Panic Attack Self-Assessment Log
Track the context, symptoms, and impact of panic attacks to guide treatment planning
Panic Attack Self-Assessment Log
Track the context, symptoms, and impact of panic attacks to guide treatment planning
Panic Attack Self-Assessment Log
Track the context, symptoms, and impact of panic attacks to guide treatment planning
Panic attacks are sudden surges of intense fear accompanied by physical symptoms such as racing heart, shortness of breath, dizziness, and chest tightness. According to DSM-5-TR criteria, symptoms peak within minutes and can occur out of the blue or in response to a known trigger. Tracking your panic episodes systematically helps your clinician distinguish between panic disorder, situational anxiety, and medical conditions with overlapping symptoms. In panic treatment, self-monitoring also makes attacks feel less unpredictable, which matters because unpredictability drives much of the distress (Craske & Barlow, 2022).
After each panic episode, complete one row as soon as you are able. Record what you were thinking and doing just before the attack, the physical symptoms you experienced, the peak intensity on a 0-10 scale, how long the episode lasted, and any behavioral changes you have made as a result (for example, avoiding certain places). Bring this log to your next therapy session for collaborative review.
| Date and Situation Before the Attack | Physical Symptoms Experienced | Peak Intensity (0-10) | Duration (Minutes) | Avoidance or Behavioral Changes |
|---|---|---|---|---|
References
- Craske, M. G., & Barlow, D. H. (2022). Mastery of your anxiety and panic: Therapist guide (5th ed.). Oxford University Press. https://doi.org/10.1093/med-psych/9780197584057.001.0001
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Common Questions
What is the Panic Attack Self-Assessment Log worksheet?
Panic attacks are sudden surges of intense fear accompanied by physical symptoms such as racing heart, shortness of breath, dizziness, and chest tightness. According to DSM-5-TR criteria, symptoms peak within minutes and can occur out of the blue or in response to a known trigger.
How do I use the Panic Attack Self-Assessment Log worksheet?
Fill out this worksheet digitally or print it for use in session. You can save your progress with a Pro account. Take your time with each column — there are no right or wrong answers.
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Can I fill out the Panic Attack Self-Assessment Log worksheet online?
Yes. Switch the worksheet to "Type on Screen" mode to fill in the fields directly in your browser before printing. Pro members can also save their entries across sessions and export the completed worksheet as a branded PDF.
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