Grounding techniques you'll use

Any client who reports feeling overwhelmed, dissociated, panicked, or “floating” out of the present. Grounding works because attention to physical sensation pulls cognition out of the threat loop. It is also useful for clients with PTSD between sessions.

The form is a single repeating block, at least 5 rows, with 2 sub-fields per row.

A clinical note worth holding: clients who pick only the gentlest techniques (focus on breathing). For severe dissociation, those don’t break through. The harder techniques (cold water on hands, gripping a chair, eating something with strong flavor) are usually more effective. Conversely, for trauma clients with body-based hypervigilance, the gentler attention-shifting techniques are safer starting points.

In my-cbt, this is a bundled worksheet you can preview from the library and assign from the case file. The personal message at the top is how you tailor it to this client. Each submission saves to the file with a timestamp. The repeating sections expand on screen instead of running out of room in a margin.