Trauma & PTSDClinical handoutPrint · PDF · Word
Window of tolerance & grounding
Hyperarousal vs shutdown — map your zone and choose regulation skills.
When to use: Psychoeducation before trauma processing or EMDR/PE prep.
Hyperarousal vs shutdown — map your zone and choose regulation skills. Use the worksheet in session or as homework. Preview the layout on the right — tap it or choose View full preview below for the complete on-screen version.
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Hyperarousal (fight/flight) vs hypoarousal (shutdown) — goal is return to window when possible.
My hyper signs
My shutdown signs
Skills that help (grounding, movement, safe person)
Related resources
- Mindfulness & groundingGrounding: 5-4-3-2-1 & breathSenses scan plus paced breathing for acute stress — pairs with CBT and DBT.
- DBT skillsName the emotion (DBT)Prompts for body cues, urges, and effective action — before problem-solving or conflict.
- Depression & moodActivity & mood logLink what you do with mood before/after — classic CBT behavioral monitoring.
- Practice operationsAffirming care for diaspora clientsClinician checklist: language, identity, family systems, and avoiding stereotype.
Disclaimer: For professional use in your practice only. Not emergency care. Not legal or medical advice. Customize templates for your jurisdiction and ethics code. You may use with clients; do not resell or republish as your own product without permission.