Obsessive-Compulsive Disorder (OCD) worksheets
10 evidence-based resources for Obsessive-Compulsive Disorder (OCD). Preview any worksheet, then assign it to a client as an interactive digital worksheet.
Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed
Two strands run through CBT for OCD, and this collection resources both. The cognitive strand is grounded in Salkovskis' cognitive model (1985): intrusions are a universal experience, and on this account it is the appraisal of them — inflated responsibility, thought-action fusion — and the neutralising that follows that turns intrusion into disorder. Map that cycle with the OCD Formulation (Salkovskis), then test appraisals directly with the responsibility appraisal, contamination reappraisal, and thought-action fusion experiment worksheets.
The behavioural strand is exposure and response prevention: the ERP Hierarchy Builder structures a graded hierarchy with SUDS ratings, and an ERP practice record carries it into between-session work. Monitoring diaries — including one dedicated to mental compulsions, which are easy to miss — and two psychoeducation handouts complete the set. The Salkovskis model is also free to explore as an interactive, referenced formulation diagram.
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Obsessive-Compulsive Disorder (OCD)
OCD Formulation (Salkovskis)
A formulation based on Salkovskis' cognitive model of OCD — mapping intrusions, responsibility appraisals, distress, and neutralising behaviours.
Obsessive-Compulsive Disorder (OCD)
ERP Hierarchy Builder
Build a graded exposure hierarchy for Exposure and Response Prevention therapy. List anxiety-provoking situations, rate them, and plan structured exposures.
Obsessive-Compulsive Disorder (OCD)
OCD Monitoring Diary
Track OCD episodes — intrusions, appraisals, rituals, distress, and duration — to identify patterns and measure progress.
Obsessive-Compulsive Disorder (OCD)
ERP Practice Record
Log exposure and response prevention practice sessions with SUDS ratings, urge strength, and whether you resisted the compulsion.
Obsessive-Compulsive Disorder (OCD)
Responsibility Appraisal Worksheet
Challenge inflated responsibility beliefs that drive OCD by examining the appraisal and generating realistic alternatives.
Obsessive-Compulsive Disorder (OCD)
Thought-Action Fusion Experiment
Test the belief that thinking something makes it more likely to happen (likelihood TAF) or that thinking something is morally equivalent to doing it (moral TAF).
Obsessive-Compulsive Disorder (OCD)
Contamination Reappraisal Worksheet
Challenge contamination-specific appraisals by examining the realistic probability of harm, the role of disgust vs danger, and what "clean enough" means.
Obsessive-Compulsive Disorder (OCD)
Mental Compulsion Monitoring Diary
Track covert / mental compulsions — mental reviewing, counting, praying, reassuring self — which are often missed because they're invisible.
Obsessive-Compulsive Disorder (OCD)
Understanding OCD
A plain-language explainer on what OCD really is: unwanted intrusive thoughts and the compulsions used to relieve them, why it happens, and a reassuring note on taboo and harm intrusions.
Obsessive-Compulsive Disorder (OCD)
What Keeps OCD Going?
A maintenance-cycle explainer on how compulsions and avoidance bring short-term relief but keep OCD going, and how Exposure and Response Prevention breaks the cycle.
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Request a worksheetFrequently asked questions
What is ERP and which worksheets support it?
Exposure and response prevention — graded exposure to obsessional triggers while resisting the compulsion that usually neutralises the anxiety. The ERP Hierarchy Builder structures the graded hierarchy with SUDS ratings, and the ERP Practice Record captures each practice: anticipated versus actual distress, urges to ritualise, and what the client took from it.
Do these worksheets cover mental compulsions?
Yes. The Mental Compulsion Monitoring Diary is dedicated to covert rituals — counting, mental review, silent repeating, undoing — which standard compulsion monitoring easily misses. It pairs naturally with the Thought-Action Fusion Experiment for testing the appraisals that drive covert neutralising.
Which formulation template should I use for OCD?
The OCD Formulation (Salkovskis) maps the cognitive model much of CBT for OCD is built on: intrusion, appraisal (inflated responsibility, thought-action fusion), distress, and the neutralising that feeds the cycle back into itself. The same model is free to explore as an interactive diagram, linked from the top of this page.
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