affectphobia.org, the web site for
Affect Phobia Therapy

The Psychotherapy Assessment Checklist (PAC) Forms allow therapists to gather a great deal of information and screen it rapidly. Patients fill out information about:

• presenting problems
• life history overview
• DSM-IV diagnoses on all five axes

The PAC forms are free for your use with your patients. The following PAC materials can be downloaded in two formats (see below):

• The Instruction Manual is a supplementary article to Treating Affect Phobia, which describes the PAC Forms and how they can be used.
• The PAC Follow-Up forms can be used to assess therapeutic change after termination.
• The PAC Forms themselves (7 pages) are available in English, Norwegian (translated by Elisabeth Schanche), and Spanish (translated by Enrique de-Urquiza). The Follow-Up forms are available in English and Norwegian.
• The one-page PAC Summary Form allows the therapist to summarize the patient's information from the PAC Forms.
• The Sample Patient Letter can be edited, and then mailed to patients with the PAC Forms. The "html" button allows you to see the sample as a web page .

A note on file formats: "pdf" files allow documents to be viewed in ways that preserve the formatting; if you are having trouble with these links you may need to download the Adobe Acrobat Reader (click here for a free download). The "rtf" files can be opened in Microsoft Word or other word processors. Depending on how your browser is configured, clicking on the "rtf" links above may start the file downloading, or it may open in a window in your browser. If it opens in a browser window and you want to save it on your hard drive, go to "Save As..." in the file menu. The "html" link is simply a web page.

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