Exposure Worksheet

Your current progress:

This worksheet will help you apply the exposure technique. Remember - it could be tough sometimes be we are here for you and we know you will do great!

Please use the worksheet below to record your experience of each step within a situation you have chosen to tackle.

Fill in the following before the exposure:

What is the situation? *

How nervous does the situation make you? *

In how many steps would you like to tackle this situation? *

Which step will you tackle today? *

How nervous does this step make you? *

When you think about this step, what are some thoughts that pop into your head? *

How helpful are these thoughts? *

Please try replacing the unhelpful thoughts with helpful, rational ones *

Please list any calming techniques you'd like to use during the exposure *

Fill in the following after the exposure

How did you feel emotionally during the process? *

During the process, did you experience any physical symptoms of anxiety? *

How did you feel emotionally after the process? *

If you repeat this step of your exposure, would you do something differently? *

Yes

Please briefly describe what it is *

You are a superstar! We are very glad to hear that you are happy with the execution of this step and know you will do just as great, if not better, with the other steps!

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