Panic attack therapy worksheet

What is the theory behind this Panic attack therapy worksheet?

According to Klein’s “false suffocation alarm” explanation of panic attacks, which was put forth in 1993, many spontaneous panic episodes are brought on by a brain-based “suffocation monitor” that mistakenly signals a shortage of usable air and sets off an advanced “suffocation alarm system.” To deal with this false alarm, slow breathing has been proven to be one of the most effective methods.

How will the worksheet help?

In order to convey this message to your body that everything is fine and there is nothing to worry about, clients should be encouraged to practice slow breathing on a daily basis in a relaxed environment. This worksheet will help you keep track of their anxiety level when they practice it every day.

How to use the worksheet?

This worksheet also serves as a self-assessment tool. Before handing this worksheet to the client, help them learn the correct way to slow their breath. Then ask the client to sit in a quiet place and focus on their breathing. Set a timer for five minutes on their phone (or whatever device is accessible to them) . A timer will take their mind off of keeping track of time and they will be able to focus on breathing slowly.

Panic attack therapy worksheet

Time of the DayRate your anxiety before starting slow breathing on a scale of 1 to 10Rate your anxiety after finishing slow breathing on a scale of 1 to 10


Ley R. (1994). The “suffocation alarm” theory of panic attacks: a critical commentary. Journal of behavior therapy and experimental psychiatry, 25(4), 269–273. 

Panzarella C. (1994). Klein’s suffocation false alarm theory: another perspective. Anxiety, 1(3), 144–148. 

You can download this worksheet here.

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