Intrusive Thoughts, Appraisals and Compulsions Diary

This CBT self-monitoring worksheet helps young people with obsessive-compulsive disorder (OCD) identify and record the relationship between intrusive thoughts, images or doubts, the meanings they attach to them and the compulsions that follow.

Using a structured three-column format, young people can monitor recurring patterns in their experiences and begin to recognise how threatening interpretations of intrusive thoughts can contribute to compulsive responses.

 

References and Further Reading

  • Caron, A., & Robin, J. (2010). Engagement of adolescents in cognitive–behavioral therapy for obsessive–compulsive disorder. PsycNET.
  • Derisley, J., Heyman, I., Robinson, S., & Turner, C. (2008). Breaking free from OCD: A CBT guide for young people and their families. Jessica Kingsley Publishers.
  • Franklin, M. E., Freeman, J. B., & March, J. S. (2018). Treating OCD in children and adolescents: A cognitive-behavioral approach. Guilford Press.
  • Kaiser, B., & Bouvard, M. (2009). Obsessive-compulsive disorder in children and adolescents: Efficacy of combined treatment. Clinical Neuropsychiatry.
  • Kircanski, K., Peris, T. S., & Piacentini, J. C. (2011). Cognitive-behavioral therapy for obsessive-compulsive disorder in children and adolescents. Journal of Child and Adolescent Psychiatric Clinics of North America, 20(2), 239–254.
  • Krebs, G., Volz, C., & Turner, C. (2018). OCD: Tools to help you fight back!. Jessica Kingsley Publishers.
  • Riggin, B. M., & Lack, C. W. (2016). Cognitive-behavioral therapy for youth with obsessive-compulsive and related disorders. Current Psychiatry Reviews.
  • Van Noppen, B., Sassano-Higgins, S., Appasani, R., et al. (2021). Cognitive-behavioral therapy for obsessive-compulsive disorder: 2021 update. Focus, 19(4).
  • Wagner, A. P. (2003). Cognitive-behavioral therapy for children and adolescents with obsessive-compulsive disorder. Brief Treatment and Crisis Intervention.