Aspecte

generale

Agenda personal zilnic

Data_______
Activitatea___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Scopul activitii (n afar de comportamente compensatorii, distracie) __________________________
____________________________________________________________________________________
____________________________________________________________________________________
Scopurile zilei de azi : 1. _______________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
5. ________________________________________________________________
Ce m ngrijoreaz cel mai mult c s-ar putea ntmpla (gndurile negative) _______________________
____________________________________________________________________________________
____________________________________________________________________________________
De cte ori m-am ngrijorat astzi n legtur cu acest lucru? ____________________
Care sunt dovezile c s-ar putea ntmpla lucrul de care m tem (pe ce m bazez)? ________________
____________________________________________________________________________________
____________________________________________________________________________________
Ct de probabil este ca acest lucru s se ntmple cu adevrat?
(0 = foarte puin probabil, 100 = aproape sigur) ___________
Ct de puternic este teama mea c se va ntmpla acest lucru (pe o scal de la 1 la 10)?
0---------1--------2--------3--------4--------5--------6--------7--------8--------9--------10
absent

uoar

moderat

puternic

Cum pot face fa acestei situaii?

S-a ntmplat lucrul de care m temeam cel mai mult? (DA/NU) ______

extrem de puternic