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Anxiety: Managing Intrusive Thoughts

The Managing Intrusive Thoughts Worksheet equips clients with practical CBT-based tools to respond to distressing thoughts without judgment or panic. Therapists can guide clients in normalizing their experience, reducing emotional reactivity, and regaining a sense of control when intrusive thoughts arise.

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by Insight Timer

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How to Use The Managing Intrusive Thoughts Worksheet

The Managing Intrusive Thoughts Worksheet draws on core cognitive behavioral therapy (CBT) principles to help clients understand, normalize, and respond to intrusive thoughts in healthier ways. Through psychoeducation and guided strategies, clients learn to reduce reactivity, shift attention, and practice somatic tools, making it an effective resource during or between sessions.

Who It's For

This worksheet is ideal for clients experiencing intrusive thoughts related to generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or heightened stress. It’s especially helpful for clients who feel distress or shame around their thoughts and benefit from structured, nonjudgmental coping strategies.

Expected Outcomes

  • Normalization of intrusive thoughts as a common anxiety experience
  • Reduced emotional reactivity to distressing thoughts or mental imagery
  • Improved use of cognitive and somatic techniques to manage anxiety
  • Greater confidence in navigating intrusive thoughts between sessions

References

Ashton, S. M., Sambeth, A., & Quaedflieg, C. W. E. M. (2023). A mindful approach to controlling intrusive thoughts. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-37447-9

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