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A formulation based on Dugas' intolerance of uncertainty model — mapping IU, positive beliefs about worry, negative problem orientation, and cognitive avoidance.
This model proposes that worry is driven by difficulty tolerating uncertainty. Four components maintain the problem: intolerance of uncertainty itself, positive beliefs about worry, negative problem orientation (feeling overwhelmed), and cognitive avoidance (using worry to avoid emotional imagery). Work through each component with your therapist.
Use when working within the Dugas intolerance of uncertainty model of GAD. This formulation maps the four key components: intolerance of uncertainty, positive beliefs about worry, negative problem orientation, and cognitive avoidance.
Build the formulation collaboratively over one or two sessions, using the client's own examples to populate each component. Explain that understanding these four processes helps target treatment more precisely than addressing worry content alone.
For clients unfamiliar with formulation-based approaches, start by mapping just one or two components before integrating the full model. Visual learners may benefit from drawing the connections on a whiteboard before transferring to the template.
Not appropriate if the presenting problem is better formulated using a different model (e.g., metacognitive model for predominantly Type 2 worry, or a disorder-specific model for social anxiety or panic). Ensure the IU model genuinely fits the client's presentation.
The negative problem orientation component is frequently underestimated in its contribution to worry maintenance. Clients who report 'I'm a worrier' often hold strong beliefs about their inability to cope with problems, which feeds directly into the worry cycle.
Suitable for clients working with gad, intolerance of uncertainty, dugas, formulation, cbt, worry. This tool can be used as a standalone worksheet or as part of a structured homework plan.
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Identify and challenge negative beliefs about worry — the beliefs that worry is uncontrollable or dangerous.
Track Attention Training Technique (ATT) practice sessions with focus ratings and observations.
Practise noticing and tolerating everyday uncertainty to build your tolerance muscle.
A formulation based on Wells' metacognitive model of GAD — mapping the role of positive and negative beliefs about worry in maintaining the worry cycle.