Hierarchy of Anxiety-Provoking/Avoided Situations
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Client's Hierarchy of Anxiety-Provoking/Avoided situations
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Please write up your anxiety-provoking and avoided situations in the textbox next to their a number, then using the impact SUDS scale rate each in terms of its disruptive affect on your life. After that rank them in order from least to the most distressing. Select using the YES or NO buttons whether the situation is avoided, and lastly how much it distresses you using the selection menu from 1 to 10.
RANK-----------Thought/Image/Impulse---------Avoided?-------------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,2,20][radio,avoided2]YES[radio,avoided2]NO[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,2,20][radio,avoided3]YES[radio,avoided3]NO[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,2,20][radio,avoided4]YES[radio,avoided4]NO[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,2,20][radio,avoided5]YES[radio,avoided5]NO[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,2,20][radio,avoided6]YES[radio,avoided6]NO[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,2,20][radio,avoided7]YES[radio,avoided7]NO[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,2,20][radio,avoided8]YES[radio,avoided8]NO[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,2,20][radio,avoided9]YES[radio,avoided9]NO[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,2,20][radio,avoided10]YES[radio,avoided10]NO[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,2,20][radio,avoided10]YES [radio,avoided10]NO[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]
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