OCD & ERP Worksheets
Worksheets for OCD and the anxiety disorders, built around exposure and response prevention (ERP), the first-line behavioral treatment. The collection covers the obsession-compulsion cycle, building a fear ladder with SUDs ratings, graded and imaginal exposure, response-prevention planning, and the common OCD subtypes. Free to read and print for use in session or as between-session practice.
23 worksheets available. Free to browse, read, and print.
Build Your Fear Ladder
A graded exposure hierarchy you climb one rung at a time
Building Your Exposure Ladder
A step-by-step framework for creating and tracking an ERP-based fear hierarchy
Building Your Graduated Exposure Plan
A Structured Approach to Facing Trauma Reminders Safely
Common Presentations of OCD
Recognizing the diverse ways obsessive-compulsive disorder manifests through real-world examples
Example Fear Ladders for OCD
Worked exposure and response prevention hierarchies, by OCD subtype
Exposure Hierarchy: Building Your Fear Ladder
A step-by-step framework for ranking anxiety-provoking situations from least to most distressing
Exposure Practice Record
A session-by-session log for tracking distress ratings, duration, and outcomes during exposure exercises
Facing Feared Body Sensations (Interoceptive Exposure)
Deliberately bringing on feared body sensations to break the panic cycle
Facing Fears Through Graduated Exposure
A plain-language guide to understanding and applying exposure-based treatment for anxiety
Graded Exposure: A Step-by-Step Guide to Facing Fear
How to plan and run exposure in real life, step by step
How Exposure Actually Works (The Inhibitory-Learning Model)
The modern model of exposure: violating expectations, not just waiting out anxiety
Imaginal Exposure Practice Log
Track your progress as you confront fears through guided visualization
Panic Attack Self-Assessment Log
Track the context, symptoms, and impact of panic attacks to guide treatment planning
Pure O OCD and Mental Compulsions
Why "purely obsessional" OCD still has compulsions, and how ERP helps
Reducing Family Accommodation in OCD
A worksheet for families to step back from rituals, gradually and together
Relationship OCD (ROCD)
Obsessive doubt about the relationship or the partner, and ERP for it
Religious and Moral OCD (Scrupulosity)
When faith or morality becomes the content of OCD, and how ERP respects both
Response Prevention Scripts for OCD
What to say to yourself when the urge to perform a compulsion arises
The Habituation Cycle
How avoidance maintains anxiety and why exposure works
Tracking and Defusing Unwanted Thoughts
A log for noticing, labeling, and releasing intrusive thoughts in relationships
Understanding and Managing Panic Attacks
Evidence-based information about what panic attacks are, why they happen, and how to respond effectively
Understanding Obsessive-Compulsive Disorder
How the obsession-compulsion cycle works and the evidence-based treatments that break it
Writing an Imaginal Exposure Script
Facing feared thoughts in your imagination, on paper