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What is a SUD level?

Published in Psychology Tools 3 mins read

A SUD level refers to a score on the Subjective Units of Distress Scale (SUDS), which is a tool used to measure the intensity of an individual's current distress or disturbance.

Understanding the Subjective Units of Distress Scale (SUDS)

The SUDS is a simple, yet effective, self-report measure typically ranging from 0 to 10 (although variations exist with scales ranging from 0 to 100). Individuals are asked to rate how distressing or disturbing a particular thought, feeling, or situation is to them at that moment.

  • 0: Represents a state of complete calm and relaxation. No distress is experienced.
  • 10 (or 100): Represents the highest level of distress imaginable. This could include feelings of panic, overwhelming anxiety, or intense fear.
  • Intermediate Values: The values in between (1-9 or 1-99) represent varying levels of distress.

How SUD Levels are Used

SUDS ratings are commonly used in:

  • Cognitive Behavioral Therapy (CBT): Therapists use SUDs to track a client's anxiety or distress levels during exposure therapy or other anxiety-reducing techniques. This allows for monitoring progress and adjusting treatment strategies.
  • Trauma Therapy: SUDs help to gauge the intensity of emotional reactions when discussing traumatic memories or experiences.
  • Anxiety Management: Individuals can use SUDs to monitor their anxiety levels in everyday situations and identify triggers.

Example of SUD Level Application

Imagine a person who has a fear of public speaking. A therapist might ask them to rate their anxiety level (SUD level) before, during, and after practicing a speech. If the initial SUD level is an 8, and after practicing relaxation techniques it drops to a 3, this indicates progress in managing anxiety related to public speaking.

Limitations of SUD Levels

While useful, SUD levels are subjective and should be interpreted with caution:

  • Individual Variation: What constitutes a "5" on the SUDS scale may differ from person to person.
  • Context Dependency: A SUD level can be influenced by various factors, including mood, fatigue, and environment.
  • Not a Diagnostic Tool: SUD levels are not used for diagnosing mental health conditions, but rather as a tool to track and monitor subjective experiences.

In summary, a SUD level provides a numerical representation of the intensity of subjective distress, allowing for monitoring and management of anxiety and other emotional responses.

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