Build the exposure hierarchy. Run the session.
A fear ladder builder, a SUDS exposure timer, and panic-attack planning — free to use, and wired to a chart built for ERP homework and response prevention.
The OCD / ERP toolkit.
Understanding OCD / ERP
Exposure and Response Prevention (ERP) is the front-line behavioral treatment for OCD. The work centers on a fear hierarchy: a ranked list of feared situations, each with a Subjective Units of Distress (SUDS) rating, that the client works through while resisting compulsions.
Good ERP documentation means a living hierarchy, exposure logs with pre/post SUDS, and notes on response prevention — the part that drives change. Building and updating that by hand, session after session, is where therapists lose time.
CoralEHR gives ERP clinicians a free exposure-hierarchy builder and an in-session exposure timer with SUDS capture, so the hierarchy and the exposure logs stay current and the note drafts from your structured entries. No recording, you sign every note.
Frequently Asked Questions
What is an ERP fear hierarchy? +
A ranked list of a client’s feared situations or triggers, each rated for distress (SUDS, 0–100). The client works up the hierarchy with exposures while practicing response prevention — not performing the usual compulsion.
How do you document ERP for OCD? +
Keep the hierarchy current, log each exposure with pre- and post-SUDS and duration, and record the response prevention practiced. Tracking SUDS over time shows within- and between-session change — and, in an inhibitory-learning framing, whether the client’s feared prediction was disconfirmed.
Is there a free exposure hierarchy tool? +
Yes. CoralEHR offers a free exposure-hierarchy builder and an exposure timer with SUDS capture, free to use and connected to the chart in the EHR.
Keep going
See the EHR built for ERP
Carry the hierarchy into the chart, assign exposures as homework, and watch SUDS drop across sessions — without re-keying anything.
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