Avoidant Coping Questionnaire

Instruction: If a statement may have once been true, is possibly true or clearly true for you, place a check next to the Theme’s Code in the left column. You will later have an opportunity to assess whether or not this avoidant theme is active in your life. Remember how important it is to identify your modes of avoidance. These need to be interrupted to undermine our core schema activity.

BT
I become spacey and disoriented when I’m stressed.
BT
Sometimes when I’m upset things don’t appear real.
BT
I don’t respond emotionally when I should.
BT
I can’t remember things from my past that well.
BT
I have chronic problems with digestion, migraines, or eczema.
E
I frequently avoid situations that may be uncomfortable.
E
I sleep through or miss important appointments.
E
I feel it is a major hassle to do chores.
E
I sometimes don’t come out of my house.
A
I chain smoke.
A
I use pornography too much.
A
I buy things I don’t need.
A
I gamble too much.
A
I use drugs.
A
I drink too much.
D
I go off on tangents, avoiding what I have to do.
D
I am often too busy to deal with my problems.

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