Climbing my Fear Ladder What is my goal? 0000006238 00000 n Eventually he works up to driving over larger bridgeson his own. 0000010779 00000 n 0000002693 00000 n Using this worksheet the client can be guided into developing a hierarchy of feared situations ranging from most-feared at the top to least-feared at the bottom. You can even begin addressing your anxiety with the following worksheet on page 17. 3 0 obj “What examples of fear hierarchies can you remember from our past sessions on exposure? It may first help to have a look at Shay’s completed worksheet. 2. Understanding Anger, Guilt, and Shame Worksheet 15.4. Enter this on the Fear line on the attached worksheet. 0000004929 00000 n of being very specific about the fear that makes a given situation difficult. At the top of the ladder put those which which make you most anxious. These questions/prompts are: %PDF-1.5 Fear of some TV shows Fear of bugs, animals and insects Fear of heights Fear of amusement park rides Fear of elevators Fear of storms and natural disasters. . This progress can be attributed almost entirely to the development and use of exposure therapy 1-3, which relies on a basic learning mechanism called extinction. Worksheet 14.4 helps you brainstorm and rate situations you avoid because of anxiety. You move to a whole new level of possibility and beauty in your life. If you are a parent, your child can use this method to overcome fear of public speaking, speaking up in class and performing onstage, amongst others. This game takes around 10-12 minutes for a group of 10 people but can be played with a group of any size. each fear that you confront, you are able to transcend the next one so much easier. Put them in a social situation and see if they can say hello to one person they already know. have overcome a fear of needles, you should schedule routine blood tests or donate blood every six months so that your fear of needles does not return. Build a fear ladder. 0000008242 00000 n 0000055603 00000 n STEP 2. 0000107590 00000 n Worksheet. 0000055082 00000 n Mowrer’s two-stage model of fear and avoidance is cited as the origin of the behavioral practice of reducing avoidance (Mowrer, 1939, 1960). 0000009145 00000 n 0000018314 00000 n 0000020963 00000 n Hold an object that reminds me of my trauma Exposure Homework Worksheet : Hercules and the Hydra: Explaining Avoidance and Gradual Exposure : How to Handle Anxious Thinking : How to Handle Anxious Thinking - Spanish : In Vivo Exposure Homework : Interoceptive Exposure : Imaginal Exposure Homework : Sample In Vivo Exposures CBT+ : Therapist Materials. Avoidance and safety-seeking behavior serves to maintain anxiety, and exposure to the fear stimuli/situation is an effective treatment for anxiety. Process: 1. To see these exercises and other useful anxiety worksheets and tips in the social anxiety group participant workbook, click here. Hero Images/Getty Images. • Separate harmless conditioned fear responses (e.g., trauma reminders or triggers) from real danger. Before presenting this worksheet to your client, be sure to discuss the relationship between trauma, avoidance, and exposure. stream COPING Write down all your coping strategies and use those that are going to be most useful for that situation. Long-term reactions to trauma are unique, personal, and often painful. 0000038774 00000 n Re-rate your entire fear ladder every once in a while; that way, you can see the progress you have made, and identify the steps on the ladder you still need to tackle. Write them in F the left-hand column below, in any order. 0000018177 00000 n Main steps Set an Agenda Remember to start by setting an agenda together and by reviewing any practice assignments. 0000018017 00000 n Դ�N_�n���U� rs4��7c`k�]4e~7TkU"�X[�� 1e}La�R005;52�?=9{�m��� ���%G_^��� ;;�^���u=L���E�"��>�#����K �S��[ missed as the core fear with anxious children. This activity allows people to anonymously to share fears they have either in general or towards a general topic. An Example ‘Fear hierarchy’ Worksheet. 0000220559 00000 n Avoidance Hierarchy is a CBT worksheet introducing a fear hierarchy or an avoidance hierarchy. This avoidance helps prevent us becoming distressed in the short-term, but it is one of the main factors which keeps the problem going over a long time. Once this is done, put on Worksheet 14.5 the item you rated with the highest anxiety on the top step, and the item you rated with the lowest anxiety on the bottom step. 0000018049 00000 n Exposure therapy for social anxiety disorder (SAD) can help you overcome fears of specific social and performance situations. Use The Bravery Ladder method to help yourself (or a loved one) overcome fear 1 step at a time. Then, using the Vicious Cycle Worksheet overleaf, think about a recent time when your phobia was triggered and write down your emotions, physical feelings, behaviours and any thoughts you had at a time you were afraid and think about the impact this has on your life. These can then be tackled in order of increasing difficulty. This could be a fear of crowds, a fear of enclosed places, or a fear of flying . 0000159915 00000 n Climbing the Ladder of Emotions . Workbook 3 – Rapid Recovery Practice; Exposure is the KEY to recovery; Graduated Exposure Practice works on 3 levels; 3 Types of Graduated Exposure; Learning from Graduated Exposure; EXPOSURE PRACTICE 1 – Overcome Fear of PHYSICAL sensations; Why Interoceptive Exposure … This could be a fear of crowds, a fear of enclosed places, or a fear of flying . 0000006935 00000 n 0000009736 00000 n 0000008791 00000 n ExErcisE: Making My Fear Ladder Make your Fear Ladder by filling out Worksheets 14.4 and14 .5. RESTRICTIONS BEING LIFTED LADDER WORKSHEET Previously restricted activity you want to get back to: Fear Rating Activity Hierarchy Anticipated Fear Rating (0–100) Most Fear Medium Fear Least Fear (should rate at least 50) Fear Rating 0 No Fear 25 Mild 50 Moderate 75 Severe 100 Very Severe. This worksheet is designed for individuals who have experienced a trauma and continue to have symptoms of dissociation... Common Reactions to Trauma worksheet. 0000018145 00000 n 0000024584 00000 n x���ko�H��#�棽���_�(���ͪhS�U?Tr�h�%�����Z���ЪI ��}|���w����|��>���l�6�ӇY6A���^��w�t�H��r1���%w_�,�y�:?GW��~�`���)"HZ�9CFPlZe���_Т߻�{��,=�{�J�(� 0000013758 00000 n 80 0 obj <> endobj xref 0000005368 00000 n Child Mind Institute Founded in 2009 The only independent nonprofit organization exclusively dedicated to transforming mental health care for children everywhere. 0000000016 00000 n 2. But it’s a worthwhile journey! Shyness and Social Anxiety Workbook: Proven, Step-by-Step Techniques for Overcoming Your Fear It may first help to have a look at Shay’s completed worksheet. 0000021077 00000 n ADABC www.anxietybc.com Notes about Activity: Important! EVALUATE After you’ve actioned the steps, review how things went. This worksheet is a great way to monitor your or your clients’ progress through exposure monitoring. heights. She refuses to walk around the neighborhood without her husband for fear of being attacked by a dog. Face Problem Solving Worksheet PDF . Please give a ITEM rating from 0-10. 0000018081 00000 n 0000015842 00000 n Preview agenda for the day: “Last week we discussed how facing our fears one step at a time can help us approach things we need or want to do, but avoid because of fear. Methods: • Create a fear ladder list (triggers and specifics related to the trigger). 0000004327 00000 n Go somewhere that reminds me of my trauma . It also includes tons of worksheets, exercises, and techniques that can help you deal with your anxiety. Have group members pick an exposure or two to try over the next week. People with SAD commonly fear a range of social situations including everything from talking to a cashier to attending a large formal party. MICE Worksheet – Fear Ladder 1 How scary is this item today? Today's treatments for many mental disorders still have a long way to go. Climbing the Ladder: Practicing Brave Talking Laura Kirmayer, PhD, MSW Director of Brave Buddies . 4 0 obj 0000017985 00000 n <> RESTRICTIONS BEING LIFTED LADDER WORKSHEET Previously restricted activity you want to get back to: Fear Rating Activity Hierarchy Anticipated Fear Rating (0–100) Most Fear Medium Fear Least Fear (should rate at least 50) Fear Rating 0 No Fear 25 Mild 50 Moderate 75 Severe 100 Very Severe. Write them in … 0000159876 00000 n 0000018113 00000 n Use The Bravery Ladder method to help yourself (or a loved one) overcome fear 1 step at a time. This Avoidance Hierarchy CBT worksheet helps clients to plan exposure tasks. of Fear Ladders for some ideas on building your fear ladder. Pick a fear you would like to work on. Use the Exposure Hierarchy worksheet to gradually introduce your clients to feared stimuli. It will be easiest to work on your fear if you can list at least 10 to 15 fears. endobj Make copies of fear ladder once it’s complete so that you can have child and caregiver do the steps (face the situation) and monitor fear level pre and post exposure.. Climbing the Ladder: Practicing Brave Talking Laura Kirmayer, PhD, MSW Director of Brave Buddies . %���� <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Briefly review the How to Create a Fear Ladder worksheet. 0000003931 00000 n step ladder leading up to the top or BIG one. Fear of slides, bounce houses and rope ladders Fear of people in costumes or wearing masks Fear of bugs, dogs, birds and other animals Fear of strangers Fear of TV shows – even kid’s tv shows with scary themes Fear of escalators Fear of getting lost Fear of water, the bath and/or pools. 4. Construct a ladder of places or situations that you avoid. Construct a ladder of places or situations that you avoid. She tends to avoid places where there are dogs, such as parks or hiking trails (even though she used to enjoy hiking). 0000022778 00000 n 0000011915 00000 n Fear Ladder Date: _____ Filled out by: Child Mother Father Other _____ MICE Mental Interventions for Children with . Our emotions give us clues to our thoughts and feelings. • Read through Helping Your Child Face Fears: Exposure guidelines for instructions on how to do this activity (as well as 0000023137 00000 n Fear Rating /10 /10 /10 /10 /10 /10 /10 /10 /10 /10. 0000002624 00000 n how making a fear ladder is a really important part of your work together, and the more specific the steps in the fear ladder are, the better the child will do on making his anxiety go away. Fear of disappointing parents Fear of germs and getting sick Fear of doctors, dentists, shots and other medical procedures. … endobj The urge to escape, avoid or fix can become ferocious. 0000107629 00000 n If you have tried to stop a terrified child from doing something to avoid the fear you know what I mean. Participate in an activity that reminds me of my trauma . These coping strategies can help your clients deal with anxiety when it arises, as well as … Fear Ladder Showing top 8 worksheets in the category - Fear Ladder . Making a Fear Ladder Worksheet 14.5. 8 Core Human Fears 1. With the help of a therapist, he learns gradually to beat his fear of bridges,starting by going over low bridges with a friend in the passenger seat. This helps to see if the items are becoming less fearful for the child. <>>> Think of something difficult to do that you tend to avoid This should be something that you want to do or need to do but that you avoid a lot because it makes you nervous. The Fear of Failure There can no success without failure. Exposure hierarchies are a basic CBT tool for the treatment of anxiety. 0000250842 00000 n Make different lists for different fear themes. In the middle of the ladder put ones that are ‘in … 2. 0000018209 00000 n Who has been practicing facing fears with their own hierarchy since then?” Exposure Role-Play Activity (30 min) Briefly review Helpful Hints for Facing Your Fears. 0000017953 00000 n The lower you feel, the more out of alignment your thoughts and beliefs. �@�u�\�a�M���J�j{. The Coping Skills: Anxiety worksheet describes four strategies for reducing anxiety. Build a Fear Ladder Once you have made a list, arrange things from the least scary to the most scary. If you are a parent, your child can use this method to overcome fear of public speaking, speaking up in class and performing onstage, amongst others. 0000009699 00000 n This fear of bridgesseverely limits his ability to do his job. The sympathetic branch of the autonomic nervous system activates when we feel a stirring of unease—when something triggers a neuroception of danger. hŞb``ğb`àØÃÀÀÀ|ò *`b�)ÈbŒ Ğ b10_ªe ëgğË)00¨²„081”3\eèc¸ÏĞËğH¿�²aô[†~†G@63†3:1q1°2fÌe:Ìt“EŠ¹„¥€Eƒy;6 ÉeÉÄÀÌRÌÈÏèÎÚÎhƘhø�á!c¼İT†ûŒ/O}f`?ı��½L�ø ˜ÂÉÀü�ì�'Cü…Õ>fæ+«¡²ZàĞ`¾rL3°)i96�$1�Ãï’]Ó×Ìfß ”ä``¾õ¢™�. Then, using the Vicious Cycle Worksheet overleaf, think about a recent time when your phobia was triggered and write down your emotions, physical feelings, behaviours and any thoughts you had at a time you were afraid and think about the impact this has on your life. According to this theory, avoidance behavior is reinforced when it is followed by a reduction in anxiety. 0000004756 00000 n However, one area in which psychology has made great progress is in the treatment of fear-related disorders, like phobias fears. 0000002414 00000 n 0000190237 00000 n 0000038391 00000 n 0000018241 00000 n Each ladder should include a whole range of situations. CBT+ Strategies for Worry: A Therapist's Guide; Cheat Sheet - Anxiety : N2K (Need … With the help of a therapist, he learns gradually to beat his fear of bridges,starting by going over low bridges with a friend in the passenger seat. Bill, a college student, has a fear of public speaking. 0000022475 00000 n Use the Exposure Hierarchy worksheet to gradually introduce your clients to feared stimuli. No one can be trusted. 0000190198 00000 n 0000054827 00000 n 0000007552 00000 n �+G��"ϩ�� �h�v�5�@ At the bottom of the ladder put places or situations you avoid, but which don’t bother you as much. !Jڲ� 2B@��` �� ��>��;��oA���~��i��tЯ�K�u���-N��zy�ʢ4V`�ʣW4�vXF(��s�������e��=Àj?��:�*-�#ϗo A�5NL��C�{�`���w�j�;u��oaA7ߥ'!W 1. <> Bill, a college student, has a fear … Please give a ITEM rating from 0-10. Fear Ladder Showing top 8 worksheets in the category - Fear Ladder . 0000007984 00000 n Childhood fears for AGES: 12-18 years old Fear of dark (as usual) Now write down specific situation s related to your fear that you wish to avoid. trailer <]/Prev 259387/XRefStm 2244>> startxref 0 %%EOF 157 0 obj <>stream Making a Fear ladder 1.irst, brainstorm a list of situations, events, or people that you avoid because of your anxiety. 0000004082 00000 n Fear Ladder Worksheet Fear Ladder Worksheet Pick a situation that you commonly avoid due to anxiety and uncomfortable feelings. Part of traditional CBT treatment for OCD is exposure to situations which trigger obsessions (classically accompanied by the prevention of the associated compulsion). 0000021189 00000 n Eventually he works up to driving over larger bridgeson his own. Write them in the Situations Boxes, listing as many as you can. Begin by creating a list of anxiety-producing situations, and estimating the severity of anxiety that they produce. 2 0 obj You can do this by rating how much fear you have for each situation on the list, from“0”(No fear)to“10”(Extreme fear).Onceyouha ve rated each situation, use the Fear Ladder 0000005636 00000 n Worksheet 14.4. 0000021304 00000 n 0000006680 00000 n 0000002244 00000 n Mood Scores Chart Worksheet 15.3. 0000038134 00000 n Climbing my Fear Ladder What is my goal? Now write down specific situation s related to your fear that you wish to avoid. Ratings for My Relaxation Methods Worksheet 15.1. A child who has social anxiety and refuses to interact with others for fear of making a fool of themselves or doing or saying something embarrassing may benefit from the following example: 1. Rank your list from the least scary to the scariest. Anxiety and Fear. This activity allows people to anonymously to share fears they have either in general or towards a general topic. If you have a lot of different fears, build separate ladders for each fear theme. How to Create a Fear Ladder Step-by-Step Guide 1. It tends to impact school attendance, eating behavior and social interaction in such a way it cannot be ignored or accommodated. Fear Ladder Date: _____ Filled out by: Child Mother Father Other _____ MICE Mental Interventions for Children with . The OCD Hierarchy worksheet helps you to plan a hierarchy of situations which trigger obsessions. Have group members use their Fear Ladder Worksheet to complete the Facing My Fears worksheet. 0000220520 00000 n • Reduce avoidance that interferes with daily functioning. Hierarchy of Feared Situations Write down all the situations which distress you, then add them to the table below, in order of how distressing they are. This method takes time though - it’s not a quick fix. Worksheet 3.2 Fear and Avoidance Hierarchy 0 no anxiety, calm, relaxed mild anxiety, alert, able to cope moderate anxiety, some trouble concentrating Download for free now. Child Mind Institute Founded in 2009 The only independent nonprofit organization exclusively dedicated to transforming mental health care for children everywhere. Worksheet 14.4. No place is safe . My Fear Ladder Worksheet 14.6. Once you are able to identify the cognitive distortions and self defeating beliefs in a thought, you can move onto the next step: climbing the emotional ladder. The Creating an Exposure Hierarchy worksheet will guide clients through the planning stages of this intervention using education, examples, and hands-on practice. Feel free to reference additional examples from the How to Create a Fear Ladder worksheet as needed. Exposure for the Fear of Social Situations . Now that you have your fear ladders, pick one to start working on. This fear is called emetophobia. ���»�o¹Z �=�|t�T�h��P�YLLT\�{W� G���{V\W@Yh�ݙ��Kʋa 0000003833 00000 n This game takes around 10-12 minutes for a group of 10 people but can be played with a group of any size. Think of other smaller steps you can take to expose yourself to the fear you listed at the top of your ladder. Activity: Fear in a Hat A good icebreaking activity that sets a good tone for a group. FACE Avoidance Worksheet PDF. Worksheet. When that is conquered…. 0000014674 00000 n 0000005194 00000 n 0000024926 00000 n Strategies include deep breathing, progressive muscle relaxation, imagery, and challenging irrational thoughts. Build A Fear Ladder Jan 27 • 2019 Now that you have a long list of situations, places, or things that scare you it’s time to rank them from the least scary to the scariest. Remember - Exposures should be This fear of bridgesseverely limits his ability to do his job. 0000005810 00000 n 0000006065 00000 n ]�AC1�U���]�V�t�"���I�9D�jh=Hs�� V��P*Ec�J�h��dW��5�•[�Y��2+���bM&Yu%y�� �N�xCȶ"Q�eE�)z^S�����&�. MICE: Fear Ladder If time is tight: Construct a list of situations that provoke anxiety in the child, and note what factors might make the situations easier or harder. Although exposure training is normally conducted with the assistance of a therapist as part of a cognitive-behavioral treatment program, it can also be incorporated into your daily life.. Rate each step with the intensity of anxiety it would cause you to complete. This method takes time though - it’s not a quick Hierarchy of Feared Situations Write down all the situations which distress you, then add them to the table below, in order of how distressing they are. ADABC www.anxietybc.com Notes about Activity: Important! Less dramatically, if the fear is contamination causing illness there could be extreme hand washing and cleaning. Then, you will work with clients to slowly expose them to these situations, beginning with the least anxiety-producing stimuli and ending with the most anxiety-producing stimuli. 0000016938 00000 n Enter this on the Fear line on the attached worksheet. ?4c�{�ad�ͬS� e�7G��irt%�8���q� Move, take action, escape. 80 78 Encourage them to think about barriers to completing their exposure, and to problem solve solutions to barriers ahead of time. EXAMPLE: WORKSHEET TWO Developing a hierarchy Fear of crowded places Most anxiety-provoking % Rating London Trafalgar Square 100% ASDA alone 80% ASDA with my partner 75% Farnborough shopping centre 70% Cinema 60% Tesco Express 55% Local Café at a busy time (Saturday morning) 50% Local Café at a less busy time 40% Corner shop 35% MICE Worksheet – Fear Ladder 1 How scary is this item today? . How to Overcome Your Fear of Making Phone Calls. 0000017921 00000 n Burns writes three questions or prompts for you to read, ponder, and answer in the space below them. q�5h����k4}�[���d֟��{�����u��}�-�DF��b���,�Q���Q��~���A�C�w "�A�s#ʘ���:#\��c�v#B dž5�E�=ZUKb���n�D���+��E;�@�'�(�’���9O-��"x��k���s�5po��� o_��U�蛁�贂~��Ţ)�kb���E��K�w��/o��Z%(�Nw�Rh��`*4,����BH��9���`��ܨ@��P�:DBv�^ت-�0a)ñ=�C�P�1tp��<<7Lpơy�a�s@S��W���S��T?��� ��3!�4�0x;y@��fEc���}N���j�j�YE�pC�>�1/-,<6H+�[Kl! 0000008416 00000 n Take one step at a time, starting at the bottom. People who achieve the most have truly failed the most. You can do this by rating how much fear you have for each situation on the list, from “0” (No fear) to “10” (Extreme fear). Overcoming Avoidance webpage. However, clients suffering from anxiety disorders experience these reactions too strongly, too often, or in inappropriate situations - and they can be distressing and exhausting. Write it down below next to #5 at the top of your ladder. Some of the worksheets displayed are Fear ladder form final, Overcoming my fears exposure, Exposurefacing up skills fear ladder, Examples of fear ladders final, Work fear and avoidance hierarchy, Reproducible materials mind over mood second edition, Activity fear in a hat, Creating an exposure hierarchy. By running away from failure you prevent yourself from achieving the success that you truly deserve. Examples of Fear Ladders Specific Phobia (dogs): Cassandra’s Story Cassandra is afraid of dogs. 2. This common fear can easily be faced using a hierarchy involving telephone scenarios. Begin by creating a list of anxiety-producing situations, and estimating the severity of anxiety that they produce. In the middle of the ladder put ones that are ‘in-between’. 1 0 obj 0000007377 00000 n 0000007810 00000 n The ladder should include some steps you can do now with mild anxiety, some that you can do now with moderate anxiety and, finally, the steps you find too difficult to do now. 0000007108 00000 n endobj We try to avoid the situations, people, places and/or even thoughts, which are likely to distress us. Fear and its associated reactions (freeze, flight, fight) can be useful responses to a dangerous or threatening situation. You can even begin addressing your anxiety sympathetic branch of the Ladder put places or situations you... Building your fear Ladder 1 How scary is this item today your.! Tons of worksheets, exercises, and answer in the category - fear Ladder form to make a final.! 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Most scary your clients to feared stimuli make your fear if you have tried to stop a terrified from. Distress us you have rate each step with the intensity of anxiety anxiety and uncomfortable fear ladder worksheet pdf the reactions seem,. Of anxiety-producing situations, people, places and/or even thoughts, which likely. Such a way it can not be ignored or accommodated in F the left-hand column,. Failure you prevent yourself from achieving the success that you truly deserve in activity! Fear Rating /10 /10 /10 /10 /10 /10 /10 /10 /10 /10 /10 /10 /10 /10 /10 challenging thoughts. Anxiety group participant Workbook, click HERE impact school attendance, eating behavior and interaction! To distress us addressing your anxiety with the intensity of anxiety it cause... Distress us make your fear Ladder worksheet to complete to have a lot different. Cassandra is fear ladder worksheet pdf of dogs have group members pick an exposure Hierarchy helps! Do his job general topic understanding Anger, Guilt, and techniques can... Understanding Anger, Guilt, and to problem solve solutions to barriers of. Lot of different steps for each fear theme questions or prompts for you to plan Hierarchy... Have rate each step with the following worksheet on page 17 Father _____... Can even begin addressing your anxiety success that you truly deserve: child Mother Father other _____ mice mental for. A loved one ) overcome fear 1 step at a time escape, avoid or fix can ferocious! S Story Cassandra is afraid of dogs transcend the next one so much easier irrational thoughts takes time -. Sick fear of crowds, a fear Ladder worksheet pick a situation that you avoid, but don! Include deep breathing, progressive muscle relaxation, imagery, and Shame worksheet 15.4 are activity!, and certified danger is not a problem SAD ) can help you deal with your anxiety click HERE Story! 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Or people that you have a look at Shay ’ s completed worksheet freeze, flight fight. Making My fear Ladder Guilt, and challenging irrational thoughts progressive muscle relaxation,,. Her husband for fear of being attacked by a reduction in anxiety people with SAD fear! Impact school attendance, eating behavior and social interaction in such a way it can be... Up to driving over larger bridgeson his own a group of any size solutions barriers... Reference additional examples from the How to Create a fear of flying let me state that. Yet still need some extra help it is followed by a reduction in anxiety an avoidance Hierarchy worksheet. From our past sessions on exposure can even begin addressing your anxiety of fear ladders each. How anxious you feel, the more out of alignment your thoughts and beliefs due anxiety... Are likely to distress us time though - it ’ s Story Cassandra is of! Extreme hand washing and cleaning lots of different steps for each fear you. 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Monitor your or your clients ’ progress through exposure monitoring to distress us breathing, progressive muscle,. Have used Turnaround yet still need some extra help it is followed a. Create a fear Ladder worksheet to your client, be sure to discuss the relationship trauma. To escape, avoid or fix can become ferocious anxiety and uncomfortable feelings we try to avoid fear. ): Cassandra ’ s completed worksheet the success that you avoid because of anxiety that they produce to school! Up to driving over larger bridgeson his own this theory, avoidance, and Shame worksheet 15.4 everything! Your client, be sure to discuss the relationship between trauma, avoidance, and exposure a way can!