Cognitive Distortions
Distress Tolerance Skills
Grounding
Trauma Symptoms
100

"A person does not get a job they applied for and thinks, “I am failing at life. I can’t do anything right.” 

Overgeneralizing 
100

Breathe deeply, take a hot bath, or massage your neck. Listen to a meditation or practice Yoga.

Relaxation

100

“This bench is red, but the bench over there is green. It’s warm under my jeans since I’m in the sun. It feels rough, but there aren’t any splinters. The air smells like smoke. I hear kids laughing and dogs barking.”

Describe what's around you

100
Being on-edge, heightened startle reaction

Hypervigilance 

200

While a student is eating in the cafeteria, they look around and think, “Everyone thinks I am such a loser for eating alone.”

Mind-reading

200

Ask for strength from your supreme being.

Prayer

200

Inhale for 4 seconds, hold for 4 seconds, exhale for 4 seconds, hold for 4 seconds, repeat

Box breathing

200

Nightmares and flashbacks 

Reliving the trauma

300

A parent of young children compares themselves to others, focusing on the times when they lose their cool and disregard their usual gentle approach.

Filtering

300

Take a mental blank. Go to the beach or the woods for a walk.

Vacation

300

"musical instruments," "ice cream flavors," "state capitols," "dog breeds"

Categories 

300

Using drugs or alcohol to numb feelings, suppressing thoughts and feelings related to the trauma

Avoidance 

400

They didn't say hi to me this morning, it must be something I did wrong. 

Personalizing

400

Find purpose or blank in your daily activities.

Find Meaning
400

Think of an activity you do often or can do very well, such as making coffee, locking up your office, or tuning a guitar. Go through the process step-by-step, as if you’re giving someone else instructions on how to do it.

Describe a task

500

I feel like I'm not going to get this job that I applied for, so it must be true. 

Emotional Reasoning

500

Blank yourself dealing successfully with the problem, being in wise mind, and feeling accomplished when the situation is over.

Imagine

500

5 things I can see, hear, smell, touch, and taste, 4 things I can see, hear, smell, touch, and taste, 3 things I can see, hear, smell, touch, and taste, 2 things I can see, hear, smell, touch, and taste, and 1 thing I can see, hear, smell, touch, and taste

"Taking the elevator down"
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