When It Is Used
Use it during live exposure work, between-session exposure assignments, or retrospective entry when the practitioner needs distress ratings tied to specific exposure moments.
SUDS / Distress Rating for Exposure Process Tracking
SUDS / Distress Rating is a ready-to-send distress-tracking tool for prolonged exposure practitioners. It helps clinicians capture subjective distress ratings tied to exposure tasks or moments so they can review how fear or arousal changes during or across exposure work.
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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 Does Not Conclude
The tool describes rating patterns. It does not infer safety, clinical success, readiness, avoidance, or therapeutic meaning beyond reported ratings and practitioner interpretation.
Does this tool score exposure success?
No. It shows reported distress ratings and descriptive movement over time, but the practitioner interprets what the pattern means clinically.
Can missing ratings be reviewed?
Yes. Missing or incomplete rating points are shown as gaps rather than being filled in or estimated.
Can the tool be used across multiple exposure tasks?
Yes. Ratings can be grouped by task or session so later review preserves the exposure context.