Tools Cognitive Behavioral Therapy (CBT) worksheets for anxiety

Avoidance Hierarchy / Fear Hierarchy

free & pro

Avoidance Hierarchy

Worksheet

Behavioral Experiment

free & pro

Behavioral Experiment

Worksheet

CBT Thought Record

free & pro

CBT Thought Record

Worksheet

Classical Conditioning

pro

Classical Conditioning

Information

Cognitive Behavioral Model Of Fear Of Bodily Sensations (2018)

pro

Fear Of Bodily Sensations

Information

Cognitive Behavioral Model Of Generalized Anxiety Disorder (GAD) (1998)

pro

Generalized Anxiety Disorder…

Information

Cognitive Behavioral Model Of Health Anxiety (2003)

pro

Health Anxiety

Information

Cognitive Behavioral Model Of Health Anxiety (2018)

pro

Health Anxiety

Information

Cognitive Behavioral Model Of Panic (1986)

pro

Panic Attacks / Panic Disorder

Information

Cognitive Behavioral Model Of Post Traumatic Stress Disorder (PTSD) (2000)

pro

Post-Traumatic Stress Disorder…

Information

Decatastrophizing / Decatastrophising

pro

Decatastrophizing

Worksheet

Exposure And Response Prevention

pro

Exposure And Response Prevention

Worksheet

Exposure Practice Form

pro

Exposure Practice Form

Worksheet

Fight Or Flight Response

free & pro

Fight Or Flight Response

Information

Health Anxiety Thought Record

pro

Health Anxiety Thought Record

Worksheet

How Breathing Affects Feelings

pro

How Breathing Affects Feelings

Information

Identifying The Meaning Of Body Sensations

pro

Identifying The Meaning Of…

Worksheet

Interoceptive Exposure

pro

Interoceptive Exposure

Worksheet

Nightmare Exposure And Rescripting

pro

Nightmare Exposure And Rescripting

Worksheet

Operant Conditioning

pro

Operant Conditioning

Worksheet

Panic Attack Progress Record

pro

Panic Attack Progress Record

Worksheet

Panic Attack Record Form

pro

Panic Attack Record Form

Worksheet

Play The Script Till The End

free & pro

Play The Script Till The End

Worksheet

Progressive Muscle Relaxation

free & pro

Progressive Muscle Relaxation

Exercise

Relaxed Breathing

free & pro

Relaxed Breathing

Exercise

Relaxed Breathing Record Form

pro

Relaxed Breathing Record Form

Worksheet

Safety Behaviors Example

free & pro

Safety Behaviors Example

Information

Safety Behaviors Worksheet

pro

Safety Behaviors

Information

Selective Attention

pro

Selective Attention

Worksheet

Taking Panic Out Of The Body

pro

Taking Panic Out Of The Body

Worksheet

Understanding My Panic

pro

Understanding My Panic

Worksheet

Unhelpful Thinking Styles / Cognitive Distortions

free & pro

Unhelpful Thinking Styles…

Information

What If

free & pro

What If ... ?

Worksheet

What Is Exposure Therapy?

free & pro

What Is Exposure Therapy?

Information

Worry Decision Tree

free & pro

Worry Decision Tree

Exercise

Worry Thought Record

pro

Worry Thought Record

Worksheet

 

Assessment

General

Generalized Anxiety Disorder

Social Anxiety Disorder

Intervention

Treatment guides

  • NICE guidelines for GAD and panic (January 2011)  nice.org.uk
  • NICE guidelines for social anxiety disorder (May 2013)  nice.org.uk
  • Treatment manual for general anxiety disorder crufad.org
  • Treatment manual for panic disorder  crufad.org
  • Treatment manual for social phobia  crufad.org
  • Comprehensive cognitive behavior therapy for social phobia: a treatment manual - developed by Ledley, Foa, Huppert (2005)  div12.org
  • Treatment manual for social anxiety disorder  epsy.tamu.edu  archive.org

Information handouts

Health anxiety

Panic disorder

Phobia

  • Phobia self-help booklet from Glasgow STEPS including information about phobia and self-help interventions GlasgowSTEPS.com archive.org
  • Treatment manual and patient workbook crufad.org

Social anxiety disorder

Exercises, Worksheets & Workbooks

Phobia

  • Treatment manual and patient workbook  crufad.org

Presentations

Recommended Reading

General

  • Clark, D. M. (1999). Anxiety disorders: why they persist and how to treat them. Behaviour Research and Therapy, 37, S5-S27 psu.edu archive.org

Generalized Anxiety Disorder

  • Behar, E., DiMarco, I. D., Hekler, E. B., Mohlman, J., Staples, A. M. (2009). Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications. Journal of Anxiety Disorders, 23, 1011-1023 designinghealth.org archive.org
  • Bottesi, G., Ghisi, M., Carraro, E., Barclay, N., Payne, R., & Freeston, M. H. (2016). Revising the Intolerance of Uncertainty Model of Generalized Anxiety Disorder: Evidence from UK and Italian Undergraduate Samples. Frontiers in psychology7, 1723 nih.gov  archive.org

A number of treatment packages have demonstrated efficacy in the treatment of GAD:

Laval model
  • Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour research and therapy36(2), 215-226.
Avoidance model of worry and GAD
  • Borkovec, T. D., Alcaine, O., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. Generalized anxiety disorder: Advances in research and practice2004.
  • Hjemdal, O., Hagen, R., Nordahl, H. M., & Wells, A. (2013). Metacognitive therapy for generalized anxiety disorder: Nature, evidence and an individual case illustration. Cognitive and Behavioral Practice20(3), 301-313 amazonaws.com  archive.org
Metacognitive model
  • Hjemdal, O., Hagen, R., Nordahl, H. M., & Wells, A. (2013). Metacognitive therapy for generalized anxiety disorder: Nature, evidence and an individual case illustration. Cognitive and Behavioral Practice20(3), 301-313.
  • Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioural and cognitive psychotherapy23(3), 301-320 academia.edu  archive.org
Emotional dysregulation model
  • Fresco, D. M., Mennin, D. S., Heimberg, R. G., & Ritter, M. (2013). Emotion regulation therapy for generalized anxiety disorder. Cognitive and Behavioral Practice20(3), 282-300 nih.gov
  • Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice9(1), 85-90 kent.edu  archive.org
Acceptance-based model of GAD
  • Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance‐based approaches with existing cognitive‐behavioral models. Clinical Psychology: Science and Practice9(1), 54-68 semnaticscholar.org  archive.org
  • Roemer, L., Salters, K., Raffa, S. D., & Orsillo, S. M. (2005). Fear and avoidance of internal experiences in GAD: Preliminary tests of a conceptual model. Cognitive Therapy and Research29(1), 71-88.

Health Anxiety

  • Asmundson, G. J. G., Abramowitz, J. S., Richter, A. A., Whedon, M. (2010). Health anxiety: current perspectives and future directions. Current Psychiatry Reports, 12, 306-312 researchgate.net
  • Furer, P., Walker, J. R. (2008). Death anxiety: A cognitive behavioural approach. Journal of Cognitive Psychotherapy, 22(2), 167-182 researchgate.net
  • Salkovskis, P. M., Warwick, H. M. C., Deale, A. C. (2003). Cognitive-Behavioral Treatment for Severe and Persistent Health Anxiety (Hypochondriasis). Brief Treatment and Crisis Intervention, 3, 353-367 btci.edina.clockss.org archive.org
  • Walker, J. R., Furer, P. (2008). Interoceptive exposure in the treatment of health anxiety and hypochondirasis. Journal of Cognitive Psychotherapy, 22(4), 366-378 researchgate.net

Panic disorder

  • Clark D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24:461–470. comhem.se archive.org
  • Clark, D. A. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5-S27 kcl.ac.uk archive.org
  • Schmidt, N. B., Woolaway-Bickel, K., Trakowski, J. et al. (2000). Dismantling cognitive-behavioural treatment for panic disorder: Questioning the utility of breathing retraining. Journal of Consulting and Clinical Psychology, 68(3), 417-424 psy.utexas.edu archive.org
  • Wells, A. (1997). Cognitive Therapy of Anxiety Disorders. Chichester: Wiley.

Social Anxiety Disorder

  • Clark, D. M. (2001). A cognitive perspective on social phobia psy.utexas.edu archive.org
  • Moscovitch, D. A. (2009). What is the core fear in social phobia? A new model to facilitate individualized case conceptualization and treatment. Cognitive and Behavioural Practice, 16. 123-134 uwaterloo.ca archive.org
  • Wild, Hackmann, Clark (2008). Rescripting early memories linked to negative images in social phobia: a pilot study. Behaviour Therapy, 39(1), 47-56. sciencedirect
  • Veale, D. (2003). Treatment of social phobia. Advances in Psychiatric Treatment, 9, 258-264 rcpsych.org archive.org

Other Resources

The Mental Health Research Group at the University of Huddersfield developed a self-help pack for anxiety.

The Centre for Clinical Interventions (CCI) is an Australian mental health organisation that conducts research, provides training and supervision, and offers a clinical service. They have made a really useful selection of materials for treating generalised anxiety disorder