Forms and Handouts for Patients

Here are some forms you might be asked to complete before coming in. (Don't worry, copies are available in the office.) 

For ALL Children, Adolescents and Adults, please complete these forms
Click here for the BRIEF INTAKE FORM   
Click here to view and download the INFORMED CONSENT FORM

For Children coming in to see me about educational issues or ADHD
TheBASC STRUCTURED DEVELOPMENTAL HISTORY
The CADDRA SNAP IV-Teacher Parent scale (one from the teacher, and from parents)
The CADDRA TEACHER ASSESSMENT FORM (to be completed by the classroom teacher)
The CADDRA WEISS FUNCTIONAL IMPAIRMENT SCALE (Parent Form)
The CADDRA WEISS SYMPTOM RECORD will be completed in the office

For Adults coming to see me about ADHD
The  ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST (about current symptoms)
The WENDER UTAH RATING SCALE (This should be completed by a parent, sibling, someone who knew you, or yourself - about you at or before the age of 12)
The CADDRA WEISS FUNCTIONAL IMPAIRMENT RATING SCALE -SELF REPORT
Click here to visit the FORMS page

How to Complete the Forms

I may request a number of forms from you, and sometimes send email requests for patients to complete on-line testing and behaviour reports on the web. These usually come from iPARConnect. I will discuss these with you during our session.

ABOUT ADHD FORMS

Your input is very important but don't worry about answering the questions incorrectly or be concerned that you might 'label' yourself. There are no right or wrong answers. You will be asked questions on how you function in a variety of different situations. If you are unsure of an answer, provide an answer which best describes you a good deal of the time in that particular situation. Individual questions are less important than the scale as a whole, and this can only be properly evaluated by a trained professional.  

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Below are resourses we often address in therapy for anxiety and depression. These are available as PDF's. To find these I suggest you type into your search engine the terms "AnxietyBC, PDF, (the title listed below)." This will lead you to a PDF that you can print and use. The entire AnxietyBC website is useful, however this direct method will get you to the PDFs directly. There are both adult and child handouts:

ADULT PDFs

Helpful "How To" Documents for Self-Help

Self-Help Strategies for GAD

Managing Your OCD at Home

Self-Help Strategies for Panic Disorder

Self-Help Strategies for PTSD

Self-Help Strategies for Social Anxiety

Managing Your Phobia

Applied Tension

Calm Breathing (Diaphragmatic Breathing)

Challenging Negative Thinking

Effective Communication - Improving Your Social Skills

Examples of Fear Ladders

Exposure Exercises for Panic Disorder

Facing Fears Form

Facing Fears - Exposure

Fear Ladder Form

Friends and Family Can Help

Guide For Goal Setting

Tips For Healthy Living

How To Effectively Manage Obsessions   

How To Do Progressive Muscle Relaxation

Obsession Challenging Form

Obsession Interpretation Form

Obsessive Fear Monitoring Form

How To Overcome Perfectionism

How To Solve Daily Life Problems

Realistic Thinking Form

Realistic Thinking

How To Prevent A Relapse

Sleep Diary

Getting A Good ight's Sleep

Thinking Traps

How To Tolerate Uncertainty

Unhelpful Interpretations of Obsessions

What is Anxiety?

What is CBT?

Worry Diary

How To Write A Worry Script

CHILD/TEEN PDFs

Helpful "How To" Documents for Parents

Applied Tension Technique For Children or Teens Who Faint at the Sight of Blood or Needles

How To Teach Your Child Calm Breathing

Developing and Using Cognitive Coping Cards

Helping Your Child Cope with Back-to-School Anxiety

How To Cope with Nightmates

Helping Your Child Sleep Alone or Away from Home

Healthy Thinking for Younger Children

Helping Your Anxious Child Make Friends

How To Do Progressive Muscle Relaxation

How To Cope With Nightmares

Helping Your Child Overcome Perfectionism

Realistic Thinking

My Fear Thermometer

How To Address Excessive Reassurance Seeking

Talking to Your Child or Teen About Anxiety

What Am I Thinking?

Thoughts Affect Feelings Form

The STOP Plan Handout

Hopping Down the Worry Path

Thinking Traps

Challenging Negative Thinking

Realistic Thinking for Teens

Chester The Cat Feels Anxious! Identifying Anxiety in the Body

How Do I Feel Anxiety in My Body

For Dr. Roche's guide to treatment for anxiety and depression, click HERE.