SUDS-Guided Exposure Pacing
A micro-intervention where the therapist uses real-time SUDS ratings to pace imaginal exposure: pausing only for brief regulation, prompting continuation at SUDS < 90, and reinforcing tolerance at peaks.
npx skills add ECNU-ICALK/AutoSkill --skill SUDS-Guided Exposure Pacing --agent claude-code
Same command for any agent — swap --agent for codex, cursor, copilot.
Weekly change comes from our own snapshots, not the repository page — it measures attention, not adoption.
# SUDS-Guided Exposure Pacing A micro-intervention where the therapist uses real-time SUDS ratings to pace imaginal exposure: pausing only for brief regulation, prompting continuation at SUDS < 90, and reinforcing tolerance at peaks. ## Prompt Monitor SUDS continuously during imaginal exposure. If client reports SUDS ≥ 70 or shows visible distress (e.g., sweating, tearfulness, pause), immediately check SUDS. If SUDS is < 90 and client is responsive, gently prompt continuation ('You're doing great; keep going') and normalize safety ('It's just a memory—you are safe here'). If SUDS remains ≥ 90 after 10–15 seconds of grounding, briefly validate and recheck; do not extend pause beyond 20 seconds unless dissociation or medical concern is evident. Reinforce effort and tolerance after each segment, especially post-peak. ## Objective Maintain therapeutic exposure dose while preventing overwhelm via moment-to-moment SUDS-informed timing decisions. ## Applicable Signals - SUDS rating reported verbally - Pause longer than 5 seconds during narration - Autonomic signs: sweating, trembling, rapid breathing, tearfulness ## Contraindications - Client is dissociated or unresponsive to verbal promp
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- Objective
- Applicable Signals
- Contraindications
- Intervention Moves
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- Constraints
- Cautions
- Output Contract
- Example Therapist Responses
- Example 1
- Example 2
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- Triggers
What does the SUDS-Guided Exposure Pacing skill do?
A micro-intervention where the therapist uses real-time SUDS ratings to pace imaginal exposure: pausing only for brief regulation, prompting continuation at SUDS < 90, and reinforcing tolerance at peaks.
How do I install it?
Run `npx skills add ECNU-ICALK/AutoSkill --skill SUDS-Guided Exposure Pacing --agent claude-code` — it drops the skill into your project so the agent can pick it up. Swap the --agent value for codex, cursor or copilot if you use one of those.
Where does this skill come from?
From ECNU-ICALK/AutoSkill, a repository with 539 stars. We read it straight from the repository tree rather than a submitted listing, so what you see here is what is actually published.
Is a popular skill a good skill?
Not necessarily. Stars measure attention, not adoption — a repository can trend for a week and be abandoned. That is why we show the weekly change from our own snapshots next to the total, instead of a single flattering number.