This structured worksheet helps clients plan, record, and review repeated exposure and response prevention (ERP) exercises, supporting inhibitory learning, treatment adherence, and sustained progress in evidence-based treatment for obsessive compulsive disorder (OCD).
Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.
Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.
Exposure and response prevention (ERP) is the first-line psychological treatment for obsessive compulsive disorder (OCD). This worksheet provides a structured method for planning and documenting multiple ERP exposures, enabling therapists and clients to monitor learning across repeated behavioral practice.
Rather than recording a single exercise, the worksheet helps clients track changes in anxiety, confidence, expectancy violation, and successful response prevention over time. Designed for use alongside cognitive behavioral therapy for OCD, it supports collaborative review, informs progression through exposure hierarchies, and reinforces learning gained through repeated practice.
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Designed for clients receiving ERP.
Introduce after developing an exposure hierarchy.
Define each exposure and response prevention goals.
Encourage completion immediately after each exercise.
Use completed records to reinforce learning.
Inform movement through the hierarchy.
ERP helps clients approach feared situations while resisting compulsions. Modern ERP emphasizes inhibitory learning: repeated behavioral practice helps clients discover that feared outcomes are less likely than anticipated, uncertainty can be tolerated, and distress changes naturally without compulsions. Recording multiple exercises makes this learning explicit and supports collaborative treatment planning.
A structured worksheet for recording multiple ERP exercises and reviewing progress collaboratively.
The worksheet supports consistent engagement with ERP and helps make therapeutic learning visible across repeated behavioral practice.
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National Institute for Health and Clinical Excellence (2005). Obsessive–compulsive disorder: core interventions in the treatment of obsessive–compulsive disorder and body dysmorphic disorder CG31. London: National Institute for Health and Clinical Excellence.
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