Template library · Assessments & screeners
Anxiety Triggers & Coping Assessment template
Explore the client's anxiety pattern, triggers, and existing coping repertoire.
Formulation-focused anxiety assessment
- 17 fields across 4 sections
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
Assessment Details
- Client NameText
- Date of BirthDate
- Client ID / MRNText
- Date of AssessmentDate
- Clinician / CoachText
- Location / ModalityText
Assessment
- Primary anxiety triggers identifiedText
- Physical symptoms experiencedText
- Current coping strategies (helpful and unhelpful)Text
- Support systems availableText
- Client's goals for managing anxietyText
Risk Flags
- Panic attacks with escalating frequencyTick box
- Significant avoidance limiting daily functionTick box
- Co-occurring depression symptomsTick box
- Substance use to manage anxietyTick box
Signatures
- Clinician SignatureSignature
- Date signed (clinician)Date
When to use it
Use an assessment at the start of work to set a baseline, then repeat it at review points so you and the client can see what has changed.
How it works in MyWellOps
- Pick it from Documents.
- Send it to the client to complete, or fill it in together during a session.
- Each completed copy is kept on the client’s record, so earlier results are there to compare.
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