Download the Free OCD Exposure Hierarchy Packet (PDF)

OCD Exposure Hierarchy Packet preview
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OCD Exposure Hierarchy Packet
A free, printable resource to use in session or share with clients.
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What is the OCD Exposure Hierarchy Packet?

The ocd exposure hierarchy pdf is a four-part packet that carries one ERP course from planning to review. Clients first list trigger situations against a Distress Rating of one to ten, then rank them. The later parts plan a single exposure, log distress before and after, and review what held.

How to use the OCD Exposure Hierarchy Packet

Use the packet both in session and as homework, and keep the four parts in order. Build the hierarchy first, ranking each Situation by Distress Rating from least to most distressing. Then plan one exposure on part two, breaking it into three smaller steps and listing coping strategies in advance. Your clients can run the exposure between sessions and fill the Distress Rating Before and After columns on part three. Part four is the review, and it belongs in session rather than at home.

OCD Exposure Hierarchy Packet Download – What’s Included

Four printable pages, one per stage. Create Your Exposure Hierarchy lists trigger situations with a one to ten distress rating. Planning Your Exposure Exercise breaks a chosen situation into three steps with coping strategies. The tracking page logs date, situation and distress before and after. Reflect on Your Progress closes with five review questions.

Create Your Exposure Hierarchy

Use at the start, before any exposure is attempted.

Planning Your Exposure Exercise

Use once a target situation has been chosen from the hierarchy.

Track Your Progress

Use during and immediately after each exposure attempt.

Reflect on Your Progress

Use in session after several exposures have been logged.

Based on exposure therapy / ERP (Foa & Kozak; Meyer). Foa, E. B., & Kozak, M. J. (1986). Psychological Bulletin, 99(1).

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Your Author

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.