Worry: Noise or Signal?

This worksheet, by Hal Baumchen, PsyD, LP, LADC, is designed for clients with co-occurring disorders to help them identify and manage their worries. By distinguishing between “noise” (thoughts that do not require action) and “signals” (thoughts that indicate a need for action), clients can reduce unnecessary stress and avoid the pitfalls of excessive worry. This tool helps clients recognize and challenge negative thought patterns, improving their ability to stay focused on recovery while fostering healthier emotional responses.

Written by clinical psychologist Dr. Hal Baumchen, PsyD, LP, LADC, this printable PDF worksheet gives clinicians a practical, session-ready tool. The conversational, encouraging tone makes clinical concepts accessible to clients at any stage of recovery, while structured prompts keep the work focused and productive.

How clinicians use it: as an in-session exercise to open and structure discussion, as between-session homework to reinforce skills, as a progress tool to track growth over time, and as part of a treatment unit paired with the companion lesson and PowerPoint on this topic. Formatted for easy printing and immediate use in individual or group settings.