A formulation based on Salkovskis' cognitive model of OCD — mapping intrusions, responsibility appraisals, distress, and neutralising behaviours.
OCD Formulation (Salkovskis)
PreviewIntrusive Thought / Image / Urge
Normal — everyone has these
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Responsibility Appraisal
The meaning given to the intrusion
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Distress
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Neutralising / Rituals / Avoidance
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Temporary Relief
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Increased Attention to Intrusions
Monitoring makes intrusions more frequent
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What percentage of the general population have intrusive thoughts like yours?
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What resources, strengths, and supports might help in recovery?
Protective factors
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Strengths & resources
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What role does the responsibility appraisal play in your OCD cycle?
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This is a read-only preview. Sign up to assign it and let clients complete it on any device.
Build a graded exposure hierarchy for Exposure and Response Prevention therapy. List anxiety-provoking situations, rate them, and plan structured exposures.
Track OCD episodes — intrusions, appraisals, rituals, distress, and duration — to identify patterns and measure progress.
Sign up free and send your client a link. They complete it on any device — you review their responses before the next session.
No credit card required. 10 free worksheets every month.