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Verified by Psychology Today

Rubin Khoddam Ph.D.
The Addiction Connection

ANXIETY


GROUNDING TECHNIQUES FOR TRAUMA AND ANXIETY


15 SKILLS TO BETTER MANAGE STRESS.

Posted January 11, 2023 | Reviewed by Vanessa Lancaster

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THE BASICS

 * What Is Anxiety?
 * Find counselling to overcome anxiety


KEY POINTS

 * Grounding techniques can help you find relief and control in moments of panic
   or frequent hypervigilance.
 * Three types of grounding techniques are physical, mental, and soothing.
 * Strategies to try out the next time you feel hijacked by your emotions
   include taking a walk, focusing on your senses, and listening to music.

Source: Pexels / PNW Production

If you experience high anxiety, moments of panic, or frequent hypervigilance, it
can be difficult to know what to do in these moments when it feels like your
emotions have taken over. Grounding techniques can help you find some relief and
a little more control in these instances.

These heightened states of anxiety and physiological arousal can stem from a
traumatic experience and can sometimes be accompanied by flashbacks (i.e.,
reliving the memory as if you’re back there) or disassociation (i.e., detaching
from reality through having an out-of-body experience or your mind “blacking
out”). Grounding can refocus you to the present moment to help shake off these
overwhelming, anxious, or debilitating moments.



Like any coping strategy, finding the right effective technique for you will
involve trial and error. It’s important to try out different techniques to
figure out what works best for you. So try not to get discouraged if some aren’t
helpful or effective. That’s useful information to know, and you can pick other
ones to try the next time.




WHEN TO PUT GROUNDING TO USE

Try some grounding techniques the next time you’re..

 * Flooded with anxiety or panic (“hyperactivated”).
 * Frozen or shut down; having trouble thinking or speaking (“hypoactivated”).
 * Feeling frightened after a nightmare.
 * Overwhelmed by upsetting memories or having flashbacks.
 * Detached from the present moment (disassociation).
 * Feeling on edge, high alert, or hypervigilant.
 * Anxious and can’t calm down.
 * Feeling triggered by a trauma reminder.




GROUNDING TECHNIQUES

Soothing Strategies

 1. Self-Talk. You can try saying things to yourself things like, “I’m okay. I’m
    here and safe in the present moment. Nothing can hurt me right now.” It can
    even be helpful to say your name, the city and place you’re at, and the date
    and time to redirect you to the here and now and remind yourself that you
    are safe.
 2. Meditation. Listen to a calming guided meditation. You can find many free
    ones on YouTube and Spotify or consider a meditation app. Again, finding
    what works for you can take some trial and error. Try out different types of
    guided meditation to find the kinds you like best. For example, some have
    you focus on your breathing, whereas others have you engage in body scans,
    progressive muscle relaxation, or guided imagery and visualization.
 3. Music. Listen to music you find soothing. You can make a playlist of songs
    that are calming and name the playlist something to remind you to use it in
    these moments (e.g., I created a playlist for myself called “Breathe.")
 4. Pet. If you have a pet, sit with them and focus on how they feel to the
    touch. Notice their physical markings or unique characteristics. If you’re
    not at home with your pet, think about your favorite things about them and
    how they would comfort you if they were with you.
 5. Visualize. Picture somewhere that is comforting or serene to you. Think of
    your favorite place and imagine that you are there now. Use each of your
    senses: Picture what you see, and imagine the noises you hear and the scents
    you smell.

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Mental Strategies

Activate the part of your brain required for higher-level “thinking” rather than
emotional instincts.

 1. Subtract seven from 100, and then keep it going.
 2. Spell your first and last name backward, then repeat this with a few names
    of family members or friends. You can also include their ages and one of
    their favorite activities.
 3. Look around your environment to describe the objects and colors you see
    (e.g., “a brown wooden chair, a burgundy coffee mug, a landscape painting
    with forest green trees, a calm turquoise lake, etc.).”
 4. Watch a funny animal video, a clip of your favorite comedian, or part of
    your favorite TV show or movie — anything that might draw you in or make you
    laugh.
 5. List four things that bring you joy or that you’re grateful for, briefly
    imagining each in your mind.



Physical Strategies

 1. Cold water. Splash cold water on your face. Put your hands in the cold water
    and notice how it feels on each part of your hands.
 2. Take a walk outside. Notice your surroundings – how does the air feel on
    your skin? What color is the sky? Try describing what you see one thing at a
    time.
 3. Focus on your five senses. Count down a list of things you notice around
    you: 5 things you see; 4 things you can touch; 3 things you hear; 2 things
    you can smell; and 1 thing you can taste.
 4. Savor food or drink. Take small bites of food or small sips of a beverage
    you enjoy. Let yourself fully taste and savor each bite, focusing on the
    smells and flavors you taste.
 5. Touch an object and describe it in detail. Describe the color, size,
    texture, weight, temperature, scent, and any other qualities you notice.



How will I remember to use them if I feel overwhelmed?

When feeling flooded with anxiety, it can be really difficult to think straight.
It’s recommended to pick one or two strategies ahead of time to try out the next
time you’re feeling hijacked by your emotions. Even better, practice using these
strategies when you’re in a calm state of mind. That will allow you to recall
them more readily when you need them.


THE BASICS

 * What Is Anxiety?
 * Find counselling to overcome anxiety

Once you remember to use the strategies when you’re feeling anxious, you will
build momentum, and it will get easier and easier to remember to use them in the
moment. Here are some other strategies to help yourself remember:

 * Set your phone background to be a photo or phrase that can help bring to mind
   the techniques, like a photo of somewhere you find peaceful or a mantra to
   use.
 * Create a coping card to carry with you. It can be a note you keep in your
   wallet or a note on your phone that lists a few strategies to try.
 * Wear a bracelet or other jewelry with a certain color or phrase to signal to
   you to use the skills.
 * Tell your significant other or close friends and family about the techniques
   so they can remind you the next time you need them.


 * Share
 * Tweet
 * Email

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About the Author

Rubin Khoddam, Ph.D. is a Clinical Psychologist in the Los Angeles area.

Online:
COPE Psychological Center, Facebook, Instagram, LinkedIn, Twitter
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GET HELP

Mental Health
 * Addiction
 * Anxiety
 * ADHD
 * Asperger's
 * Autism
 * Bipolar Disorder
 * Chronic Pain
 * Depression
 * Eating Disorders

Personality
 * Passive Aggression
 * Personality
 * Shyness

Personal Growth
 * Goal Setting
 * Happiness
 * Positive Psychology
 * Stopping Smoking

Relationships
 * Low Sexual Desire
 * Relationships
 * Sex

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 * Child Development
 * Parenting

View Help Index
Do I Need Help?
 * Self Tests
 * Therapy Center
   NEW

Recently Diagnosed?
 * Diagnosis Dictionary
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Talk to Someone
 * Find a Therapist
 * Find a Treatment Centre
 * Find a Support Group
 * Find Online Therapy

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MAGAZINE

January 2023
5 Ways to Find Purpose

Knowing what you value will help you build the most meaningful life possible.

Subscribe Issue Archive
Back


TODAY


NEWS

 * Borderline Personality Disorder Isn’t Just for the Young
 * Dolphins and Humans Partner to Catch Fish
 * New Guidance Promotes Treating Childhood Obesity

Essential Reads
 * How to Counter TikTok’s Mental Health Misinformation
 * Have You Had a Drug-Free "Psychedelic" Experience?
 * 2 Key Factors That Make Work the Best Place to Make New Friends
 * The 7 Thinking Habits of High-Hope People

Trending Topics in Canada
 * Coronavirus Disease 2019
 * Narcissism
 * Dementia
 * Bias
 * Affective Forecasting
 * Neuroscience


SEE ALL