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Avoidance and Suffering Diary ACT
Worksheet
August 18, 2023,
Judy R Bach
Patient Name: ___
Date: ___Instructions:
In order to enhance your psychological flexibility and overall wellbeing, please complete
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How to fill out avoidance and suffering diary

How to fill out avoidance and suffering diary
01
To fill out the avoidance and suffering diary, follow these steps:
02
Start by recording the date and time of each entry.
03
Note down the specific situation or trigger that caused your avoidance or suffering.
04
Describe your thoughts and feelings during that situation.
05
Rate the intensity of your avoidance or suffering on a scale from 1 to 10.
06
Write down any actions you took to avoid or cope with the situation.
07
Reflect on the consequences of your avoidance or suffering.
08
Identify any patterns or common triggers that you notice.
09
Finally, summarize your overall experience and any insights gained.
10
Remember to be honest and thorough in documenting your experiences.
Who needs avoidance and suffering diary?
01
The avoidance and suffering diary is beneficial for individuals who want to understand and overcome patterns of avoidance and suffering in their lives.
02
It can be helpful for individuals struggling with anxiety disorders, phobias, post-traumatic stress disorder, or other conditions where avoidance behaviors or emotional suffering are prevalent.
03
It can also be useful for therapists or counselors working with clients to provide insights into their experiences and track progress in therapy.
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What is avoidance and suffering diary?
An avoidance and suffering diary is a record-keeping tool used to document instances of avoidance behaviors and the associated suffering experienced due to such behaviors, often used in therapeutic settings.
Who is required to file avoidance and suffering diary?
Individuals participating in certain therapeutic programs or studies that involve behavioral modification may be required to file an avoidance and suffering diary.
How to fill out avoidance and suffering diary?
To fill out an avoidance and suffering diary, individuals should note specific situations where avoidance occurred, describe the associated feelings or suffering, and reflect on possible triggers or patterns.
What is the purpose of avoidance and suffering diary?
The purpose of an avoidance and suffering diary is to help individuals identify and understand their avoidance behaviors and the emotional toll they take, facilitating better coping strategies.
What information must be reported on avoidance and suffering diary?
The diary should include dates, situations of avoidance, emotions felt during those instances, triggers, and any reflections or thoughts regarding the experiences.
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