Self-Soothing and Emotion Regulation Worksheet

This is a Self-Soothing and Emotion Regulation Worksheet to help you practice soothing your central nervous system.

Name: ___________________________ Date: ___________________________

1. Grounding Techniques to Reduce Dissociation

Purpose: To help you reconnect with the present moment and reduce feelings of dissociation.

Instructions: When you start to feel disconnected or spaced out, try the following grounding exercises.

A. Sensory Awareness

• 5 Things You Can See:

• 4 Things You Can Touch:

• 3 Things You Can Hear:

• 2 Things You Can Smell:

• 1 Thing You Can Taste:

2. Breathing Exercises to Regulate Emotions

Purpose: To help you manage intense emotions and bring a sense of calm.

Instructions: Practice the following breathing techniques when you feel overwhelmed.

A. Deep Breathing

1. Find a comfortable position.

2. Inhale slowly through your nose for a count of 4.

3. Hold your breath for a count of 4.

4. Exhale slowly through your mouth for a count of 6.

5. Repeat 5-10 times or until you feel calmer.

B. Box Breathing

1. Inhale through your nose for a count of 4.

2. Hold your breath for a count of 4.

3. Exhale through your mouth for a count of 4.

4. Hold your breath for a count of 4.

5. Repeat 4-6 times or until you feel more regulated.

3. Self-Soothing Techniques to Feel Safe

Purpose: To help you create a sense of safety and comfort.

Instructions: Choose any of the following activities to practice when you need to self-soothe.

A. Physical Comfort

• Wrap yourself in a cozy blanket.

• Hold a soft stuffed animal or pillow.

• Take a warm bath or shower.

B. Soothing Sounds

• Listen to calming music or nature sounds.

• Hum or sing a favorite song softly.

C. Gentle Movement

• Practice gentle stretching or yoga.

• Go for a slow, mindful walk.

D. Comforting Smells

• Light a scented candle or use essential oils (lavender, chamomile).

• Smell a favorite lotion or perfume.

4. Positive Affirmations

Purpose: To help you counter negative thoughts and foster a sense of self-worth.

Instructions: Repeat these affirmations to yourself daily, or whenever you need reassurance.

1. I am safe and in control.

2. I am deserving of love and respect.

3. I am strong and capable.

4. My feelings are valid.

5. I am worthy of self-care and kindness.

5. Emergency Contact List

Purpose: To ensure you have support when you need it.

Instructions: Fill in the contact information for people and resources you can reach out to in times of need.

• Therapist: ___________________________________ Phone: ______________________

• Trusted Friend/Family Member: ___________________________ Phone: ______________

• Crisis Hotline: _________________________________ Phone: ______________________

• Emergency Services: ____________________________ Phone: ______________________

6. Reflection and Journaling

Purpose: To help you process your emotions and experiences.

Instructions: Use the space below to write about your thoughts, feelings, and any experiences you want to reflect on.

Daily Check-In

Purpose: To monitor your emotional state and practice self-care.

Instructions: Complete this check-in each day.

Date: ___________________________

How do I feel today?

• Emotion(s): ________________________

• Intensity (1-10): _____________________

What self-soothing technique will I use today?

What positive affirmation will I focus on today?

Remember:

You are taking important steps towards healing and self-care. Be gentle with yourself and use these techniques as tools to support your journey. Reach out for help whenever you need it.

Therapist Contact Information:
Name: _________________________
Phone: _________________________
Email: _________________________

Notes:

By Elizabeth Mahaney, LMHC, MFT, NCC, DCC, Ph.D

SOUTH TAMPA THERAPY, WELLNESS, MARRIAGE & FAMILY THERAPY

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Embracing the Full Spectrum: The Power of Increasing Our Window of Tolerance

In the journey of life, we encounter a myriad of emotions, ranging from joy and contentment to sadness and anger. While we often celebrate the positive emotions and strive to cultivate them, the negative ones are frequently met with resistance and avoidance. However, what if I told you that embracing the full spectrum of emotions, including the difficult ones, could lead to greater resilience, freedom, and acceptance?

Our society tends to label negative emotions as something to be avoided or suppressed. We're taught to seek happiness at all costs and to view sadness, anger, or fear as unwelcome intruders in our lives. However, this avoidance can inadvertently lead to a host of harmful behaviors and experiences, as we try to numb or escape from our discomfort rather than confronting it head-on.

The truth is, our bodies are designed to experience a wide range of emotions, both pleasant and unpleasant. Each emotion serves a purpose, offering valuable insights into our inner world and guiding us towards growth and healing. When we suppress or deny our emotions, we disrupt this natural balance, causing tension and disconnection within ourselves.

Increasing our window of tolerance for difficult emotions involves cultivating the capacity to hold and navigate these feelings with compassion and curiosity, rather than judgment or avoidance. It's about acknowledging that pain and discomfort are inevitable parts of the human experience and learning to embrace them as integral aspects of our journey.

But what does it mean to embrace difficult emotions? It's important to understand that acceptance doesn't necessarily mean agreement or approval. Rather, it's about acknowledging the reality of our experiences without trying to change or control them. When we allow ourselves to sit with our discomfort, we create space for healing and transformation to unfold.

Embracing difficult emotions also requires us to cultivate a sense of self-compassion and resilience. Instead of berating ourselves for feeling sad or anxious, we can offer ourselves kindness and understanding, recognizing that our emotions are valid and deserving of acknowledgment. Through this process, we develop greater resilience in the face of adversity, learning to weather life's storms with grace and resilience.

Moreover, embracing difficult emotions can lead to a profound sense of freedom and authenticity. When we no longer fear or suppress our feelings, we become more aligned with our true selves, embracing the fullness of who we are, flaws and all. This authenticity allows us to live more fully and authentically, connecting with others on a deeper level and experiencing life with greater richness and depth. By embracing the full spectrum of our emotional experience, we open ourselves up to a life of greater resilience and freedom. Rather than viewing pain and discomfort as enemies to be avoided, let us embrace them as valuable teachers on the journey toward wholeness and self-discovery. As we learn to tolerate and embrace all that life has to offer, we unlock the door to true healing and transformation.

By Chelsea Reeves, MFT-I

Book a session with me using the link below:

https://southtampatherapybookappt.as.me/ChelseaR

How to Learn to Tolerate and Hold Space for Your Partner’s Distress

Helping clients learn to tolerate their partner's distress can be a crucial aspect of couples therapy. It promotes empathy, understanding, and ultimately strengthens the relationship. Here are some strategies you can employ:

1. Normalize Feelings: Begin by normalizing emotions. Explain that it's natural for partners to experience distress or strong emotions from time to time, and it doesn't necessarily indicate a problem in the relationship.

2. Educate About Triggers: Help clients identify common triggers for their partner's distress. Understanding what sets off their emotions can lead to greater empathy and better communication.

3. Practice Active Listening: Encourage active listening skills. This means giving full attention, avoiding interruptions, and validating the partner's feelings without immediately trying to solve the issue.

4. Empathy Building Exercises: Engage in empathy-building exercises. This could involve role-playing where each partner takes on the other's perspective to better understand their emotions.

5. Validate Emotions: Teach clients the importance of validating their partner's emotions, even if they don't understand them or agree with them. Simply acknowledging their feelings can go a long way.

6. Encourage Open Communication: Create a safe space for open and honest communication. Help clients express their feelings, concerns, and needs without fear of judgment or criticism.

7. Use "I" Statements: Teach clients to use "I" statements to express themselves. This encourages personal responsibility for feelings and avoids blaming the partner.

8. Avoid Defensiveness: Help clients recognize defensive behaviors and work towards replacing them with more constructive responses. Defensiveness can escalate conflict and hinder empathy.

9. Practice Mindfulness: Encourage mindfulness practices to help clients stay present and non-reactive in the face of their partner's distress. This can prevent knee-jerk reactions and allow for more thoughtful responses.

10. Set Boundaries: Help clients establish healthy boundaries to protect their own emotional well-being while still being present and supportive for their partner.

11. Highlight Strengths: Remind clients of their own and their partner's strengths. This can instill confidence in their ability to navigate difficult emotions together.

12. Explore Attachment Styles: Understanding attachment styles can shed light on why partners react to distress in certain ways. This insight can foster compassion and empathy.

13. Practice Patience: Encourage clients to practice patience with themselves and their partner. Tolerating distress is a skill that takes time and effort to develop.

14. Seek Professional Guidance: If the distress is chronic or particularly challenging, suggest seeking professional help from a therapist or counselor who specializes in couples therapy.

Remember to be patient and supportive throughout the process. Developing the ability to tolerate a partner's distress is a journey that requires time, effort, and practice.

How I Integrate Gottman Method Couples Therapy and Emotionally Focused Therapy

Integrating the Gottman Method Couples Therapy and Emotionally Focused Therapy allows for a flexible approach that can shift between relationship-building and attachment-oriented therapy based on the client's needs. In the late 1970s and early 1980s, Dr. John Gottman and Dr. Susan Johnson conducted pioneering research on creating happy and lasting relationships. Initially known primarily in academic circles, their work provided an empirical foundation to the often chaotic and unpredictable field of couples therapy.

Both Gottman and Johnson developed unique models of successful adult relationships, based on different perspectives and data sets. Gottman's research focused on longitudinal and observational studies of couples, examining both distressed relationships and satisfying ones. Johnson, on the other hand, drew from the theoretical framework of John Bowlby and her extensive experience in decoding and tracking couples therapy sessions, resulting in an empirical model of couples therapy.

The Gottmans emphasized relationship skill-building and an existential lens, while Johnson's approach was firmly grounded in Attachment Theory. There were also differences in their views on couples therapy and the role of the therapist. The Gottmans cautioned against therapists becoming indispensable to the couple and encouraged coaching couples to manage their own conflicts and intimacy. Johnson, however, saw the therapist as a "secure base" and aimed to create a secure container where anxiously or avoidantly attached partners could express vulnerable feelings and needs.

Despite their differences, the exciting development lies in the convergence of their approaches and the ability to seamlessly integrate both in couples therapy. This integration allows therapists to adapt their approach based on the couple's emotional system.

When working with couples, I begin with the Gottman Method, using the Sound Relationship House model. It provides a practical and understandable framework that couples can readily adopt. The structured assessment process of the Gottman Method is reassuring and transparent, allowing couples to share their story, be heard individually and together, and identify their relationship strengths and areas for growth. The process instills hope as strengths are highlighted, growth areas are connected with specific skills to be learned, and couples leave with a roadmap for their therapeutic journey.

However, the real work starts when addressing the emotional focus and the influence of attachment histories, styles, and internal working models in intimate relationships, as recognized by both Gottman and Johnson. While helping couples replace destructive patterns with healthier alternatives, I am attuned to their negative emotional cycles and unresolved hurts. With Gottman's language and relationship science in one hand and Johnson's emotion-focused and interpersonal tools in the other, I weave both approaches into the therapeutic process.

For example, when addressing criticism and contempt, I provide practical information to one spouse while simultaneously validating and exploring the attachment needs and emotions of the other partner. I employ Gottman's structured exercises, such as the Aftermath of a Regrettable Incident form, to help couples process arguments and improve their dialogue. Simultaneously, I examine the underlying dynamics of the conflict, considering attachment histories and their impact on individuals' ability to let go of anger or offer tenderness.

The integration of Gottman and Johnson becomes evident in working with bids, turning towards, and processing failed bids. I understand that not all hurts are equal and that certain emotional injuries can be traumatic, triggering deeply held beliefs about oneself, the partner, and relationships. Gottman's Sound Relationship House theory helps couples understand the connection between emotional bank accounts and the overall health of the relationship. Johnson's tools, on the other hand, aid in repairing depleted emotional accounts, acknowledging and healing attachment injuries, and restoring the bond between partners.

While I confess my initial affinity for the Gottman Method, finding comfort in its alignment with my therapeutic style, Johnson's approach challenges me to navigate the depths of primary emotions.

References:

Gottman, J.M. (2007). Marital Therapy: A research-based approach. Training manual for the Level I professional workshop for clinicians. Seattle, WA: The Gottman Institute.

Johnson, S. (2008). Hold Me Tight: Seven conversations for a lifetime of love. New York: Little Brown and Company.

Meunier, V. and Baker, W. (2012). Positive Couple Relationships: The evidence for long lasting relationship satisfaction and happiness. In Roffey, S. (Ed.) Positive Relationships: Evidence-based practice across the world. Sydney, Australia: Springer Publications.

Young, M.A. (2005). Creating a Confluence: An Interview With Susan Johnson and John Gottman. The Family Journal, 13(2), 219-225.

Elizabeth Mahaney, LMHC, MFT, Ph.D

Book an appointment with Dr. Liz: https://SouthTampaTherapyBOOKAPPT.as.me/initialintake

Defensiveness & Emotional Flooding: Understanding Our Nervous Systems

DEFENSIVENESS

At its core, defensiveness is a way to protect our ego and a fragile self-esteem. Our research team member Ellen Alley explains that our self-esteem is considered fragile when our failures, mistakes, and imperfections decrease our self-worth. In our work, the opposite of a fragile self-esteem is grounded confidence. With grounded confidence, we accept our imperfections and they don’t diminish our self-worth. It makes sense that defensive-ness occurs in areas of our lives where we have fragile self-esteem, or across several areas of our lives if the fragility is more general. Any perceived call-out of our weakness is experienced as an attack on our worth, so we fight hard to defend ourselves against it.

In order to try to limit our exposure to information that differs from how we think of ourselves, we get defensive and overjustify, make excuses, minimize, blame, discredit, discount, refute, and reinterpret. Defensiveness blocks us from hearing feedback and evaluating if we want to make meaningful changes in our thinking or behavior based on input from others.

In our Dare to Lead training, we work with participants to figure out what defensiveness looks like for them, what it feels like, and whether there are some situations that are more likely to trigger it than others. To increase self-awareness, we ask folks to think back to a time when they received difficult feedback and try to remember what their bodies were doing, what thoughts were coming up, and what emotions they were feeling. The vast majority of people struggle to remember the exact thoughts and feelings, which makes sense, given that many of us go into fight-or-flight mode in these situations.

However, for the most part, people can remember their physical responses: Folding their arms over their chest, shoving their hands into their pockets, getting tunnel vision, feeling their heart race, looking down, and getting dry mouth are just a few. It’s worth thinking about the physical cues that show up for you when experiencing defensiveness and devising a strategy that can help pull you back into the present moment.

When I get defensive, I often get tunnel vision and start planning what I’m going to say instead of listening. But I have found some ways to disarm my defensiveness. My strategy is to subtly open my palms, even if my hands are just hanging by my side or on my lap, and actually say, “I’m sorry. Can you say that again? I really want to understand.” It’s pretty effective. If I’m having a really hard time, I might say, “I’m sorry. I’m feeling overwhelmed. I’m going to get a glass of water. Can we sit down in ten minutes and start again?”

FLOODING

This seems like the perfect place to talk about the concept of flooding. The body can become overwhelmed when it senses danger, and for a lot of us, a difficult conversation, hard feedback, or an argument is enough to send our body into overdrive. We can feel overwhelmed, attacked, and confused. According to the Gottman Institute, flooding is “a sensation of feeling psychologically and physically overwhelmed during conflict, making it virtually impossible to have a productive, problem-solving discussion.”

In his book Why Marriages Succeed or Fail: And How You Can Make Yours Last, John Gottman explains, “We each have a sort of built-in meter that measures how much negativity accumulates during such interactions. When the level gets too high for you, the needle starts going haywire and flooding begins. Just how readily people become flooded is individual.” He also shares that flooding is affected by how much stress you have going on in your life. The more pressure we’re under, the more likely we are to be easily flooded.

One of the worst patterns that I brought to my marriage from my family was “Get back in here and fight with me!” Growing up, we didn’t take breaks during fights. No one ever said, “This is no longer productive and we should take a time-out before someone gets their feelings hurt.” Our strategy was get louder and meaner until you win or someone else is crying. When I first married Steve, in the middle of a heated argument he would say, “Let’s stop and take a break.” I was like, “What are you talking about?”

At some point, I realized that stopping scared me. Fighting together seemed less painful than hurting alone. Looking back, I just didn’t know how to do it. I had never been taught or seen it modeled. Gottman’s work helped me understand the mechanics behind “Okay, can we circle back in twenty minutes?” or “Okay, how much time do you need?” Knowing that we’re coming back to finish the discussion, and when, reassures me in some way.

This research also helped me realize that it wasn’t just Steve who was getting overwhelmed. I get overwhelmed too. The difference is our strategies. He shuts down; I lash out. Disastrous.

Now when I feel flooded, I’m as likely to say “Time-out” as he is. This is a good thing because, according to Gottman, chronic flooding sets us up to dread communicating. Gottman discusses this effect in the context of marriages and partnerships, but I’ve seen the same thing in organizations. I’ve interviewed many research participants who experience chronic flooding with their bosses, so much so that every time they’re called into the office, they’re already on the path to overwhelm.

There’s only so much our bodies and nervous systems can stand before they flip the survival switch and stop communicating and start protecting or attacking. Looking back, I’ve never once regretted calling a time-out at home or work. Not once. I’ve never experienced a little time and space being a bad thing, but I have plenty of regrets the other way around.

Excerpted from Atlas of the Heart by Brené Brown. Copyright © 2021 by Brené Brown.