Anxiety Tracker
Current Light on Anxiety clients are in invited to use this secure anxiety tracker tool, to assist in gaining a more objective perspective on anxious moments as they unfold. Note: this form will be reviewed with your Light on Anxiety therapist(s) at your next scheduled appointment.
Email address *
Name
Your answer
Date
MM
/
DD
/
YYYY
Time
Time
:
What was I doing moment before anxiety episode began?
Your answer
Any obvious triggers?
Your answer
Anxiety level ( 0-10)
minimal anxiety
extreme anxiety
Anxious Thoughts
Your answer
Feelings
Body Sensations
Unhealthy coping behavior I am feeling urge to engage in (i.e. avoidance, fleeing, compulsions, reassurance seeking, etc.)
Your answer
One healthy coping behavior I can engage in to assist in moving through this difficult moment would be to:
My own idea for a healthy coping behavior I can engage in:
Your answer
Anything else you'd like me to know?
Your answer
Submit
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