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Anxiety & worryClinical handoutPrint · PDF · Word

Exposure hierarchy (SUDS)

Rank feared situations 0–100 and plan gradual steps — anxiety, OCD, and phobias.

When to use: Planning CBT exposure for anxiety, OCD, or phobia — one hierarchy per target fear.

Rank feared situations 0–100 and plan gradual steps — anxiety, OCD, and phobias. Use the worksheet in session or as homework. Preview the layout on the right — tap it or choose View full preview below for the complete on-screen version.

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List situations you avoid. Rate Subjective Units of Distress (SUDS) 0–100. Start with items rated 30–45.

SituationSUDS (0–100)Planned step / datePeak SUDS during practiceNotes

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Disclaimer: For professional use in your practice only. Not emergency care. Not legal or medical advice. Customize templates for your jurisdiction and ethics code. You may use with clients; do not resell or republish as your own product without permission.