Grounding Techniques

Grounding techniques help individuals reconnect with the present moment, particularly beneficial for those experiencing post-traumatic stress disorder (PTSD) or dissociation.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Grounding techniques are helpful interventions for clients with PTSD or dissociation, where intrusive memories or dissociative episodes can disconnect them from their present reality. Grounding can involve sensory stimulation (like smells and textures) or cognitive affirmations to bring focus back to the here-and-now.

Why Use This Resource?

Grounding techniques are a helpful therapeutic tool for managing dissociative states and intrusive trauma memories.

  • Reconnects clients to the present moment through sensory and cognitive methods.
  • Provides a calming strategy for managing flashbacks and dissociative episodes.
  • Empowers clients with practical skills to reduce distress independently.

Key Benefits

Sensory

Uses senses to anchor clients in the present moment.

Cognitive

Assists in reassuring clients of their present-day safety.

Practicality

Offers immediate, easy-to-use methods for managing distress.

Adaptability

Suitable for various therapeutic settings and client preferences.

Who is this for?

Post-Traumatic Stress Disorder (PTSD)

Helps manage and reduce the impact of intrusive memories and flashbacks.

Dissociation

Assists individuals in regaining awareness of their surroundings and the present moment.

Anxiety

Provides tools to counteract anxiety-triggered episodes by grounding in reality.

Integrating it into your practice

01

Sensory

Introduce sensory stimuli like essential oils or textures to aid grounding.

02

Breathing

Guide clients through calming breath exercises to slow down physiological arousal.

03

Coping

Encourage the use of grounding statements affirming current safety and distance from past trauma.

04

Customization

Adapt and personalize techniques to fit client's preferences.

Theoretical Background & Therapist Guidance

Dissociation is a common response to trauma, often involving shifts in awareness that pull a person away from the present moment and into memories, sensations, or states associated with threat. These experiences can include flashbacks, depersonalization, derealization, amnesia, or identity confusion, and may occur along a spectrum of severity (Holmes et al., 2005; Kennerley, 2009). Dissociative responses can be understood as adaptive survival strategies — particularly when escape from trauma is not physically possible — but they can become disruptive when generalized to non-threatening situations (Herman, 1992).

Trauma therapy often begins with stabilization, including the development of skills to manage dissociation and re-establish safety in the present. Grounding techniques are can support this goal (Kennerley, 1996; Fisher, 1999). These strategies work by helping clients shift their attention back to the present moment — whether through sensory input, cognitive reframing, or physical engagement with their environment.

The term grounding originated in Alexander Lowen’s (1976, 1993) bioenergetics model. In this context, grounding was seen as a way of connecting physical and psychological energy to the earth, allowing for emotional regulation and a sense of embodied presence. In contemporary psychological practice, grounding is frequently used to manage symptoms of PTSD, dissociation, and severe anxiety (Ehlers & Clark, 2000; Zerubavel & Messman-Moore, 2015). Techniques are often categorized into sensory (e.g., cold water, strong smells), cognitive (e.g., affirming safety in the present), and physical (e.g., movement, postural shifts) methods. Many trauma-informed programs incorporate grounding as a foundational skill for both in-session stabilization and independent practice between sessions (Blake-White & Kline, 1985).

What's inside

  • Detailed instructions for implementing sensory and cognitive grounding strategies.
  • A guide to creating personalized grounding statements.
  • Techniques for soothing breath exercises.
  • Therapist notes for introducing and discussing grounding techniques with clients.
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FAQs

Grounding techniques are strategies used to focus attention on the present moment, helping individuals feel connected to their immediate environment and reality.
Cognitive grounding guides clients to connect with safety in the present moment, drawing their mental focus away from traumatic memories or distressing thoughts.
Start with simpler techniques or incorporate personalized sensory items. Gradually expand the scope as clients become more comfortable and find what works best for them.

How This Resource Improves Clinical Outcomes

Grounding Techniques can help clients by:

  • Increasing their ability to manage PTSD and dissociative symptoms independently.
  • Providing practical tools for immediate relief during distressing episodes.

Clinicians benefit from:

  • A versatile toolkit adaptable to diverse clinical requirements.
  • An evidence-based approach aligning with trauma-focused and integrative therapies.
  • Resources that facilitate ongoing client self-management.

References And Further Reading

  • Fisher, J. (1999). The work of stabilization in trauma treatment. Trauma Center Lecture Series, Boston, Massachusetts.
  • Wieland, S. (1998). Techniques and issues in abuse-focused therapy with children & adolescents: Addressing the internal trauma. Sage.