Exposure plan for ERP (Complete with therapist)

What am I testing out (i.e. what am I most worried about)?

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How am I testing it out (situation or context in which I will test it out)?

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Optional strategies:

 What am I throwing out (reduce safety behaviors)?

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 How will I stay with it (focus on feared situation, activity, images, etc.)?
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 How will I combine it (combine distressing elements)?
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 How will I face it (purposefully include negative outcomes)?
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 How will I talk it out (label emotions)?
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Put it together: What is my first “exposure”?

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Exposure Practice
(Complete immediately BEFORE practice)

Date: _____________________

Is this an “exposure” that I am completing in-session? Yes _____ No _____

How likely is it that what I am most worried about will occur (0=not at all, 100=certain)? _______

(Optional) How bad would it be if the thing I was most worried about did occur (0=not bad at all,
100=horrible)? _______

What is my current distress as I think about this practice (0=none, 100=extreme)? _______

(Complete immediately AFTER practice)

What is my distress right after “exposure” practice (0=none, 100=extreme)? _______

What was my peak distress during “exposure” practice (0=none, 100=extreme)? _______

Did what I was most worry about occur? Yes _____ No _____

How do I know?

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If what I was worried about actually happened, was it as bad as I expected? N/A _____ Yes _____
No _____

What did I expect to happen as a result of doing the exposure? What happened? Did that surprise me?

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What did I learn?

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Imagine I repeated the same exposure practice. How likely is it that what I was most worried about
before will occur this time? How bad would it be?

How likely? _____ (0=not at all, 100=certain)

How bad? _____ (0=not at all, 100=bad)