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Last updated: Apr 18, 2025

Mastering the Subjective Units of Distress Scale

The Subjective Units of Distress Scale, often shortened to SUDS, is a simple yet effective tool used in psychology to measure a person's level of distress. It's a self-assessment scale that helps individuals rate how they feel on a scale from 0 to 10, where 0 means no distress and 10 indicates extreme distress.

Why Use SUDS?

SUDS is valuable for various reasons:

  • Self-awareness: It helps individuals become more aware of their emotional states.
  • Therapeutic Monitoring: Therapists can track progress over time by comparing SUDS ratings.
  • coping strategies: Understanding distress levels can guide individuals in choosing appropriate coping strategies.

How to Use the SUDS

Using the SUDS is straightforward. Here’s a step-by-step guide:

  1. Find a Quiet Space: Sit in a comfortable area where you can reflect without distractions.
  2. Reflect on Your Feelings: Think about what is currently bothering you or causing distress.
  3. Rate Your Distress: On a scale from 0 to 10, where 0 is no distress and 10 is the worst distress you can imagine, give yourself a score.
  4. Record Your Rating: Write down your score to keep track over time.
  5. Identify Triggers: If possible, note what triggered the distress to address it later.

Real-Life Examples of SUDS

  • Example 1: Imagine you’re about to give a presentation. You might rate your distress at a 7 because you feel anxious about speaking in front of people.
  • Example 2: If you receive an unexpected bill, you could rate your distress as a 5, feeling concerned but not completely overwhelmed.

Comparing SUDS with Other Scales

While SUDS is popular, there are other distress scales available. Here’s how SUDS compares:

  • Beck Anxiety Inventory (BAI): Measures anxiety specifically, while SUDS measures general distress.
  • Visual Analog Scale (VAS): Uses a line where individuals mark their distress level, offering a more visual approach than SUDS.

Types of Distress Measured by SUDS

SUDS can measure various types of distress, including:

  • Emotional Distress: Feelings such as sadness or anxiety.
  • Physical Distress: Pain or discomfort in the body.
  • Situational Distress: Stress from specific events, like exams or job interviews.

Categories of Distress Levels

Understanding the categories can help in interpreting your scores:

  • 0-3: Low Distress - You’re feeling calm or slightly bothered.
  • 4-6: Moderate Distress - You’re experiencing noticeable discomfort but can manage it.
  • 7-10: High Distress - You’re overwhelmed and may need immediate coping strategies or support.

By regularly using the SUDS, individuals can better manage their emotional well-being and seek help when necessary.

Dr. Neeshu Rathore

Dr. Neeshu Rathore

Clinical Psychologist, Associate Professor, and PhD Guide. Mental Health Advocate and Founder of PsyWellPath.