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Panic Diary

Record panic episodes with triggers, sensations, catastrophic thoughts, safety behaviours, and actual outcomes to identify patterns and build evidence against catastrophic predictions.

Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed

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Complete an entry as soon as possible after each panic episode (or strong wave of anxiety). The goal is to capture what triggered it, what you felt in your body, what you thought was happening, what you did to cope, and what actually happened. Over time, patterns emerge that help you and your therapist target the key maintenance factors.

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Panic Episodes

Record 1 of 1

When & Where

Trigger

Body Sensations

0%

Catastrophic Thought

0%

Safety Behaviour & Outcome

Patterns

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When to use the Panic Diary

The Panic Diary is an interactive cognitive behavioural therapy (CBT) worksheet, most often used in CBT for panic.

It is designed to be used within therapy rather than as a standalone self-help tool: a therapist introduces it, works through it collaboratively, and helps make sense of what it surfaces. You can preview the full worksheet above, then assign it digitally for clients to complete between sessions on any device — or download it as a print-ready PDF.

How it works

Most people work through it in around 10 minutes. It moves through two short steps:

  1. Panic Episodes
  2. Patterns

Completed on the Formulate platform, your client's answers are saved automatically and shared straight back to you, so you can review them before the next session rather than waiting for a paper copy to come back.

The CBT approach behind it

In common with other CBT methods, the Panic Diary works by noticing the links between situations, thoughts, feelings, physical sensations and behaviour — and finding practical ways to change unhelpful patterns. The aim is not positive thinking but a clearer, shared understanding of what keeps a difficulty going — and practical, testable ways to change it.

Because it is a CBT tool it stays focused on the here-and-now links between thoughts, feelings, the body and behaviour, and it works best as one part of a wider course of therapy rather than as advice or a diagnosis.

Evidence & sources

This worksheet is grounded in established cognitive behavioural therapy theory and practice. Key sources include:

  • Clark, D.M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24(4), 461-470. doi:10.1016/0005-7967(86)90011-2
  • Wells, A. (1997). Cognitive Therapy of Anxiety Disorders. Chichester: Wiley.

For use alongside professional support

Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.

If you need urgent help now:

  • Emergency services: 999 — if you or someone else is in immediate danger
  • Samaritans: 116 123 — free, day or night, 365 days a year
  • SANEline: 0800 689 5555 — 4:30pm–10:30pm, every day

More Panic Disorder worksheets

View all Panic Disorder worksheets →

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