INTERNAL TRIGGERS

EXTERNAL TRIGGERS

SITUATIONAL / ACTIVITIES TRIGGERS

PEOPLE TRIGGERS

PARAPHERNALIA / THINGS TRIGGERS

Triggers:

List three triggers that often lead to you feeling anger or frustration.

Reaction:

How do you react when you are angry? List ways you behave towards others and yourself.

Negative Outcomes:

Have you experienced negative outcomes or consequences because of your anger?

Obstacles:

What obstacles prevent you from responding to anger in healthy, appropriate ways?

Wise Mind:

Wise mind is a state of balanced decision-making that integrates both emotional and rational thinking. What keeps you from being in a state of wise mind when experiencing anger?

Anxiety Questionnaire

Avoidance and Safety Mechanism Behaviours:

Describe a Problem or Situation That Leads to Feelings of Anxiety or Fear:

Depression Questionnaire

Triggers:

List five triggers that often lead to you feeling depressed or negative:

Symptoms:

Behavioural Patterns:

Impact of Depression:

Cognitive Patterns:

Reframing and Perspective:

Eating Disorder Questionnaire

Disordered Eating and Unhealthy Weight Control Behaviours:

Physical Impact:

Triggers:

Impact:

Answer the following questions to understand the impact of your eating disorder:

Roots of Thoughts and Narratives:

Obsessive-Compulsive Disorder (OCD) Questionnaire

Obsessions, Compulsions, and Avoidance Safety Behaviours:

Triggers and Impact:

Life Without OCD:

Emotions and Coping:

Challenging Beliefs:

Post-Traumatic Stress Disorder (PTSD) Questionnaire

Types of Traumatic Events Experienced:

Triggers:

Impact of PTSD:

Emotions and Feelings:

Coping Behaviours:

Thought Restructuring Questions:

Answer the following questions to challenge negative thoughts and beliefs:

Self-Esteem Questionnaire

Identifying Self-Esteem Issues:

Roots of Low Self-Esteem:

Impact of Low Self-Esteem:

Personal Goals and Aspirations:

Try to envision what is important to you and answer the following questions:

Sleep Disorder Questionnaire

Identifying Factors:

Impact of Insomnia:

Detailed Assessment:

Please provide details about the following conditions: