CBT records

Activity and avoidance log for seeing what anxiety has taken

One week, day by day, with a column for what you did and a column for what the anxiety talked you out of. At the bottom you choose one thing to take back.

A4, free, no sign-up. The PDF is tagged for screen readers.

Avoidance rarely feels like a decision. Each small change, such as shopping late at night or declining an invitation, is reasonable on its own, and the log makes the pattern visible. Seen together across a week, they show how much of ordinary life the anxiety is now arranging.

Who it suits and when it is used

The sheet is for adults with panic and agoraphobia, social anxiety or generalised anxiety, and it is useful early in treatment, before any goals are agreed. A week of this log picks up the small changes as well as the big ones, which are easy to leave out when you think about avoidance in general.

What a day might look like

Example day
DayWhat I didWhat I avoided or left earlyHow I felt afterwards
Wed Worked from home. Walked the dog round the block Did the big shop at 10pm instead of after work. Left Jo’s birthday drinks after twenty minutes Relieved in the car, then flat and annoyed with myself

Count something as avoided if you changed it because of the anxiety, not only if you cancelled it, so going at a different time, leaving early or taking someone with you all belong in the middle column. Relief followed by a flat feeling, as in this example, is worth recording.

Two things to watch for

The first is filling in the whole week from memory on the evening before the session, which leaves the middle column thin, when a couple of minutes each night is enough. The second is choosing too large a first step. If the thing you want back is a weekend away, the first step might be a meal at a restaurant forty minutes from home.

The idea that avoidance keeps fear going has strong support, set out in a 2015 review by Krypotos and colleagues, though much of that research uses laboratory tasks that may not capture the slow, partial avoidance a log like this shows.

The sheet itself

Download PDF (127 KB)

CBT records

Activity and avoidance log

A week at a glance, including what was turned down

For each day, write what you did, what you avoided or left early because of the anxiety, and how you felt afterwards. The avoided column is usually the one that shows how much room the problem is taking up.

This week

This week, one row for each day
DayWhat I didWhat I avoided or left earlyHow I felt afterwards
Mon
Tue
Wed
Thu
Fri
Sat
Sun

One thing to put back

Something from the middle column I would like back

The smallest first step towards it

A worksheet, not treatment, advice about your situation or a diagnosis. It is best used alongside a qualified clinician. If using it makes things worse, stop and speak to your GP or clinician, and in an emergency call 999. Written by Anxiety CBT Ltd and free to print for personal or clinical use, unchanged and with this footer left on. Not for sale. © 2026 Anxiety CBT Ltd · Dr Daniel O’Rourke · anxietycbt.co.uk/resources/activity-avoidance-log

Using and sharing this sheet

Free to print and use for personal or clinical use, including by other clinicians with their own clients, provided it is unchanged and the footer is left on. Not for sale. You do not need to ask, sign up or give an email address, and the download is not tracked. If you want to adapt the wording for your own service, write your own version rather than editing this one, so that the footer never ends up on something I did not write.

A worksheet, not treatment, advice about your situation or a diagnosis. It is best used alongside a qualified clinician. If using it makes things worse, stop and speak to your GP or clinician. In an emergency call 999. Written by Anxiety CBT Ltd and free to print for personal or clinical use.

Sources
  • Krypotos, A.-M., Effting, M., Kindt, M., & Beckers, T. (2015). Avoidance learning: a review of theoretical models and recent developments. Frontiers in Behavioral Neuroscience, 9, 189. doi.org/10.3389/fnbeh.2015.00189 (opens in a new tab)

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