Free ERP tool
Free Exposure Hierarchy Builder
Build an exposure hierarchy for ERP, OCD, and anxiety work. Add triggers, rate predicted SUDS, define response prevention rules, and export a clinician-ready worksheet.
Build an ERP Exposure Hierarchy Online
An exposure hierarchy is a ranked list of feared situations, triggers, thoughts, sensations, or avoided actions. This free builder helps therapists and clients list exposure steps, estimate SUDS, define response prevention rules, and sort the plan from easier to harder.
What to Include in an Exposure Hierarchy
A useful hierarchy usually includes a specific exposure step, the feared situation or trigger, a response-prevention rule, a predicted SUDS rating, an actual peak SUDS rating after practice, duration or repetition targets, and short learning notes. The tool is flexible enough for OCD ERP, social anxiety, panic/interoceptive exposure, and other clinician-guided exposure work.
Clinical Guardrails
Exposure planning should be collaborative and clinically supervised, especially when risk, trauma history, self-harm concerns, medical issues, or severe impairment are present. This page organizes the worksheet; it does not decide readiness, safety, pacing, or treatment fit.
Related OCD and Anxiety Tools
Frequently Asked Questions
What is an exposure hierarchy? +
An exposure hierarchy is a ranked list of feared or avoided situations, usually ordered from easier to harder based on expected distress.
Is this tool only for OCD? +
No. It can support ERP for OCD and exposure-based anxiety work when a trained clinician determines exposure is appropriate.
Does the hierarchy builder prescribe exposures? +
No. It organizes a worksheet. Readiness, pacing, safety, response prevention, and treatment fit remain clinical decisions.
Can I export the hierarchy? +
Yes. You can copy or export a clinician-ready worksheet for your note, homework plan, or treatment planning workflow.
Next step
See the anxiety and OCD workflow we are building
Use the free hierarchy builder now, then see how CoralEHR structures ERP hierarchies, SUDS tracking, CY-BOCS scores, notes, and progress inside one chart.
EHR for ERP therapists