Imaginal Exposure Script Planner (OCD)
An ERP worksheet for drafting an imaginal exposure script about a feared obsession and logging anxiety and response prevention across repetitions.
1-page fillable PDF · US Letter (prints on A4) · Exposure and response prevention
- Approach / concern
- OCD
- Technique
- Exposure and response prevention
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Imaginal Exposure Script Planner (OCD)?
Imaginal exposure is used in ERP when real-life exposure isn’t possible or to target feared consequences. Scripts confront uncertainty while preventing neutralizing.
Why it works
Foa et al. (2012) describe imaginal exposure within ERP for OCD. Inhibitory learning emphasizes tolerating uncertainty and violating expectancies (Craske et al., 2014).
When to use it
- OCD with feared future consequences
- Taboo, harm or religious obsessions
- ERP programs
- Clinician-guided homework
How to use it in session
- Choose the obsession.
- Draft the script.
- Read or record.
- Repeat without neutralizing.
- Log anxiety.
Clinician tips
- Write with your clinician.
- Include uncertainty rather than certainty of harm.
- Watch for mental compulsions during exposure.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Won’t writing about my fear make it more likely?
No. Thoughts and writing don’t cause events; exposure helps you learn to tolerate uncertainty.
What if the script makes me very anxious?
That’s expected at first; anxiety typically decreases with repetition.
References
Foa, E. B., Yadin, E., & Lichner, T. K. (2012). Exposure and response (ritual) prevention for obsessive-compulsive disorder: Therapist guide (2nd ed.). Oxford University Press.
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10-23.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
