Quick momentary ratings
Use the configured scale to communicate current subjective distress before, during, or after an exposure.
Subjective Units of Distress Scale (SUDS) for Exposure Therapy
SUDS records how distressed a client feels at a particular moment during exposure therapy or ERP. Repeated ratings show the observed pattern for one exposure target.
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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.
Descriptive review
See the observed ratings, peak, first and last recorded points, and gaps. The tool does not decide whether an exposure succeeded.
Adapt the template
Practitioners can edit the question, scale, anchors, instructions, and rating moments before sharing.
What does SUDS measure?
The client's subjective distress or anxiety at the moment they give a rating.
What happens when a moment is missed?
It remains a gap and does not become a zero rating.
What is saved from this page?
Saving creates the reusable configuration. Ratings entered here stay out of real client records.