How to use this worksheet

The SALT Technique is a mental rehearsal tool used in CBT to help manage OCD. When an intrusive thought or compulsive urge arises, SALT gives you a structured way to pause, interrogate the thought, and choose a different response — rather than giving in to a ritual that feeds the cycle and reinforces the belief that it was necessary.

Work through the four steps in sequence as an urge arises, or shortly afterwards while it is still fresh. Over time, practising SALT builds the mental habit of responding to OCD with curiosity rather than compliance.

Step Action Example
S — Stop Identify the trigger thought or urge "I am worried about germs on my hands"
A — Ask Ask what OCD is trying to achieve "It wants me to feel safe from illness"
L — Listen Acknowledge the goal; recognise it as OCD, not reality "I hear that I want to be safe"
T — Think Choose a non-ritual response instead "I will wait 10 minutes before washing, or wash once only"
S
Stop
→
A
Ask
→
L
Listen
→
T
Think
"You are not your thoughts. A thought is just a signal — and you can choose what to do with it." — CBT principle
S
Stop — Pause and Identify the Trigger

The moment an intrusive thought or compulsive urge arises, stop what you are doing. Don't act on it yet. Bring your attention to the present moment and name what is happening as plainly as you can.

50
0 — Barely noticeable50 — Moderate100 — Overwhelming
A
Ask — What Is This OCD Thought Trying to Do?

OCD thoughts almost always have an underlying goal — usually to keep you safe, prevent something bad, or relieve discomfort. Asking "what is this thought trying to achieve?" helps you see it as a misguided attempt at protection, rather than a genuine warning that demands action.

L
Listen — Acknowledge the Urge, Recognise the Source

Listening means acknowledging what the urge is trying to tell you — without acting on it. By naming the underlying desire, you validate the feeling without treating it as a command. The key is then to recognise it as a symptom of OCD, not a genuine threat.

"I hear that I want to..."
T
Think — Choose a Safer Alternative

Instead of performing the usual compulsion, think of a different, non-ritual response. This might mean delaying the behaviour, doing it once instead of repeating, or replacing it with something else entirely. Even a small change breaks the OCD cycle and begins to weaken it over time.


↩
Reflection — After Using SALT

Return to this section after you have used the SALT technique — even if it didn't go perfectly. Reflecting on what happened is an important part of building the skill. Any effort, however partial, is progress worth recording.

Urge intensity — before and after SALT
Urge at the start (Section S)
50 / 100
Urge after SALT (this section)
50 / 100
50
0 — Gone50 — Reduced100 — As strong as ever

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