Monitor and Document Your Panic Symptoms
This template doesn't have any video presentations yet. Be the first to create one!
Record yourself for just 2 minutes to generate a professional AI video for your patients.
Get StartedBe the first to create a video version of this content featuring your own AI avatar - just submit a quick 2-minute recording.
Name: _________________ Date Range: //___ to //___
Rate each symptom from 0-10 (0 = absent, 10 = most severe)
| Date | Time | Duration | Trigger(s) | Symptoms (0-10) |
|---|---|---|---|---|
| Heart Racing: ___ | ||||
| Shortness of Breath: ___ | ||||
| Trembling: ___ | ||||
| Sweating: ___ | ||||
| Chest Pain: ___ | ||||
| Dizziness: ___ | ||||
| Fear of Losing Control: ___ |
Effectiveness of coping strategies: ________________________ Other observations: ____________________________________
Number of attacks this week: ___ Average intensity (0-10): ___ Most common triggers: _______________ Most effective coping strategies: _______________
Bring this chart to your next appointment with your mental health provider
Be the first to create a video version of this content featuring your own AI avatar - just submit a quick 2-minute recording.