Emotion-focused CBT for Separation Anxiety Worksheet

Name _______________

Date ________________

Discover and identify the emotions you experience while being away from your significant others/attachment figure or at the thought of their absence.

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Rank them as difficult-to-manage emotions to the least problematic emotion.

Plan with the facilitator or help on how to regulate these emotions. Focus on the potential outcomes you associate with your significant other's absence.

Practice in actual situations to reduce the experience of worry while getting separated from the closer beings.

You can download more Mental Health worksheets here.

Please note: You can find a more up-to-date and editable version of this worksheet available here that may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counselor.

Reference

Eisen, A. R., Sussman, J. M., Schmidt, T., Mason, L., Hausler, L. A., & Hashim, R. (2011). Separation anxiety disorder. In Handbook of Child and Adolescent Anxiety Disorders (pp. 245-259). New York, NY: Springer New York.

Setiyowati, A. J. (2017, September). Emotion-focused cognitive behavioral therapy: An Attempt to Resolve Emotional deficiency and strengthen cognitive behavioral therapy efficacy. In 3rd International Conference on Education and Training (ICET 2017) (pp. 261-264). Atlantis Press.