Panic Disorder worksheets
5 evidence-based resources for Panic Disorder. Preview any worksheet, then assign it to a client as an interactive digital worksheet.
Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed
The worksheets here are grounded in Clark's cognitive model of panic (1986): benign bodily sensations are catastrophically misinterpreted as signs of imminent disaster, fear amplifies the sensations that prompted it, and safety behaviours prevent the misinterpretation from ever being disconfirmed. Establish the pattern first with the Panic Diary — trigger, sensations, catastrophic thought, safety behaviour, outcome — then map the loop collaboratively using the Panic Formulation (Clark).
Intervention follows the formulation. Panic thought challenging tests the misinterpretation verbally; the Interoceptive Exposure Record tests it behaviourally, inducing the feared sensations while safety behaviours are dropped; and a belief survey gathers normalising evidence about how common the sensations are. Satisfy yourself that relevant medical assessment has happened before treating sensations as benign, and agree the pace of interoceptive work with the client. Clark's model is free to explore as an interactive, referenced formulation diagram.
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Showing 5 of 5 resources
Panic Disorder
Panic Formulation (Clark)
A formulation based on Clark's cognitive model of panic — mapping the vicious cycle of catastrophic misinterpretation of body sensations.
Panic Disorder
Panic Diary
Record panic episodes with triggers, sensations, catastrophic thoughts, safety behaviours, and actual outcomes to identify patterns and build evidence against catastrophic predictions.
Panic Disorder
Interoceptive Exposure Record
Log interoceptive exposure exercises that deliberately produce feared body sensations to break the link between sensations and catastrophic interpretations.
Panic Disorder
Panic Thought Challenging Worksheet
Challenge catastrophic misinterpretations of body sensations by examining evidence and generating realistic alternatives.
Panic Disorder
Understanding Panic
A plain-language explainer on panic as a false alarm: how the body's fight-or-flight response, and the way we read its signals, can spiral into a panic attack.
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Request a worksheetFrequently asked questions
Which CBT model do these panic worksheets follow?
Clark's cognitive model of panic (1986). A bodily sensation is misinterpreted catastrophically — a racing heart read as a heart attack — which raises anxiety, which intensifies the sensation; and safety behaviours such as sitting down or carrying medication prevent the catastrophic prediction from being disconfirmed. CBT is among the treatments NICE recommends for panic disorder in adults (CG113).
What should I check before starting interoceptive exposure?
That relevant medical assessment has taken place, and that the sensations you plan to induce are not better explained by a physical condition — the model targets misinterpretation of benign sensations, not the dismissal of real symptoms. Agree the rationale and the pace with the client, and run the first exercises in session before assigning them.
How does the panic diary differ from a thought record?
It is organised around episodes rather than situations: the trigger, the sensations noticed, the catastrophic thought attached to them, the safety behaviour used, and what actually happened. That structure surfaces the sensation-to-misinterpretation link and the safety behaviours that a general thought record can leave implicit.
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