Use when: When emotionally overwhelmed and about to act impulsively.
Clinician Tip: Use before responding to triggers or relapse urges.
Client Script: “Stop. I’m stepping back. I notice anger. I’m choosing not to react.”
Therapist Coaching: “Good. Now what action protects your recovery?”
Use when: When anxious or overwhelmed.
Clinician Tip: Quick anxiety reset in public places.
Client Script: “I see a chair… I hear the AC… I’m moving my shoulders.”
Therapist Coaching: “Nice. What’s your anxiety now (0–10)?”
Use when: When feeling detached or dissociated.
Clinician Tip: Reinforces present-moment safety.
Client Script: “My name is __. It’s Monday. I’m in my therapist’s office.”
Therapist Coaching: “Great. Look around and name 3 objects.”
Use when: When in high emotional crisis.
Clinician Tip: Ensure no medical contraindications.
Client Script: “I’m splashing cool water and slowing my breath.”
Therapist Coaching: “Notice how your body shifts.”
Use when: When urges spike in public or at home.
Clinician Tip: Portable coping anchor.
Client Script: “I’m holding my coin and describing it.”
Therapist Coaching: “Great. What changed?”
Use when: When rumination or urge loops persist.
Clinician Tip: Engages working memory to interrupt cravings.
Client Script: “100, 93, 86…”
Therapist Coaching: “Keep going for 1 minute.”
Use when: When shame fuels relapse thoughts.
Clinician Tip: Normalize slips without shaming.
Client Script: “Urges pass. I don’t have to act.”
Therapist Coaching: “Say that again slower.”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing square breathing variation right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing 54321 + affirmation combo right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing gratitude grounding (5 things) right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing body scan mini version right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing anchor phrase repetition right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing feet on floor grounding right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing wall push isometric exercise right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing cold object hold right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing name 10 animals a-z right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing describe room in detail right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing music + breath sync right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing walking mindfully right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing sensory temperature contrast right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing guided imagery mini right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing visualization of future self right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing grounding through prayer/meditation right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing stretch + breath combo right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing trigger journal pause right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing chew gum mindfully right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing smell-based grounding right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing color scan exercise right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing mantra repetition right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing touch + texture exploration right now.”
Therapist Coaching: “Rate the shift. What do you notice?”
Use when: When feeling emotionally dysregulated or triggered.
Clinician Tip: Encourage tracking urge level before and after.
Client Script: “I’m practicing mindful sip of water right now.”
Therapist Coaching: “Rate the shift. What do you notice?”