Phobia & fearsClinical handoutPrint · PDF · Word
Phobia fear ladder
Stepwise exposure for specific phobias (heights, blood, flying, animals) with SUDS ratings.
When to use: Specific phobia when single-target exposure is clearer than broad anxiety.
Stepwise exposure for specific phobias (heights, blood, flying, animals) with SUDS ratings. 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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Build a ladder from easiest to hardest contact with the feared object or situation. Stay until SUDS drops ~50%.
| Step | Situation | SUDS 0–100 | Date attempted | Outcome |
|---|---|---|---|---|
Related resources
- Phobia & fearsSafety behaviors & phobia maintenanceIdentify avoidance and safety behaviors that keep fear going — prep for exposure.
- Anxiety & worryExposure hierarchy (SUDS)Rank feared situations 0–100 and plan gradual steps — anxiety, OCD, and phobias.
- Anxiety & worryExposure session logLog each exposure practice: task, peak fear, duration, learning — separate from hierarchy planning.
- OCD & compulsionsERP exposure & response prevention logLog trigger, obsession, ritual, exposure task, and anxiety peak — core ERP homework.
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.