[form] Client's Hierarchy of Obsessions Your Name please: [text,r_name,30] Email: [text,r_email,30] ------------------------------------------------------------------------ Please list your feared thoughts, images, and impulses in order from least to most distressing. In the last column, note how upset each one makes you from 1 (least) to 10 (max). Then RANK them of importance using the selection on the left. RANK……………………………Thought/Image/Impulse……………………………………….Level of Distress [list,priority1][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,1hierarchy,3,30][list,SUDS02][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority2][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,2hierarchy,3,30][list,SUDS03][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority3][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,3hierarchy,3,30][list,SUDS04][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority4][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,4hierarchy,3,30][list,SUDS05][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority5][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,5hierarchy,3,30][list,SUDS06][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority6][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,6hierarchy,3,30][list,SUDS07][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority7][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,7hierarchy,3,30][list,SUDS08][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority8][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,8hierarchy,3,30][list,SUDS09][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority9][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,9hierarchy,3,30][list,SUDS10][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] [list,priority10][option,0,none][option,1,First 1][option,2,Second 2][option,3,Third 3][option,4,Fourth 4][option,5,Fifth 5][option,6,Sixth 6][option,7,Seventh 7][option,8,Eighth 8][option,9,Ninth 9][option,10,Tenth 10][/list][textarea,10hierarchy,3,30][list,SUDS10][option,1 The absence,1 absence of any distress][option,2 Neutral,2 OK not as relaxed as could be][option,3 Increased discomfort,3 discomfort unpleasant but in control ][option,4 Noticeable discomfort,4 Noticeable discomfort but tolerable][option,5 Discomfort V uncomfort,5 Very uncomfortable but can stand it.][option,6 Discomfort worsens,6 Discomfort worsens affects my life][option,7 Discomfort severe,7 Discomfort severe emotional pain interferes.][option,8 Discomfort increase constant,8 Discomfort increases and in thoughts constantly][option,9 Nearly intolerable,9 Discomfort is nearly intolerable][option,10 discomfort worst,10 Discomfort is worst imaginable.][/list] ------------------------------------------------------------------------ Questions or Comments? 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