Decisional Balance Emetophobia
This CBT decisional balance worksheet helps young people explore their motivation for change when experiencing emetophobia (fear of vomiting). By weighing up the advantages and disadvantages of continuing with existing coping patterns versus trying a different approach, it supports collaborative discussions about ambivalence, avoidance and readiness to engage in treatment.
The worksheet encourages young people to reflect on how coping strategies, such as avoidance, reassurance-seeking and safety behaviours, may provide short-term relief while maintaining their fear in the longer term. It also helps them recognise their own reasons for change and take meaningful steps towards overcoming their fear.
References and Further Reading
Miller, W. R., & Rose, G. S. (2015). Motivational interviewing and decisional balance: Contrasting responses to client ambivalence. Behavioural and Cognitive Psychotherapy, 43(2), 129–141.
Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L. L., Redding, C. A., Rosenbloom, D., & Rossi, S. R. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13(1), 39–46.