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Toolkit Pages

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Emotional regulation toolkit

Understanding OCD and my E/RP plan

A gentle guide to sticky thoughts and Exposure with Response Prevention, designed for use with a trained therapist.

Read this first

E/RP is evidence-based and works best when planned with a licensed OCD or CBT therapist. This guide supports understanding and preparation. It does not replace professional treatment.

What is OCD?

OCD can feel like a worry alarm that stays on. A sticky thought appears, anxiety rises, a ritual gives short relief, and the cycle repeats.

1. Sticky thought appears
2. Anxiety rises
3. Ritual or compulsion
4. Short relief, then repeat

Planning my E/RP exercise

Exposure step we are practicing today: ________________________________

Where this sits on my hierarchy: ______________________________________

Predicted anxiety level (0-10): _________________________________________

Compulsion I am practicing not doing: __________________________________

What I will do instead while riding the wave: _____________________________

My support person for this exercise: ____________________________________

Completing my E/RP exercise

Check-in pointAnxiety 0-10What I noticed
Right before starting________________________________________
A few minutes in________________________________________
Halfway through________________________________________
Near the end________________________________________
After finishing without ritual________________________________________

Did I resist the compulsion? What did I do instead? ________________________

What I want to remember for next time: ___________________________________

How I will celebrate this brave practice: ___________________________________