This grounding technique asks you to identify 5 things you can see, 4 things you can touch, 3 things you can hear, 2 things you can smell, and 1 thing you can taste.
What is the 5-4-3-2-1 grounding technique?
This type of thought assumes the worst possible outcome will happen.
What is catastrophizing?
This coping strategy temporarily shifts your attention away from distress so you can regulate yourself.
What is distraction?
This communication technique focuses on expressing how you feel and what you need without blaming the other person.
What are “I” statements?
Example: “I felt hurt when that happened, and I need some time to think.”
This communication style involves expressing your needs and feelings while respecting yourself and the other person.
What is assertive communication?
True or false: Grounding is only useful when someone is experiencing a panic attack.
False. Grounding can help with anxiety, anger, intrusive thoughts, emotional overwhelm, dissociation, and stress.
Someone thinks, “I made one mistake, so I'm a complete failure.” What thinking pattern might this represent?
What is all-or-nothing thinking?
True or false: Taking a break from a stressful situation is always avoidance.
False. Taking intentional space can be healthy coping. It becomes avoidance when someone repeatedly uses it to prevent themselves from addressing something important.
During an argument, the other person is speaking. Instead of planning what you will say next, you focus on understanding what they are actually saying. What communication skill are you using?
What is active listening?
Name one reason asking for help can be considered a coping skill.
It can provide emotional support, practical assistance, perspective, or help managing something that feels difficult to handle alone.
A person says, “Deep breathing doesn't work for me.” Name two other grounding strategies they could try.
Possible answers include sensory grounding, describing their surroundings, holding something cold, focusing on their feet against the floor, counting objects, or using the 5-4-3-2-1 technique.
A person thinks, “My friend hasn't texted me back, so they must be angry with me.” What is one question they could ask themselves to challenge this assumption?
Examples: “What evidence do I have?” “What are some other possible explanations?” or “Do I actually know what they're thinking?”
A person is overwhelmed and has 10 minutes before they need to return to an activity. Name two coping skills they could realistically use during those 10 minutes.
Examples include breathing, grounding, stretching, listening to music, taking a short walk, journaling, mindfulness, or talking briefly with someone supportive.
Two people disagree about how something happened. Both are convinced they are completely right. What is one thing they could do to move toward resolving the conflict?
Listen to each other's perspectives, identify areas of agreement, clarify what actually happened, acknowledge each other's feelings, or focus on finding a solution rather than proving who is right.
A friend repeatedly asks you to do something you aren't comfortable doing. You don't want to hurt their feelings, but you also don't want to agree. What skill could you use?
Setting and communicating a boundary.
Someone is extremely angry and wants to immediately confront another person. Why might regulating first be more effective than immediately addressing the conflict?
High emotional arousal can make it harder to think clearly, listen, communicate effectively, and make thoughtful decisions.
A person changes the thought “Everything is going to go horribly” to “Everything is going to be fine.” Why might this still not be a balanced thought?
Both statements are extreme predictions. A more balanced thought acknowledges uncertainty, such as, “I don't know how this will turn out, but I can handle the next step.”
Someone uses video games every time they experience an uncomfortable emotion. At what point could this coping strategy become unhelpful?
When it consistently prevents them from addressing problems, meeting responsibilities, processing emotions, or engaging in other healthy coping strategies.
A person is in an argument and notices themselves becoming increasingly angry. They say, “I don't want to say something I regret. I need 20 minutes, and then I'll come back so we can talk.” Is this avoidance? Explain.
Not necessarily. If they genuinely return to address the conflict, taking a planned break can be a healthy de-escalation strategy. Avoidance would be repeatedly leaving or refusing to address the issue.
Someone says something hurtful to you. You immediately want to say something equally hurtful back. What is the difference between reacting and responding?
Reacting is acting quickly based on the immediate emotion. Responding involves pausing, regulating, and choosing an intentional action.
A person is so emotionally overwhelmed that they feel like they need to make an important decision immediately. What is one reason it may be helpful to regulate first, and what could they do?
Strong emotional arousal can affect judgment and impulsivity. They could take space, use grounding or breathing, walk, talk to someone, or otherwise regulate before making the decision.
True or false: If you have a thought repeatedly, that means the thought is probably true.
False. Repeated thoughts can feel convincing without being factual. A person can examine the evidence and consider alternative explanations.
You have tried several coping skills, but your distress continues increasing. What does this mean, and what could you do next?
It doesn't necessarily mean coping skills don't work. The person may need a different strategy, additional support, more time, or help from another person. They should consider reaching out rather than continuing to struggle alone.
Two friends have an ongoing conflict. One friend wants an apology, while the other wants to explain why they behaved the way they did. Neither feels heard. What could they do to move toward resolution?
Take turns speaking and listening, validate each other's perspective without necessarily agreeing, identify what each person needs, take responsibility for their own part, and work toward a mutually acceptable solution.
You had an argument with someone you care about. After calming down, you realize that you said something hurtful. What could you do to repair the relationship?
Take responsibility for your behavior, offer a genuine apology without excuses, acknowledge how your behavior may have affected them, listen to their perspective, and discuss what you can do differently moving forward.