Cognitive Therapy of Anxiety Disorders

268

From Cognitive Therapy of Anxiety Disorders: Science and Practice by David A. Clark and Aaron T. Beck. Copyright
2010 by The Guilford Press. Permission to photocopy this appendix is granted to purchasers of this book for personal
use only (see copyright page for details).

aPPENDIX 7.1

Exposure Hierarchy

Name: Date:

Instructions: on a blank sheet of paper write down 15–20 situations, objects, physical sensations,
or intrusive thoughts/images that are relevant to your anxious concerns. Select experiences that fall
along the full range from those that trigger only slight anxiety and avoidance to experiences that
elicit moderate and then severe anxiety and avoidance. Next rank-order these experiences from
least to most anxious or avoidant and transfer the list into the second column on this form. In the
first column record the level of anxiety you expect with each entry. In the third column write down
the core anxious thought associated with each situation if this is known to you.

a. Expected

level of anxiety/

avoidance (0–100)

B. Briefly describe the anxious/

avoided situation, object, sensation,

or intrusive thought/image

C. Note the most prominent

anxious or apprehensive

thought associated with

this entry

LEaST 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

MOST 17.