READ, PRINT OR LISTEN
Below you will find a variety of printable forms and audio files. If you would like to read, print or listen, click on the links below.
Do not download and use these files without explicit permission of the staff of Suffolk Cognitive Behavioral, PLLC.
CLINICAL FORMS & AUDIO should only to be used during the course of therapy. Your therapist will guide you in how to use them.*
ADMINISTRATIVE FORMS (NEW PATIENTS ONLY) , can be printed out at home, filled out by pen, and brought into your first session.
CLINICAL FORMS & AUDIO:
MANAGING THOUGHTS, EMOTIONS, ACTIONS & URGES:
Measure Your Type of Fear; Fear of Negative Evaluation (FNE)
Activity Monitoring & Planning Sheet
Thought & Behavior Record
Distortions (Definitions of Cognitive Patterns & Distortions)
Objective Thought Exercise & Worksheet
OCD Monitoring Form (Situation, Obsession, Consequences)
Coping Strategies Checklist
Values Exploration Worksheet
BREATHING & BODY RELAXATION
Breathing (paced, diaphragmatic, etc., Written Instructions)
Progressive Muscle Relaxation (Written Directions)
Progressive Muscle Relaxation (AUDIO MP3) (This is a large audio file it may take a minute or two to download).
MINDFULNESS INSTRUCTION & AUDIO
Introduction to Mindfulness Exercise (Written Instructions PDF)
Measure your mindfulness (MASS)
Mindful Breathing (Written Instructions)
The "Hows" of Mindfulness (DBT)
The "What" To Do of Mindfulness (DBT)
Watching Thoughts Drift By (WRITTEN Instructions)
Watching Thoughts Drift By (AUDIO female version)
Acceptance of Anxiety (AUDIO female version)
Acceptance of Thoughts and Feelings (AUDIO female version)*
Acceptance of Thoughts and Feelings (AUDIO male version)*
*We would like to thank and acknowledge the authorship of, G. Eifert, PhD & J. Forsyth, PhD (2005).
"Note & Labeling" - Mindfulness Exercise (For Very Busy Minds)
Positive Communication Strategies
Three Types of Interpersonal Priorities (DBT)
1. Object Assertiveness (DBT)
2. Relationship Assertiveness (DBT)
3. Self-Respect Assertiveness (DBT)
Assertiveness Practice - Situational Suggestions
Assertiveness Myths (DBT)
DIALECTIAL BEHAVIOR THERAPY (DBT) SKILL SHEETS;
DBT Worksheet Site*
(*Clicking on the above link, will take you to another website, which has a number of DBT skill worksheets; Mindfulness Skills, Interpersonal skills, Distress Tolerance skills, & Mood Regulation skills).
NEW PATIENTS ONLY: ADMINISTRATIVE FORMS
Federal privacy and treatment guidelines require that all patients fill out HIPPA paperwork. If you would like to read, print out and/or fill these forms out at home, click the links below. Four separate HIPPA documents are included. One form only needs to be read. Forms 1, 2 & 3 should be printed, signed and brought in to the office on your first session.
Patient Address Form (1. Print & bring to office)
HIPPA Privacy Agreement (2. Print & bring to office)
HIPAA Agreement Signature (3. Print & bring to office)
Patient Agreement - Read Only, (Do not print, Read only)
*All of the forms and exercises noted above should only be used with explicit permission of SCB staff and with additional explicit consent of your medical physician. The staff of SCB is not responsible for any and all unauthorized use of these exercises.