Imported item 200

What is the Worry Tree technique?

Before discussing the Worry Tree technique, let’s briefly talk about Cognitive Behavioral Therapy.

Cognitive Behavioral Therapy is a form of therapy geared to help patients battling depression, anxiety, substance abuse, eating disorders, and other mental health issues. It operates on the belief that our mental health issues are partly the result of unhealthy and unhelpful ways of thinking and dysfunctional and unhelpful behavioral patterns.

Through this belief, CBT seeks to address these problems by helping patients become aware of their cognitive distortions and problematic behavioral patterns and then teaching skills so they can resolve conflicts, become more emotionally resilient, increase self-confidence, relax, solve problems, and cope healthily.

The Worry Tree technique is normally included in Cognitive Behavioral Therapy programs, especially when a therapist is dealing with a patient with anxiety or anxiety disorders. It’s a technique that helps patients examine their worries and organize them in such a way that they break them down into something manageable (if possible) and develop actionable steps to address said worries. It’s a great technique that arms patients with the skills of analysis, compartmentalization, and problem-solving so they can prevent their worries from overwhelming them, especially during the worst possible times.

Feel free to watch our video to find out more about CBT techniques:

How the Worry Tree technique works

The Worry Tree technique is easy to “perform,” and a visual of the tree often accompanies it. It has a set structure that patients simply need to follow to accomplish it.

It begins with identifying the worry. The patient needs to “notice the worry” and answer the question: “What am I worrying about?”

Once they have identified the worry they want to tackle, they must ask themselves: “Can I do something about it?” Other questions that they can ask themselves include the following:

• Is this worry about a hypothetical situation?
• Is this worry about a current problem I’m dealing with?
• Is my worry based on facts or assumptions?
• Is my worry likely to happen? If so, what evidence supports it? What evidence runs counter to it?
• If my worry were to happen, what would be the worst-case scenario? How do I avoid this?

This is where the technique will start to branch. If they can’t do anything about the worry, you and your patient need to find a way to help them let go of that worry and focus their thoughts on something else.

If they can do something about their worry, you and the patient can work together to develop an action plan they can follow. This plan should include coping strategies and potential solutions to address their worry.

Once a plan of action has been made, it’s a matter of determining when they can apply it. This will result in another branch on the tree! The branch will depend on whether they can immediately proceed with their action plan. If they can, the next step is to let the worry go (based on their plan) and then focus on something else. If they can’t take action immediately, they need to schedule their plan, and then when the time comes to take action, they will proceed with their plan, let go of their worry, and focus on something else.

That’s it!

Worry Tree Example

Now you know the basic gist of Cognitive Behavioral Therapy and the Worry Tree, it’s time to see what the Worry Tree looks like! It’s an adaptation of the original created by Butler and Hope in 2007. The template we have shows the Worry Tree and its branches. We added another page where you and your patient can jot down your action plan if the worry that the patient identifies is something that can be dealt with.

If you like what you see and believe it will help you provide the support that your therapy patient needs, then by all means, download our free Worry Tree PDF template!

Download this Worry Tree Example:

When is it best to use the Worry Tree technique?

The Worry Tree technique is best introduced to your patient later in your therapy program. The reason why it’s best to present it at a later time is that you need to establish rapport and trust, as well as create a safe and non-judgmental environment for them. If they are anxious or have an anxiety disorder, they are likely to have a lot of worries weighing on their mind.

Once the patient trusts you enough, you then need to shift your focus to teaching them certain skills. Decatastrophization is one example and is closely related to the Worry Tree. In fact, it’s pretty much the Worry Tree because decatastrophization is all about examining worries and hypothetical worst-case scenarios, and developing ways to work through them and steer the course to possible better outcomes.

Once you’ve taught them that, you can have them do the Worry Tree technique to see if they can apply what they’ve learned.

What are the benefits of the Worry Tree technique?

It can help a therapist know more about their patient’s worries.

Even if you’ve established trust and rapport with your patient, that doesn’t necessarily mean they will tell you about all their worries from the get-go. By having them use the Worry Tree visual to practice the Worry Tree technique, they might mention a worry they haven’t mentioned and use it for the Worry Tree. Stating this particular worry means it’s been significantly weighing on them to the point they want to get rid of it through exercise. Knowing about their worry/worries gives you the ability to help them determine what they can do.

It’s a good way to see how they can apply certain skills.

Earlier, we mentioned that decatastrophization is a skill that can be taught to patients taking Cognitive Behavioral Therapy programs. There are other skills that you can teach them, like cognitive restructuring, problem-solving, and conflict resolution. Using the Worry Tree technique as an exercise is an excellent way to see if they can apply what you have taught them.

It can be used outside the therapy setting.

Making a plan of action to address worries is the same as setting goals. In the context of the Worry Tree, the goal is to get past their worries either by working through or around them to reach a better level of mental well-being. Even when the patient is out of the therapy program, they can still apply what they’ve learned from you and the exercises you gave them whenever they face certain situations or problems that might have caused them severe distress if they didn’t go through your program.

How can Carepatron help with mental health therapy-related work?

If you’re a therapist or an adjacent healthcare professional who dabbles in Cognitive Behavioral Therapy, you will enjoy exploring our platform. Besides this guide and the free Worry Tree PDF template you can download, we have other guides and templates for other Cognitive Behavioral Therapy-related tools.

We have worksheets that you can use to get to know your patient better, to see how they can articulate themselves, and even gauge how they can apply what they have learned from you. We even have assessments that you can use to assess symptoms of mental health problems in your patients. The great thing about the resources we have is that they’re all free! So, download as much as you want and need!

Another feature we have is our storage system, which you can access by subscribing to us. This system allows you to store your clinical files with us in a HIPAA-compliant manner! This means that even if you’re storing your files with us, we can’t access them. We take HIPAA mandates seriously, giving you the power to dictate who can access your files. Storing them with us is also a good way to create backups of your files, so just in case you lose your physical copies, you somehow lost access to a different cloud storage, or if your current work device malfunctions and stops working, you can rest easy knowing that you can redownload your files.

Not only will Carepatron provide you with resources to help you cover more ground with your therapeutic work, but we can also help preserve your work by securing them!