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Build an exposure hierarchy for emetophobia
Emetophobia hides inside food rules, hand washing, avoided people and avoided places, so the ladder is rarely about vomit itself until quite near the top. Bia suggests the rungs, you rate them 0 to 10, and the ladder sorts itself into a plan you can print or share.
Used by therapists, school counsellors and parents. Your plan stays in this browser.
A ladder looks like this
Step 1
Name the fear and the goal
One concrete thing that is out of reach right now, and how hard it feels today.
Step 2
Rate the steps 0 to 10
Bia suggests the rungs from its exposure library. Add your own, rate them, and the ladder sorts and checks its own spacing.
Step 3
Print, share, or climb it
A one-page ladder with a pace, practice boxes and how-to-use notes. Or open it in Bia and track every practice.
Start from a fear
Each of these opens the builder with the fear already filled in, so the first ladder is one click away.
Where the suggestions come from
The rungs are not improvised. When you name a fear, this page asks Bia for a graded hierarchy, and Bia builds it from the same curated exposure library and scoring engine that runs inside the app: real activities, ordered by difficulty, with a distress estimate on the 0 to 10 scale clinicians already use.
Nothing about you is sent with that request. No account, no name, no email. The name and age you put on a printed plan never leave this browser.
The ladder is the easy part
Building a hierarchy takes twenty minutes. Climbing it takes weeks, and that is where nearly every plan quietly stops: a rung repeated once instead of six times, a hard week, and the plan is a page in a drawer.
Bia is the phobia recovery app this tool is built on. It takes the plan you just made and runs it: the next rung ready, a rating after every practice, and the ladder re-sorting as the numbers move.
This plan
Saved locallyThe fear
Target at the top
Suggested by Bia
The plan
Target · 8
Add the first rung
Pick from Bia's suggestions on the left, or type your own below. Rate each step 0 to 10 for how hard it feels — the ladder sorts itself. Three or four easy steps first is a good start.
Bia spotted a pattern
Add a few steps and Bia will look for a pattern.
Once three or four rungs are rated, this page sends them to Bia and reads back which fear themes are actually driving the goal.
Open the Fear Profile in BiaWhat this plan is practising
Difficulty coverage
A workable ladder has rungs in all three bands, spaced 1 to 2 apart.
Notes for you
Repeat a rung until the fear rating drops by about half before climbing. Repeating is the part that works.
Share the printed plan with everyone who supports the practice, so home and school are running the same ladder.
Exposure plan
BuildAHierarchy.com
How to use this
Start at step 1. Stay with it until the fear rating drops by about half, then move up. Repeating a rung is progress, not a setback.
Mostly practising
Built free at BuildAHierarchy.com. A planning aid, not clinical care.
The hard part starts here
Climbing it is the bit that stalls.
A ladder on paper needs someone to hold it: the next rung ready, a rating after every practice, and the plan re-sorting as the numbers move. That is what Bia does, and this plan opens in it as-is.
Open this plan in BiaOpens biajourney.com with these rungs and ratings already in the URL. Free to look at; no account needed to see it.