Therapy Resource

Imaginal Exposure Practice Log

Track your progress as you confront fears through guided visualization

AnxietyWorksheetFree Resource

Imaginal exposure is an evidence-based technique used in the treatment of PTSD, OCD, phobias, and generalized anxiety (Foa et al., 2019; Abramowitz et al., 2019). It involves vividly imagining a feared scenario in a controlled, repeated way until the anxiety response naturally decreases through habituation. By confronting the fear in imagination rather than avoiding it, the brain learns that the feared outcome is either unlikely or manageable.

Use this log to track each imaginal exposure session. Before beginning, prepare a detailed script describing your feared scenario written in the present tense and first person. During each session, find a quiet place, record yourself reading the script aloud, then listen to the recording repeatedly for 45 to 60 minutes. Rate your anxiety at the start, peak, and end of each session using a 0 to 100 scale. Repeat daily until your peak anxiety rating consistently drops below 30.

DateDuration (minutes)Starting Anxiety (0-100)Peak Anxiety (0-100)Ending Anxiety (0-100)Notes / Observations

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