Anxiety and Worry – Collection of Free Guides and Resources for Teens & Adults

The worry tree, thought diary, anxiety cycle diagrams and step-by-step fear exercises give adults and older teenagers practical ways to notice patterns, record worries, challenge unhelpful thoughts and plan small changes. Anyone searching for printable CBT anxiety worksheets, worry management tools, panic attack handouts, overthinking worksheets, fight or flight diagrams or counselling resources will find materials here that can be used in sessions, at home, in school or college support, and during guided self-help. By MindWell Leeds.


Fight or Flight Response Body Symptoms PDF Download

Infographic showing a human body outline with labels explaining fight or flight response symptoms such as racing thoughts, faster breathing, increased heart rate, tense muscles, sweating, cold hands, dizziness, butterflies in the stomach and digestive changes.

Counsellors, wellbeing practitioners, mental health support workers, teachers and parents may find this fight or flight response PDF useful when explaining the physical symptoms of anxiety, panic, stress or fear. The infographic uses a labelled outline of the body to show how the brain, breathing, heart, digestion, muscles, immune system, reproductive system, bladder, vision and adrenal glands react when danger is sensed.

The handout can be printed for therapy sessions, school wellbeing work, anxiety psychoeducation, panic attack support, youth work or conversations at home with teenagers and adults. It gives clear language for common body sensations, including dry mouth, loss of appetite, butterflies in the stomach, shaky legs, cold hands, sweating, dizziness, sharper vision and racing thoughts, helping people connect uncomfortable symptoms with the body’s survival response rather than seeing them as random or unexplained.

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What Can Keep Anxiety Going Anxiety Cycle Diagram PDF

Diagram showing how a feared situation can trigger anxious thoughts, physical fight or flight symptoms, and further thoughts that keep anxiety going.

The anxiety cycle is mapped as a one-page diagram showing how a feared situation can trigger anxious thoughts, which then lead to physical symptoms linked with the fight or flight response. It includes common body sensations such as dry throat, sweating, butterflies in the stomach, a pounding heart, dizziness and shallow breathing, alongside example thoughts such as feeling in danger or believing something bad is happening.

People looking for an anxiety diagram, CBT anxiety cycle handout, worry loop visual, panic symptoms explanation or fight or flight worksheet may find it useful to print for therapy sessions, wellbeing appointments, mental health support, classroom discussion or personal reflection. It is most suited to adults, young people, practitioners, counsellors and support workers who want a quick visual prompt for noticing how thoughts and body feelings can feed anxiety and keep it going.

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Vicious Cycle of Anxiety Diagram PDF for CBT Support

A vicious cycle of anxiety diagram showing how anxious thoughts lead to feelings, physical symptoms and behaviours, with examples including panic, shallow breathing, avoidance, reassurance seeking and worries such as I can't do this.

A clearer understanding of how anxiety maintains itself is the main support offered here, helping adults, teenagers, counsellors, mental health practitioners and support workers see the links between anxious thoughts, feelings, physical symptoms and behaviours. The diagram shows thoughts such as ‘I can’t do this’, ‘Something will go wrong’ and ‘It will be a failure’, then connects them to fear, dread, anxiety and panic, followed by body symptoms like a faster heartbeat, sweating, shallow breathing and butterflies in the stomach.

The one-page anxiety cycle diagram is useful for CBT psychoeducation, wellbeing conversations, therapy sessions, pastoral support, or self-help work with someone trying to recognise patterns of avoidance and safety behaviours. It names common responses such as avoiding situations, relying on safety behaviours, withdrawing from people, asking for reassurance and drinking more alcohol, making it a practical handout for discussing triggers, the fight or flight response and how thoughts and actions can keep anxiety going.

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Vicious Cycle of Anxiety Blank Worksheet PDF Download

Blank vicious cycle of anxiety worksheet with sections for situation, thoughts, feelings, physical sensations and behaviours.

When someone needs to unpick a specific anxious moment, panic episode or worry spiral, this blank vicious cycle of anxiety worksheet gives a simple CBT-style framework to fill in. It includes space for the situation, “What I am thinking”, “What I am feeling”, “How my body reacts” and “What I am doing”, with the central cycle showing thoughts, feelings, physical sensations and behaviours.

The layout is suited to adults, young people and teenagers who are working on anxiety, as well as counsellors, CBT practitioners, wellbeing workers and school or college support staff using it in sessions. It can be printed for therapy, mental health support, pastoral work or home reflection to help identify anxiety triggers, safety behaviours, body symptoms and thought patterns in a practical, structured way.

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Vicious Circle of Anxiety in Job Interviews Worksheet

Worksheet showing the vicious cycle of anxiety for a job interview, with sections for thoughts, feelings, behaviours and physical sensations.

When interview anxiety spirals into stuttering, blanking, blushing, avoiding eye contact or wanting to call in sick, this one-page anxiety cycle worksheet gives a clear example of what is happening. It breaks the vicious circle into thoughts, feelings, behaviours and physical sensations, using job interview worries such as “I am no good at interviews”, fear of sounding nervous, dry throat, heart pounding, butterflies, dizziness, shallow breathing, sweating and difficulty concentrating.

The layout can be used as a CBT anxiety formulation, interview nerves handout, panic symptoms prompt or discussion aid in careers support, counselling sessions, wellbeing work or at home. It is most suited to people preparing for interviews who recognise avoidance or safety behaviours, such as gripping a water bottle or looking away, and to professionals helping clients spot how anxious predictions and coping strategies can keep the fear going next time.

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Automatic Negative Thoughts and Thinking Styles PDF

Illustrated three-page handout explaining automatic negative thoughts and unhelpful thinking styles, with examples and 'Don’t feed the ANT!' prompts.

Print it for a CBT session, counselling appointment, wellbeing group, school pastoral support session or personal self-help folder when someone is learning to spot automatic negative thoughts and cognitive distortions in everyday situations. The handout is especially suited to adults and older teenagers working on anxiety, low mood, stress, confidence, perfectionism, work worries or relationship misunderstandings, as well as practitioners who want a clear psychoeducation sheet to share with clients.

The PDF explains unhelpful thinking styles including all-or-nothing thinking, mental filter, mind reading, fortune telling, labelling, over-generalising, compare and despair, emotional thinking, guilty thinking with ‘should’ and ‘must’ statements, magnification and minimisation, blaming others and personalising. Each section includes everyday examples and a ‘Don’t feed the ANT!’ prompt, encouraging evidence-checking, kinder self-talk, flexible thinking, compromise and more realistic interpretations.

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The Worry Spiral PDF for Anxiety and Overthinking

A one-page worry spiral worksheet showing anxious thoughts escalating from leaving the iron on to homelessness, alongside prompts for stopping the spiral.

Adults, young people, counsellors, wellbeing practitioners and mental health support workers may find this one-page anxiety worksheet useful for explaining worry spirals, catastrophic thinking and overthinking in a clear visual way. It uses the example of worrying about whether the iron has been left on, then shows how the thought can escalate into fears about a fire, a pet dying, the house burning down, insurance problems and homelessness.

The page includes a practical “Stop the spiral” prompt box with questions such as how likely the worry is to happen, what the worst outcome might be, and what a more helpful way of thinking could be. It can be printed for therapy sessions, wellbeing appointments, school pastoral support, self-help work at home, or anxiety management discussions where someone needs a quick grounding tool to notice the thought, let it go and bring attention back to the present.

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Thought Diary Form for CBT Thought Records PDF Download

Printable thought diary form with columns for date, situation, automatic thought, feelings and unhelpful thinking style

Automatic thoughts are the main focus of this thought diary form, with space to note the date, describe the situation or event, record what was happening, where the person was and who they were with, then capture the thoughts that came up at the time.

The form also prompts users to rate how negative they felt on a 1 to 10 scale, notice feelings and physical sensations, and identify any unhelpful thinking style. It is likely to be useful for adults or older teenagers in CBT sessions, wellbeing work, mental health support, counselling homework, or personal mood tracking between appointments.

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Ten Steps to Challenge Unhelpful Thinking Style PDF

Printable CBT form titled Ten steps to challenging an unhelpful thinking style, with prompts for a thought diary, automatic negative thoughts and situations where the thought occurs.

The ten-step exercise starts with a thought diary prompt, then asks the person to name the unhelpful ANT, identify what is happening when it appears, rate the feeling on a 1 to 10 mood scale, and test the thought using evidence for and against it. It also includes prompts for common anxious “what if” predictions, including the real chances of something happening and the worst-case scenario.

Well suited to adults, older teenagers, counsellors, CBT practitioners, mental health support workers and wellbeing staff, the form offers a structured way to challenge negative thoughts, thinking errors, cognitive distortions and unhelpful thinking patterns. It can be printed for therapy sessions, homework tasks, self-help work, anxiety management, low mood support or reflective work between appointments.

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Worry Tree Diagram for Anxiety and Worry Management

A Worry Tree diagram showing steps to notice a worry, postpone it to worry time, decide if action is possible, and follow either a hypothetical worry or practical worry pathway.

In everyday worry management practice, the Worry Tree gives clients a clear visual prompt for what to do when anxious thoughts keep returning. The diagram starts with noticing the worry, postponing it until a planned worry time, checking whether it still feels important, and then asking whether anything can be done about it.

The page separates worries into two paths: hypothetical worry and practical worry. For hypothetical worries, it suggests using worry time strategies, accepting that repeated worrying will not help, refocusing attention, and using mindfulness or relaxation techniques. For practical worries, it encourages problem-solving with a plan based on what, when and how, followed by taking action now or setting a later time to act. It is likely to suit adults, older teenagers, therapy clients, support workers, counsellors and mental health practitioners looking for a simple printable anxiety worksheet or worry decision tree.

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Worry Diary PDF for Anxiety and Practical Problems

Printable worry diary worksheet with columns for date and time, situation, worry, anxiety rating and worry type.

Tracking repeated anxious thoughts, “what if” worries and practical problems can be difficult without a simple structure, and this printable worry diary provides a clear table for doing exactly that. It asks for the date and time, what is happening, where the person is, who they are with, the specific worry, an anxiety rating from 0 to 10, and whether the worry is a hypothetical prediction or a practical issue that can be tackled.

The layout is likely to suit adults, older teenagers, CBT clients, counsellors, wellbeing practitioners and support workers who want a straightforward anxiety log, worry tracker or thought diary to use between sessions or during self-help work. It also includes a reminder to refocus on the present moment after recording each worry, and refers practical problems towards a seven step problem solving technique.

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Worry Time List PDF for Anxiety and Overthinking Help

Printable worry time list worksheet with instructions, a daily worry time prompt, and a table for recording worries as hypothetical worries or practical problems.

Print the list and keep it nearby during the day or night, noting each worry as it appears before coming back to it during a planned 15-minute worry time. It includes a prompt to choose a daily worry time, brief instructions on delaying worries, and a table with columns for “The worry” and “Hypothetical worry or practical problem?”

The layout is suited to adults, older teenagers, counselling clients and wellbeing practitioners using CBT-style worry management, anxiety worksheets, overthinking tools or a worry diary in sessions or at home. It can help people separate solvable problems from “what if” thoughts, practise refocusing attention, and build a consistent routine for managing anxious thoughts without trying to tackle them all day.

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Helpful Tips for Worry Time PDF for Anxiety Support

One-page handout titled Helpful tips for Worry time with prompts for reviewing worries, using a worry tree, checking evidence and ending worry time after 15 minutes.

The reflection prompts ask whether each worry was worth worrying about, whether it was a hypothetical worry or a practical problem, and what evidence there is for and against it. The handout also encourages people to check how likely a feared outcome is, notice changes in anxiety, look at whether any worries actually happened, and identify repeated worry patterns that may need more attention.

Designed as a one-page printable worry time worksheet or reminder sheet, it can be used at home, in therapy sessions, in wellbeing appointments or as part of a CBT anxiety toolkit. It is most relevant for adults and older teens who are practising scheduled worry time, rumination management, overthinking strategies or practical problem-solving, with clear prompts to finish after 15 minutes and move on to a mood-lifting activity.

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The Worry Spiral PDF for Anxiety and Overthinking

A one-page worry spiral worksheet showing anxious thoughts escalating from leaving the iron on to homelessness, alongside prompts for stopping the spiral.

Adults, young people, counsellors, wellbeing practitioners and mental health support workers may find this one-page anxiety worksheet useful for explaining worry spirals, catastrophic thinking and overthinking in a clear visual way. It uses the example of worrying about whether the iron has been left on, then shows how the thought can escalate into fears about a fire, a pet dying, the house burning down, insurance problems and homelessness.

The page includes a practical “Stop the spiral” prompt box with questions such as how likely the worry is to happen, what the worst outcome might be, and what a more helpful way of thinking could be. It can be printed for therapy sessions, wellbeing appointments, school pastoral support, self-help work at home, or anxiety management discussions where someone needs a quick grounding tool to notice the thought, let it go and bring attention back to the present.

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Seven Step Problem-Solving Worksheet PDF

Printable seven step problem-solving worksheet with sections for defining a problem, listing possible solutions, comparing pros and cons, making action plans and reviewing outcomes.

Structured problem solving is the focus of this seven step worksheet, with space to define the problem, consider what could happen if it is not tackled, and list up to eight possible solutions. It then guides the user through comparing the pros and cons of each option, deciding whether an idea is likely to work, and turning chosen options into practical action plans with actions, who is responsible and when they will happen.

The form is likely to be useful for adults, older children, teenagers, parents, carers, counsellors, mental health practitioners, social workers and support staff who want a simple problem-solving template or action planning worksheet. It can be printed for one-to-one sessions, wellbeing work, CBT-informed support, school pastoral conversations, supervision or personal use, especially when someone needs a clear process for decision making, planning next steps and reviewing outcomes.

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Five Steps to Facing Your Fears Anxiety Worksheet

Printable worksheet titled Five steps to facing your fears with prompts for identifying fears, planning coping strategies, taking action and reviewing the outcome.

When someone wants to tackle an avoided situation but feels unsure where to start, Five steps to facing your fears gives them a simple anxiety worksheet for breaking the task down. It includes prompts to identify the situation or activity, write down fears, consider the worst thing that could happen, and think about how realistic those worries are.

The form then moves into an action plan, with space to choose practical coping tools such as relaxation techniques, breathing exercises, challenging unhelpful thinking styles, and practising mindfulness. It is likely to suit adults, young people, CBT practitioners, counsellors, support workers, and wellbeing staff looking for a printable fear ladder alternative, exposure planning sheet, anxiety coping worksheet, or confidence-building activity for facing fears step by step.

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Five steps to challenging safety behaviours PDF

Printable worksheet titled Five steps to challenging safety behaviours with prompts to list safety behaviours, compare how they help and make things worse, plan coping strategies and review an action plan.

When someone is trying to reduce reassurance seeking, avoidance, escape plans or other anxiety safety behaviours, this printable form gives a simple five-step structure for working through the problem. It asks the person to list the behaviours they use to stop something bad happening or to feel less anxious, then compare the ways those behaviours help with the ways they may make anxiety worse.

The worksheet includes prompts to explore the feared outcome if the safety behaviour is not used, plan how to cope in a specific situation, and review what happened afterwards. It is particularly suited to CBT sessions, counselling, mental health support work, wellbeing appointments, or home practice with adults and older teenagers who are working on anxiety, panic, social anxiety, avoidance, exposure work or unhelpful coping strategies.

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