Collaborative Use
The hierarchy is completed together, with the client contributing avoided targets and expected distress and the practitioner controlling safety, relevance, and final ordering.
In Vivo Exposure Hierarchy
In Vivo Exposure Hierarchy is a PE planning tool completed together by practitioner and client. It helps practitioners and clients collect safe avoided targets, add expected distress and therapeutic priority, and order them into a roadmap for gradual real-world exposure.
Create a sample hierarchy, preview the client roadmap, and review readiness before saving it.
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Tool guide
Learn more about this tool
Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.
What It Captures
It captures target descriptions, expected distress, therapeutic priority, safety/relevance confirmation, functional-goal linkage, ordering, and revision history.
Limitations
The hierarchy does not log completed practice, generate targets, determine safety automatically, or prescribe the next assignment by itself.
Can the client mark a target as safe?
No. Practitioner safety and relevance confirmation controls readiness.
Does this tool track exposure completion?
No. It creates the ordered roadmap; completion logging belongs to assignment or practice log tools.
Can the order be changed later?
Yes. The hierarchy can be revised over time while preserving prior states for comparison.