Imaginal Exposure Practice Log
A practice log for imaginal exposure homework recording distress before, at peak and after, plus notable thoughts and changes over time.
1-page fillable PDF · US Letter (prints on A4) · Prolonged exposure
- Approach / concern
- Trauma & PTSD
- Technique
- Prolonged exposure
- 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 Practice Log?
Imaginal exposure involves repeatedly revisiting the trauma memory to process it emotionally and reduce avoidance. Tracking practice supports engagement and shows progress.
Why it works
Imaginal exposure is a core component of prolonged exposure therapy (Foa et al., 2007). Trauma-focused therapies with a memory processing component are strongly recommended (ISTSS, 2019).
When to use it
- Prolonged exposure therapy
- Between-session listening practice
- Monitoring habituation and learning
- Supervision
How to use it in session
- Record in session.
- Listen daily as agreed.
- Rate distress.
- Note thoughts.
- Review together.
Clinician tips
- Use only within a structured treatment.
- Check for over-engagement or dissociation.
- Pair with grounding afterwards.
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
Do I have to do this alone?
Imaginal exposure is planned with your therapist; home practice follows what you agree in session.
What if I feel worse at first?
Distress often rises early on. Tell your therapist how it’s going.
References
Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences. Therapist guide. Oxford University Press.
International Society for Traumatic Stress Studies. (2019). ISTSS PTSD prevention and treatment guidelines: Methodology and recommendations. ISTSS.
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.
