Therapist Imaginal Exposure Recording Form

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Therapist Imaginal Exposure Recording Form
Name of Therapist__________________________
Date
Client ________________________________
Exposure #_______________
Session #____________
Description of exposure in imagination:
_____ start time
SUDS
Notes:
beginning
_____
5 minutes
_____
10 minutes
_____
15 minutes
_____
20 minutes
_____
25 minutes
_____
30 minutes
_____
35 minutes
_____
40 minutes
_____
45 minutes
_____
50 minutes
_____
55 minutes
_____
60 minutes
_____
Form 10 Record Sheet for In-session imaginal exposures
Ledley, Foa, & Huppert
94

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