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Introduction & monitoring

I thank you God for most this amazing day: for the leaping greenly spirits of the trees, and a blue true dream of sky; and for everything which is natural which is infinite which is yes.

- e e cummings

Here are a series of forms that I use almost every session with clients, or for screening and orientation at the start of therapy:

Handouts & questionnaires for health anxiety disorder

Here are the two main questionnaires currently used to assess Health Anxiety Disorder - the HAI and the HAQ.  The HAI is the one recommended by the NHS Improving Access to Psychological Therapies (IAPT) initiative.  I've also added a scale put together by Adrian Wells that assesses safety behaviours and extent of disease belief.  Finally there is a classic CBT thoughts record.  I don't use these kinds of records much any more, but I've added it for 'completeness'.

Health anxiety inventory (HAI) - the 18 item (short form) HAI is the disorder specific scale recommended by the IAPT initiative.  The third page of the download gives typical scores for a Health Anxiety group, a more general anxiety group, a control group, and so on.   

Health anxiety questionnaire (HAQ) - this 21 item health anxiety questionnaire yields four subscales, which can make it easier therapeutically to target specific behaviours like reassurance seeking.  The third page of the download gives some idea of likely scores in different disorders.

Handouts & questionnaires for generalized anxiety disorder (GAD)

Here are a series of assessment questionnaires and handouts for Generalized Anxiety Disorder:

GAD, 2 question screen - answering "yes" to either of the two screening questions on this sheet suggests it's worth checking for a diagnosis of full Generalized Anxiety Disorder (GAD) - for example by using the GADQ (see below).

GAD, questionnaire (GADQ) - a simple questionnaire for making a full diagnosis of GAD.

GAD, assessment (GADSS) and scoring - the GAD Severity Scale.  Useful, and pays more attention to GAD's associated physical symptoms than the more purely worry-focussed scales that are often used.

GAD, metacognitions (Wells) - GAD assessment scale developed by Wells.  Includes measures of safety behaviours and metacognitions.

Handouts & questionnaires for obsessive compulsive disorder & body dysmorphic disorder

Here are a collection of downloadable forms, questionnaires and handouts that I use when working with people struggling with obsessive compulsive disorder and body dysmorphic disorder.

Normal intrusions - a list of 52 "normal intrusive thoughts" with the percentage of 293 students (none of whom had been diagnosed with a mental health problem) who reported that they had experienced this thought.  I often hand out this leaflet to help people realize that experiencing occasional disturbing intrusive thoughts is totally normal.

OCD diagnosis & prevalence - leaflet giving DSM-IV diagnostic criteria for obsessive-compulsive disorder and some details of prevalence rates.

Handouts & questionnaires for problem solving & behavioural activation

Here are a series of forms, questionnaires and handouts that I use regularly in my work.  The problem solving diagram is a recurring theme - both at the start of therapy and as a sheet to return to when reviewing and considering additional therapeutic options.  Other sheets are classic variants on the tools used by many cognitive behavioural therapists - with occasional alternatives and additions, that I've come up with over the years, thrown in as well.

Handouts & questionnaires for panic, agoraphobia & depersonalization

I've been working on the 'Panic & depersonalization' handouts list in the Good Knowledge section of this website.  The list contains most of the handouts and questionnaires I currently use when working with people suffering from panic disorder, agoraphobia or depersonalization/ derealization disorder.  Here they are with brief descriptions: 

Wellbeing, time management, self-control & self-determination

“ Any unexplained phenomenon passes through three stages before the reality of it is accepted. During the first stage it is considered laughable. During the second stage, it is adamantly opposed. Finally, during the third stage, it is accepted as self-evident. ” - Arthur Schopenhauer

This is a bit of a ragbag section.  It contains a mixture of handouts on wellbeing, time management and related topics.  A lot of my work involves helping people face fear and anxiety.  The "Determination training" and more straightforward monthly "Practice record" are often helpful here.  The "Respected figures exercise" is one of the most frequent forms that I ask people to fill in - it clarifies values and so highlights how one wants to act.  The handout on Kohlberg's work is relevant to values too, especially at times when the focus is on fairness and assertiveness.  I often move from the "Respected figues exercise" to the five "Goals for roles" handouts.  They build from clarifying "Role areas" and using this for the "Funeral speeches" or "80th birthday party exercise&qu

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