Anxiety & panic worksheets

Exposure-based anxiety worksheets that actually teach the brain.

Ten worksheets across the anxiety spectrum — panic, GAD, social, health, phobia — grounded in exposure, response prevention, and cognitive work. Free, printable, and designed for real clinical use.

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Panic
1p · PDF

Panic Attack Protocol

What to do in one — printed, findable

Concrete in-attack steps and post-attack log to reduce fear of fear over time.

Panic disorder; first panic attack; agoraphobia in-vivo work.
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GAD
1p · PDF

Worry Postponement Worksheet

Schedule the worry — don't fight it

Evidence-based GAD tool: postpone worries to a scheduled window; log which survive to the window.

Generalized anxiety; chronic worriers; rumination bleeding into sleep and work.
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Skills
1p · PDF

Safety Behavior Audit

The coping that keeps the fear alive

Inventory safety behaviors, name their function, and design a drop-one experiment.

Social anxiety, panic, health anxiety, phobia — anywhere subtle avoidance persists.
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Exposure
1p · PDF

Graded Exposure Hierarchy

The ladder — one rung, repeated until boring

Build an anxiety hierarchy with SUDs and repetition rules; boredom is the criterion for moving up.

Any anxiety amenable to exposure; treatment planning; homework structure.
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Social
1p · PDF

Social Anxiety Rules Worksheet

Break one rule as a behavioral experiment

Surface the rigid rules that drive social anxiety and design one behavioral test to disconfirm one.

Social anxiety disorder; performance anxiety; post-COVID social re-entry.
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Health
1p · PDF

Health Anxiety Loop Checklist

Interrupt reassurance-seeking

Cut the sensation → catastrophic → reassurance loop; agree a check-in schedule with the doctor.

Illness anxiety disorder; post-diagnosis hypervigilance; symptom googling spiral.
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Panic
1p · PDF

Interoceptive Exposure Worksheet

Feared body sensations, on purpose

Structured provocation of panic-adjacent sensations to teach the brain they're uncomfortable, not dangerous.

Panic disorder with clinician supervision; body-focused anxiety; agoraphobia.
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Exposure
1p · PDF

Specific Phobia Exposure Plan

Ladder + rules for a fast responder

Full phobia exposure protocol with SUDs tracking and rules of adequate dosing.

Specific phobia treatment; brief-treatment referrals; homework between sessions.
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Cognitive
1p · PDF

Anxiety-Specific Thought Record

Probability, cost, coping

Rework anxious thoughts by rating probability, cost, and — often missing — coping capacity.

Generalized anxiety; catastrophizing; low-probability high-cost worries.
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Assessment
1p · PDF

Anxiety Maintenance Map

The ecosystem keeping anxiety alive

Map triggers, avoidance, safety behaviors, reassurance, and lifestyle inputs — pick one link to target.

Case conceptualization; treatment planning; clients wanting a big-picture view.
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Cognitive
1p · PDF

Decatastrophizing Worksheet

Walk the worst case to the end, then rewrite it

Test the odds, plan the coping, and land on a more accurate version of the story anxiety keeps looping.

Health anxiety, GAD, catastrophic thinking after any triggering event.
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Exposure
1p · PDF

Anxiety Avoidance Hierarchy

A ladder from easiest to hardest

Build a personalized fear ladder with predicted vs actual SUDS and pick one rung to climb this week.

Social anxiety, phobias, agoraphobia, exposure planning.
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Logging
1p · PDF

Anxiety Physical Symptoms Log

Anxiety lives in the body first

Track sensation, trigger, and story for a week — the pattern becomes visible enough to interrupt.

Somatic anxiety presentations, panic disorder, health anxiety, alexithymia.
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Exposure
1p · PDF

Safety Behavior Drop Plan

Fear stays alive because checking keeps proving it real

List every small safety behavior and drop one on purpose. Predict, act, and let the data update the belief.

Social anxiety, health anxiety, OCD-adjacent reassurance seeking, panic.
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Cognitive
1p · PDF

'What If' Worksheet

Turn a spiral into a decision

Follow one what-if chain to its actual end, sort likely from fantasy, and rewrite it into an answerable question.

GAD, generalized worry, rumination, decision paralysis.
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Measurement
1p · PDF

GAD-7 Symptom Diary

14 days of daily symptom load — track it as it happens, not from memory

Daily 14-day log of rough GAD-7 total, loudest symptom, and what was happening. Turns the 2-week recall the GAD-7 asks about into contemporaneous data — reveals what days spike and what days don't.

Generalized anxiety, panic disorder, social anxiety, measurement-based anxiety care, functional-medicine-adjacent work.
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Panic
1p · PDF

Panic Attack Worksheet

Physical sensations, feared meaning, evidence against, plan for the next attack

Panic attack management: physical sensations named, feared meaning identified, evidence against the feared meaning, and the plan for the next attack. Before/after belief ratings.

Panic disorder, agoraphobia, health anxiety with panic, first-attack psychoeducation, interoceptive exposure adjunct.
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Worry
1p · PDF

Worry Log Worksheet

Seven days of worry, outcome, and whether the worry was warranted

Seven-day worry log: the worry, intensity 0–10, what actually happened, whether the worry was warranted. Prediction-vs-outcome gap becomes visible.

Generalized anxiety, chronic worry, catastrophic thinking, bedtime worry loops.
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Frequently asked questions

Do these replace treatment for panic disorder or GAD?+

No — they support first-line CBT protocols. Interoceptive exposure in particular should be done with clinician support if there are relevant medical concerns.

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