The PAUSE Skill
Reducing Emotional Vulnerability
Reducing Emotional Suffering
Mood-Altering Substances
Understanding Your Emotions
100

What does the “P” in PAUSE stand for?

Pay attention to what you’re feeling.

100

Name one physical habit that strengthens emotional resilience.

Regular sleep, exercise, or balanced nutrition.

100

Focusing only on the present moment is part of this skill.

What is mindfulness?

100

Alcohol is considered what type of substance?

A depressant.

100

What’s the first step in understanding emotions?

Noticing and naming them.

200

The “A” in PAUSE encourages you to do what before reacting?

Acknowledge your emotions without judgment.

200

True or False: Skipping meals can make you more vulnerable to intense emotions.

True.

200

Willingness and acceptance reduce suffering by doing this.

What is letting go of resistance to reality?

200

Which mood-altering substance is most associated with disrupted sleep cycles?

Caffeine.

200

Emotions serve as what kind of signal?

Information about needs, values, or the environment.

300

The “U” reminds you to…

Understand the source of your emotions.

300

Which practice helps reduce vulnerability: staying isolated or building social connections?

Building social connections.

300

True or False: Avoiding all negative emotions is the best way to reduce suffering.

False.

300

True or False: Using substances can temporarily numb emotions but often worsens them long-term.

True.

300

What’s the difference between primary and secondary emotions?

Primary are direct responses (fear, sadness); secondary are reactions to emotions (shame about sadness).

400

The “S” stands for slowing down—why is this step important?

It prevents impulsive reactions and allows thoughtful choices.

400

Avoiding drugs and alcohol helps reduce vulnerability because they increase this.

What are emotional highs and crashes (instability)?

400

Self-soothing can involve engaging which senses?

All five senses—sight, sound, touch, taste, and smell.

400

Name one way cannabis can impact mood regulation.

It may reduce anxiety short-term but increase vulnerability to mood swings over time.

400

True or False: Emotions are always facts.

False—they are valid experiences, but not necessarily facts about reality.

500

The “E” in PAUSE refers to what skillful action?

Engage effectively—choose a response aligned with your values.

500

How does managing chronic illness or physical health issues reduce emotional vulnerability?

Because untreated health problems increase stress and emotional instability.

500

Practicing gratitude or finding small positives helps reduce this feeling.

What is hopelessness?

500

How do mood-altering substances interfere with emotional regulation skills?

They mask or intensify emotions instead of allowing you to process them skillfully.

500

How can journaling or tracking emotions improve regulation?

It builds awareness of triggers, patterns, and effective coping strategies.