Exposure Therapy Is Boring—Let's Fix That
Aug 13, 2025
Turn Your Boring Exposure Therapy Into an Addictive Bingo Game
You're staring at your exposure list like it's homework you never wanted to do in the first place. Sound familiar? If you're doing exposure and response prevention (ERP) for OCD, you know the drill: face your fears, repeat daily, wait for results that seem to take forever.
But what if I told you there's a way to transform that dreaded fear list into something you actually want to do? Something so engaging you might even look forward to tackling your fears?
Today, I'm showing you how to turn your boring exposure routine into a bingo game that actually works.
Why Exposure Therapy Feels Like Torture
Let's be honest about exposure therapy - it's basically asking you to do the exact thing you've been avoiding, then do it again, and again, and again. No wonder it feels awful.
It's like jumping into a freezing cold swimming pool, getting out, sitting for 30 seconds, then jumping back in. Your body goes through shock every single time.
The Contamination OCD Example
Say you have contamination OCD and you set up an exposure where you touch a doorknob without washing your hands:
- Day one: Anxiety goes through the roof, but you survive
- Day two: Same doorknob, more panic, waiting for anxiety to chill out
- Day three: "Seriously, again? I have to do this AGAIN?"
It becomes the world's most stressful Groundhog Day. The task doesn't change, there's no immediate payoff, and you're basically volunteering to feel terrible.
Why the Repetition Matters
We repeat exposures because your brain needs to learn something different. You're doing it over and over until you genuinely don't care about it anymore. But here's the problem: anxiety takes a long time to go away, and you're sitting with pure discomfort while waiting for your brain to get the memo that you're actually safe.
That's why many people just say "forget it" and ditch their entire hierarchy list altogether. But here's what we know: people who stick with the hard stuff are the ones who get better.
The Power of Gamification
Instead of a rigid list that makes you groan, what if you had a bingo card where each square was a different exposure? You never know which one you're going to pick, so you don't get stuck in a rut.
With traditional exposure hierarchies, we start small and build up. But with exposure bingo, it doesn't matter - let's do any of it. Maybe you're tackling a 10 out of 10 difficulty exposure first. You're marking off squares, building small wins, keeping things fresh, and teaching your brain that maybe one exposure isn't actually harder than another.
How to Build Your Exposure Bingo Card
Ready to get excited about facing your fears? Here's how to build your game-changing bingo card:
Step 1: Get Specific
Brainstorm specific situations that trigger your OCD. And I mean SPECIFIC. Don't just write "germs" - write:
- "Touch the gas pump handle"
- "Use the office bathroom"
- "Pick up something from the floor"
- "Cook chicken without excessively washing hands"
For social anxiety, try:
- "Make eye contact with the cashier"
- "Say hi to my neighbor"
- "Start a conversation with my coworker Jill"
- "Go swimming with friends"
The more specific you get, the easier it is to actually do the exposure.
Step 2: Create Your Card
Grab a blank 5x5 bingo card (you can find templates online or draw one). Mix it up - put easy exposures next to hard ones next to medium ones. Set a goal: get a bingo by end of day, or get a blackout by end of week.
Step 3: Theme-Specific Examples
Your contamination OCD card might include:
- Touch the mailbox
- Use a public restroom
- Send a text without perfect punctuation
For relationship OCD:
- Don't ask for reassurance
- Read a breakup article and sit with feelings
- Notice an attractive person without analyzing what it means
- Purposely don't smile when sitting by your spouse
For scrupulosity:
- Let a bad thought happen without trying to fix it
- Skip one prayer time
- Read scripture verses backwards
- Say a prayer "wrong"
The Rules of Exposure Bingo
Here's the crucial part: when you pick a square, stick with that exposure until the anxiety comes down. Don't bail out because you feel uncomfortable - that's literally the point.
You want your brain to learn that anxiety will fade on its own without you doing anything. So it's not just "give mom a high five" and you're done for the day. Make it meaningful.
Use Helpful Phrases
Take all the threats that come to mind and respond with:
- "Maybe, maybe not"
- "Hope I get sick and spread this"
- "Maybe I hit someone with my car"
- "Maybe I'm in the wrong relationship"
- "Maybe I'll notice my breathing forever - that'd be awesome"
Whatever your specific fear is, use these accepting phrases instead of compulsions.
Level Up Your Bingo Game
Want to really get into it? Mark off squares, take a five-minute break, grab a snack, then go back and do it again. Maybe you need to do each exposure at least five times before you can cross off the box.
You might not fill out the bingo card until the exposure in that square doesn't bother you anymore. It's actually pretty motivating - like a video game with a progress bar showing exactly how far you need to go.
Add Incentives
Find meaningful rewards:
- "If I get a full line, I buy myself that book I wanted"
- "If I get a blackout, my spouse buys me a Nintendo Switch"
- "Five squares = movie night"
Make it reasonable but exciting. Your brain thinks, "I want that thing, so I'll do this uncomfortable stuff" - and then you also get freedom as intrusive thoughts and anxiety slow down.
Keep It Fresh and Consistent
You can do this on a physical card, print one out, or find a digital version. There might even be apps where you can input exposures and have them randomized.
The key is revisiting exposures even after you've completed them. Try that same exposure two weeks later and see what happens. Building your exposure bingo card takes some setup time, but it totally pays off.
Remember: exposure therapy works when you actually do it consistently. The bingo structure helps you stay consistent while keeping things interesting and motivating.
Why This Works
Traditional exposure lists can feel overwhelming and monotonous. But bingo cards tap into our natural desire for completion, variety, and achievement. You're still doing the same therapeutic work, but now your brain is engaged in a game rather than dreading a chore.
Plus, the randomness prevents you from psyching yourself out about "tomorrow's scary exposure." You pick a square, do the work, mark it off, and feel accomplished.
So what are you waiting for? Time to turn your fear list into your favorite game.