The 0-10 scale is the tool; the kid's own labels are the work. Have them name what a 3 looks like vs an 8 in their body — those concrete cues become the early-warning system. Use as a session-open and session-close to track within-session shifts.

Based on Subjective Units of Distress Scale (Wolpe) adapted for pediatric use.

• Wolpe, J. (1969). The Practice of Behavior Therapy

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