Exposure Therapy/ERP Session Note

Date: [Date of session]

Patient: [Patient name]

Provider: [Provider name, credentials]

Session: [Session number and phase]

Time: [Start–Stop / Total duration]

Modality/Location: [in-person / video / phone] (If telehealth, include patient's physical location.)

Diagnosis/Focus: [Primary diagnosis and ERP target focus]

Session Focus & Safety

[Primary ERP target for this session in behavioral terms] [Brief interval update: symptom status and between-session practice adherence since last session] (1–2 concise sentences. If homework was not completed or not reviewed, state explicitly.)

Safety screen: [Denies suicidal/self-harm ideation / Endorses ideation—assessment details and actions taken / Not assessed]

ERP Intervention

SUDS Scale: [0–10 / 0–100] (Define once per note; omit line if SUDS not used this session.)

• Exposure 1: [Stimulus/task confronted; duration and/or repetitions]

  • Response prevention: [Rituals and safety behaviors blocked, including covert/mental rituals; note any safety behaviors identified and how addressed]
  • SUDS: [Pre: __ / Peak: __ / End: __] (Patient-reported only; if not obtained, use behavioral markers: approach behaviors, time-on-task, observable distress cues.)
  • Learning outcome: [New learning articulated—expectancy violation, tolerance of uncertainty, or anxiety reduction without rituals]

(Repeat exposure block for each exposure completed this session.)

If no in-session exposure completed: [Reason] — [Alternative intervention provided] (Include only if applicable.)

Assessment & Plan

Progress: [Brief assessment using observable anchors—ritual frequency, exposure completion, approach behaviors, functional impact]

Barriers: [Avoidance, accommodation, comorbidities, or other complicating factors / None identified]

Homework: [Specific task with stimulus, frequency, response prevention instructions, and tracking method] (If no homework assigned, document clinical reason.)

Next session: [Planned focus and follow-up interval]

Signature: [Clinician name, credentials] — [Date/time signed]