Flicker-induced change blindness paradigms have been used to explore attentional biases for a range of concern-related cues. However, previous studies have had limitations related to concerns about carryover effects in repeated measures designs, as well as problems with response modalities. The present article develops a repeated measures paradigm utilising nonverbal responses and explores the implications of these design modifications for the reliability and validity of the paradigm. Affective stimuli were presented to participants, and the results suggest that the modified paradigm is a useful tool for assessing attentional bias. A number of recommendations for the future use of this methodology are made.