Panic Diary Template
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1PANIC DIARY
Day
Situation:
Main body
Negative thought
Answer to negative
Behaviour &
How
&
What happened?
sensations
Misinterpretation of body
thought
Consequence
long
(e.g.
Who with, where etc
sensation: E.g. “I’m having a
Date
Dizziness, mind-
What did you or could you
What did you do?
panic
heart attack”, “I’m going to
racing, breathless,
have said to yourself that
What happened as a result
lasted?
faint”
shaking, palpitations,
would have helped?
of the panic attack?
(mins)
What was the worst that could
chest pain, nausea,
happen?
choking feeling)
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