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Patient Information

Name: ___________________ Date: //___ Therapist: ________________ Week #: _________

Daily Symptom Severity Rating

Rate your OCD symptoms from 0-10 (0 = none, 10 = severe)

Day	Anxiety Level	Time Spent on Rituals	Resistance to Urges
Mon
Tue
Wed
Thu
Fri
Sat
Sun

Exposure and Response Prevention (ERP) Activities

Today's Target Exposures

_________________________________ Completed? □ Yes □ No
_________________________________ Completed? □ Yes □ No
_________________________________ Completed? □ Yes □ No

Coping Strategies Used

□ Deep breathing
□ Mindfulness exercises
□ Cognitive restructuring
□ Distraction techniques
□ Other: _________________

Medication Adherence

Took prescribed medication: □ Morning □ Afternoon □ Evening

Notes

Triggers identified: ________________________________ Successful strategies: ______________________________ Challenges faced: _________________________________

Weekly Goals

Remember: Recovery is a journey. Track your progress honestly and discuss any concerns with your healthcare provider.

OCD Symptom and Treatment Progress Tracker

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