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Using your senses to regain control of your body can help you when you are hyperaroused or hypoaroused. They can be good to help to ground you in the present moment.

Scent – the olfactory bulb (scent organ) has direct access (other senses have indirect access) to the parts of the brain where emotions, mood, memory, and creativity are processed, so you can have faster effects for calming the nervous system.

Put on a scented perfume/aftershave/cologne/lotion and focus on the scent and how it makes you feel.

Inhale a scent (essential oil through a diffuser, burning incense, or scent from a scented candle). Focus on the scent and how it makes you feel.

Go for a walk in a wooded area and breathe in the smells of nature.

Sniff a strong mint. Focus on the scent and how you are feeling and any changes within your body after inhaling the scent.

Make some baked goods and focus on the scent of them baking.

Smell some flowers.

Taste

Make a favourite meal. Focus on the taste. Focus on the emotions and memories associated with that meal.

Treat yourself to a dessert or baked good.

Have a piece of candy and focus on the taste, texture, and sensations coming from the candy.

Take a raisin, nut, or some seeds. Focus on how it looks, feels, and smells. Put it in your mouth notice how it feels before chewing it slowly, and notice how it feels to swallow it.

Mindfully taste the food you eat.

Sound

Listen to a favourite song. Focus on the melody and how it makes you feel.

Stop and listen. Notice and name the sounds you can hear nearby. Starting with the closest and loudest sounds. Gradually have your awareness move outward, so you are focusing on sounds further and further away.

Put on a piece of instrumental music. Give it all of your attention. Maybe follow a single melody line, notice how the music makes you feel, or notice the changes in rhythm.

Sit in nature and notice the sounds around you.

Play a sound on an instrument you play (piano, guitar, etc.) or sing a song.

Hum a soothing tune.

Listen to loud music.

Make a playlist of music to get you through tough times. Listen to it.

Touch

Put on a favourite item of clothing, wrap yourself in a blanket, or hug a pillow. Notice the texture, colour, and the way it smells.

Splash some water on your face. Notice how it feels. Now how the towel feels as you dry. Use words in your mind to describe the sensations.

Hold a cool beverage glass, can, or bottle in your hands. Feel the coldness and wetness on the outside. Drink slowly taking the time to notice the taste and texture of the drink.

Hold your breath and put your face in a bowl of cold water (above 50 degrees) or hold a cold pack on your eyes and cheeks. Hold for 30 seconds (This is especially for reducing extreme emotion).

Wrap yourself in a blanket. Give yourself a bear hug.

Pay attention to the clothes on your body, what is covered, and the sensation of your clothes as you move in them. Notice how your feet feel.

Wear an elastic band on your wrist and flick it gently, so that you feel it spring back on your wrist.

Feel something that has an interesting texture. Describe it in your mind in detail as if you were trying to describe it to someone who has never felt it.

Cuddle or pet a cat or dog.

Hold an ice cube and let it melt in your hand. Noticing the temperature and how it feels. Notice the wetness on your hand as it melts.

Take a long bath or shower.

Have a massage. Soak your feet. Focus on the body sensations.

Put a cold press on your head.

Sight

Look at a picture of a loved one, a place with a good/neutral memory, or an object that reminds you of a loved one. Notice how it makes you feel. If any memories come up, notice how you feel when you revisit those memories.

Look and take an inventory of what is around you. Name and notice the qualities of large objects before moving to smaller objects.

Pick an object in your vision and trace the outline with your eyes like you were drawing it.

Do some kind of puzzle (crossword, sudoku, word search, etc.).

Read a book, magazine, or article.

Walk in a beautiful place noticing the sights around you.

Look at the stars at night.

Look at beautiful pictures.

Light a candle and watch the flame.

Go people-watching or window shopping.

Watch a beautiful sunrise or sunset.

A number of these techniques are from:

Linehan, Marsha M. (2015). DBT Skills Training Manual, Second Edition. Guildford Press.

Observation grounding techniques use what is in your environment to help ground you. They are beneficial grounding techniques because you can use them pretty much anywhere and there is nothing that you need to have with you to be able to do them.

5-4-3-2-1

What are 5 things you can see?

What are 4 things you can feel?

What are 3 things you can hear?

What are 2 things you can smell?

What is 1 thing you can taste?

Pick an object and describe it in as much detail as possible. Make sure you describe it in different ways: colour, texture, shape, etc.

Describe the room you are in.

If you are in a place with other people, take notice of their appearance and describe as many details as possible.

If you can, step outside and notice the temperature of the air and how it is different from where you came from. You can also notice if there is any scents in the air.

Somatic Grounding Techniques use your body to help ground you in the present moment. They can be useful for both hyperarousal and hypoarousal.

Press your feet onto the floor and notice the sensation. Focus on the connection that your feet have to the floor.

Body scan. https://www.healthline.com/health/body-scan-meditation#beginner-tips

Wiggle your toes or fingers and notice the sensation as you move each one.

Rhythm. Tap your feet or fingers in a particular rhythm and repeat it. Stay focused on the beginning and end of each sound.

Do an activity that involves using your hands: gardening, knitting, playing with sand/silly putty, folding laundry, washing dishes, etc. Pay attention to the sensation or body movements.

Clench your hands into fists, then release the tension. Repeat this 10 times.

Press your palms together briskly. Notice the sound and the feeling of warmth.

Reach your hands over your head like you’re trying to reach the sky. Stretch like this for 5 seconds. Bring your arms down and let them relax at your sides.

Stretch and focus on your breath and the physical sensations.

Go for a walk and notice your surroundings, the sensations of walking.

Notice the pressure points on your body on the floor, chair, or whatever you are laying on if lying down.

Do a quick bout of intense exercise in which you use out the body’s stored physical energy (running, jumping, lifting weights, etc.)

Squeeze a rubber ball very hard and notice the sensations in your body as you are squeezing and releasing the tension.

Hold ice in your hands and notice the temperature and the wetness as the ice melts.

Deep breathing quiets the sympathetic (fight or slight; stress response) part of the autonomic nervous system, which triggers the relaxation response of the parasympathetic nervous system. Deep breathing needs practice and you want to practice deep breathing when you don’t have high anxiety (if you always do deep breathing when stressed or in pain, your body may associate deep breathing with those states and it won’t be as effective).

The extension of the duration of exhalation can calm a person because the exhalation connects with the vagus nerve that calms us. So if you are not able to focus on an entire breathing pattern, just focusing on extending your exhale can help to calm the nervous system.

https://hbr.org/2020/09/research-why-breathing-is-so-effective-at-reducing-stress

Belly or Diaphragmatic Breathing. Place one hand on your stomach, and the other on your chest. Breathe slowly and deeply into your belly. Try to keep your chest still.

• Can help with the management of chronic pain, anxiety, irritable bowel syndrome, depression, and sleep disorders
• Belly breathing can assist in lowering blood pressure, lowering heart rate, improving core muscle stability, improving tolerance to exercise, decreasing cortisol levels, improving core muscle stability, and decreasing the chances of muscle injury. https://www.hopkinsallchildrens.org/Services/Anesthesiology/Pain-Management/Complementary-Pain-Therapies/Diaphragmatic-Breathing

4-7-8. Breathe in (inhale) slowly for 4 seconds. Then, hold your breath for 7 seconds. Finally, breathe out (exhale) slowly and softly, for 8 seconds. Repeat as many times as feels comfortable.

• Studies have shown reduced anxiety, lower blood pressure, improved sleep, less pain and improved concentration https://www.webmd.com/balance/what-to-know-4-7-8-breathing

Paced Breathing. Slowly and deeply breathe into your belly. Try to average 5 or 6 breaths per minute. Exhale slower than you breathe in.

Paired Muscle Relaxation. This is a muscle relaxation technique that is paired with breathing. While doing belly breathing, tense your body muscle. Notice the tension in your body. Say the word “relax” as you exhale and release the tension. Notice the difference in your body.

Heart Breathing. While breathing slowly and deeply, imagine that you could breathe through the centre of your chest. Imagine breathing in around the heart space and breathing out through the heart space.

Boxed Breathing. Inhale for 4 seconds, hold your breath for 4 seconds, and exhale for 4 seconds. (You can increase the length of time for the sections as long as you stay at an equal length to each other, such as 5-5-5, 6-6-6, etc.)

Pairing Stretching with Breathing. Stretch while you are slowly and deeply inhaling and exhaling.

Pair the Breath with Body Movements. This can be done by doing one body movement on the inhale and another on the exhale. For example, you can start with your arms at the sides with the inhale raise your arms over your head and lower your arms to the starting position on the exhale.

Pair the Breath with Intention. Pair a word or phrase that you want to bring in with the inhale and let your body relax on the exhale. Some examples of words/phrases are strength, calm, peace, I am loved, etc.

Self-Soothe grounding techniques are about taking care of yourself. With self-soothe grounding techniques, you are grounding yourself in things that are comforting to you. One important thing with self-soothe techniques is to listen to your body and do what is comforting to you and not what is effective for others. Each of us is unique and has unique experiences that influence what is comforting to us, and it is important to respect that. When you do activities or imagine things that are comforting to you, it signals to the brain that you are in a good place and that calms the system down.

Take a shower or bath. Notice the sensation of the water hitting your skin

Make a cup of tea or coffee. Focus on the taste. Notice the warmth of the mug.

Wrap yourself in a soft blanket. Focus on the softness of the blanket and how it makes you feel.

Sip a cool drink of water, iced tea, or juice. Notice the difference in temperature and how it makes you feel.

Imagine very relaxing scenes.

Engage in spiritual practices, such as prayer to God/higher power or something else.

Imagine hurtful emotions draining out of you like water out of a tap or sand slipping through your fingers.

Remember a happy time and imagine yourself in it again.

Find purpose or meaning in a painful situation. If you have trouble finding meaning in your current circumstance, try to remember a time you found meaning in a painful situation.

Imagine everything turning out okay.

Focus on the positive aspects of a difficult situation.

Do some self-massage.

Practice yoga or some other stretching.

Get into bed and pull the covers over your head.

Remind yourself of another time when you felt similarly, and things turned out okay.

Encourage yourself:

• “I will make it out of this.”
• “This will soon pass.”
• “I’m doing the best I can.”
• “I will be okay.”

Imagine yourself leaving the painful feelings behind. This can be walking, swimming, or running away from the feelings. Writing the feelings on a piece of paper and burning it.

Visualize your favourite place. Think about the sounds and scents there as well.

List and visualize 4 or 5 things that bring you joy.

Some of these techniques are from Marsha Linehan’s DBT Skills Training Manual, 2nd Edition.

Present moment grounding techniques can help to anchor you to the present and help you find solid ground.

Situate yourself. Repeat to yourself today’s date, the day of the week, month, year, time of day, and where you are currently. Remind yourself that you are safe in the moment, not in the past, and right now you are safe. Notice the season it is outside, and what the sky looks like. Name the street you are on and the postal code/zip code.

Now and plans for the day. Remind yourself of who you are now. Your name, age, occupation. Where you are. What you did today and what you are going to do next and later today.

What is going on? Remind yourself where you are and today’s date. Acknowledge that you are feeling the emotions, thoughts, or body sensations from the trauma coming into the present.

Distraction techniques are best used for tolerating and surviving a crisis situation that you cannot deal with at the moment. It is about moving you away from the extreme feelings, body sensations, and thoughts of the moment. It is important that you do not over-rely on distraction techniques as they take you out of the present moment, and can lead to problems with dissociation.

Math & Counting

Count backwards from 100 by 7.

Count colours in a painting.

Run through a times table in your head.

Pick and number and try to come up with as many equations that will get you to that number (addition, subtraction, multiplication, division, etc.)

Count your breaths.

Categories

List as many items you can think of in a category (dogs, cities, fruits, etc.). Make sure you are able to list at least 10 or switch to a different category.

Pay attention to your surrounding and make lists of items in your surrounding that fit into different categories.

Go down the alphabet and for each letter list girls’ names and then boys’ names. You also can do the alphabet strategy for other categories like countries and fruits.

Reading

Read something backwards, letter-by-letter. Practice for at least a few minutes.

Recite a poem, story, or song.

Spell the weather, such as rain R-A-I-N.

Guessing /Memory Games

Look at people around you and guess their occupation.

Look at a photograph or picture for 5-10 seconds. Turn over the picture and recreate it in your mind or mentally list all the things you remember in the picture.

Emotions (Try to get in touch with a different emotion – the goal is to get out of the current emotion that you are feeling)

Listen to emotional music that evokes a different emotion.

Watch emotional movies, shows, films, or documentaries that evoke a different emotion.

Read emotional books/stories.

Comparisons

Think of a time when you felt differently and compare it to how you feel now.

Watch reality TV shows about others’ troubles or watch documentaries about disasters.

Activities

Focus on a task, movie/show, video/computer/mobile game, or surf the internet

Read a newspaper, magazine, or book.

Do a puzzle, colour in a colouring book, or doodle.

Visualization

Visualise yourself putting the problem on a shelf for you to come back to later.

Visualize a daily/common task that you enjoy and go through all the steps mentally that it takes to complete the task.