Coaching practices for When to Move Up Exposure Hierarchy

Describe almost anything you are working through and IX Coach finds the practices whose real-world fit is closest. For When to Move Up Exposure Hierarchy, these are the strongest matches in the current practice library.

Does this sound like the set of challenges you might be facing?

• After one decent day I get impatient and want to jump straight to the hardest thing to prove I’m over this
• I’m finally ready to face this fear, but when I picture confronting the whole thing head-on I freeze
• The fear feels like one solid wall I either climb all at once or not at all, so I keep not at all
• Every time I try to face this head-on I aim for the scariest version of it, get overwhelmed, and retreat worse off than before
• I’m terrified of facing the feelings that set me off, and the whole thing feels like one giant wall I either crash into all at once or run from completely

Practices that may help

1. Move up only when the current step is manageable
   Advance to the next rung when peak distress on the current one is consistently below 30 SUDs — not before.
   The Fear Ladder: Graded Exposure Made Practical
2. Build a fear hierarchy
   List feared situations from mildly anxiety-provoking to most feared, then work up from the bottom.
   Exposure Therapy: Facing Fears to Shrink Them
3. Build an anxiety hierarchy
   List feared situations from least to most distressing before any exposure begins.
   Counter-Conditioning and Systematic Desensitization
4. Build a personal discomfort gradient
   Rank your avoidances from mildly uncomfortable to overwhelming, then start at the bottom.
   Embracing Discomfort: Turning Resistance Into Growth
5. Build a personal sensation hierarchy
   Map which panic sensations frighten you most, then order them from mildest to most feared.
   Interoceptive Exposure for Panic
6. The Fear Ladder: Graded Exposure Made Practical
   A fear ladder ranks feared situations from least to most distressing and has you face them in order, from bottom to top. Repeated, systematic exposure to each step without avoidance teaches the brain that the feared situation is survivable, gradually extinguishing the anxiety response. This is one of the best-supported techniques in the anxiety literature.
7. Graduated Discomfort Exposure
   Build a personal hierarchy of uncomfortable situations and work through them from least to most challenging.
   Deliberate Discomfort: Using Voluntary Challenge to Build Resilience
8. Set realistic expectations before each exposure
   Before you enter the situation, write down your feared prediction — then check it against reality afterward.
   The Fear Ladder: Graded Exposure Made Practical
9. Build an avoidance hierarchy
   List the situations, places, people, and thoughts you avoid — ordered from least to most feared.
   Prolonged Exposure Therapy: Principles, Practices, and the Evidence
10. Practice between sessions, not just in them
    Gains made in a clinic or coaching session consolidate only if rehearsed in real life.
    The Fear Ladder: Graded Exposure Made Practical

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