Free Printable Anxiety Hierarchy / Exposure Ladder — SUDS Predicted vs Actual PDF

Predicted catastrophe almost always exceeds actual catastrophe

SUDS predicted vs SUDS actual is the column pair that makes prediction error visible — the engine of inhibitory learning.

Repeat? column reminds you that one exposure isn’t enough; consolidation comes from variability (different times, places, with/without safety person).

Different from a generic fears list: rows are ordered by SUDS so you climb deliberately, not randomly.

Practical setup tips

Before printing the Anxiety Hierarchy / Exposure Ladder, decide what one row represents and how often the page will be reviewed. That keeps the sheet from becoming a catch-all notes page and makes the finished record easier to compare with similar pages in the same binder or workflow.

• Step # should be filled in consistently so the sheet remains useful after the first day of use.
• Situation (small → big) should be filled in consistently so the sheet remains useful after the first day of use.
• SUDS predicted (0-100) should be filled in consistently so the sheet remains useful after the first day of use.
• SUDS actual after should be filled in consistently so the sheet remains useful after the first day of use.
• Date attempted should be filled in consistently so the sheet remains useful after the first day of use.
• Repeat? should be filled in consistently so the sheet remains useful after the first day of use.

If the printable is part of a formal, financial, medical, legal, or compliance workflow, use it as a planning and note-taking aid alongside the official system or professional guidance that applies to your situation.