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Tools for Coping With Trauma In Our Self-Care Tool Chest.

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Tools for Coping With Trauma In Our Self-Care Tool Chest.

Tools for Coping With Trauma In Our Self-Care Tool Chest. — Annie Wright trauma therapy

Tools for Coping With Trauma In Our Self-Care Tool Chest.

Self-soothing: 

Utilizing your five senses can help create a soothing environment. Listen to calming music, touch your own skin, take a warm bath, or enjoy a comforting scent (or, ideally, all of these at once!). Research shows how these multi-sensory experiences can provide immediate comfort and reduce distress.

Pros and cons: 

When facing distress, it can be helpful to weigh the pros and cons of tolerating it versus avoiding it. Write down the benefits and drawbacks of confronting your distress head-on compared to escaping it. This process can aid in making more rational decisions during stressful times (and I’ll say, rarely does the distress of avoiding ever outweigh the distress of confronting for me…).

IMPROVE the moment: 

This acronym stands for Imagery, Meaning, Prayer, Relaxation, One thing at a time, Vacation, and Encouragement. You can read more out this tool the IMPROVE the Moment technique. Techniques like visualizing a peaceful scene or taking a brief mental break can help improve your mental state during distress.

TIPP skills from DBT: 

TIPP stands for Temperature, Intense exercise, Paced breathing, and Progressive muscle relaxation. Splash cold water on your face, do some quick physical activity, or practice deep breathing to quickly lower emotional arousal.

Opposite action: 

Acting opposite to your emotion-driven urges can be incredibly effective coping tool. For example, if you feel like isolating yourself, try engaging with others instead by texting your friends or going outside and actually talking to that neighbor in their yard. Counter-intuitive though this may seem, it counteracts negative emotions and promotes positive behaviors.

Self-compassion: 

Obvious as it seems, be kind to yourself, especially during times of distress. Practice self-care and speak to yourself in a supportive and understanding way. This coping tool can help mitigate the effects of distress not to mention help rewire your neural pathways for more functional, adaptive thoughts and behaviors.

Grounding technique: 

Grounding involves focusing on the present by noticing physical sensations around you. This might include touching a textured object or listening to the sounds in your environment. Grounding can anchor you to the present moment and reduce distressing thoughts. I like to encourage my clients to wear fidget rings and/or have tactile objects on their desks like Kush balls or other fidget toys. Poppers like this are great.

Check the facts: 

Examine the accuracy of your distressing thoughts. Ask yourself if your thoughts are based on facts or assumptions. Ask the question, “Do I know with 100% certainty that this is true? 100% true?” Challenging and finding the lack of truth unhelpful thoughts can reduce distress.

Participating in activities you actually enjoy:

Stating the obvious here but try to do activities that bring you joy and satisfaction. Whether it’s video gaming, a Zoom and cocktail with girlfriends, or puttering in your kitchen listening to audiobooks (my personal fave), these activities can distract from distress and improve your mood (and also make you feel like you have a life).

Building mastery: 

Building a sense of competence and accomplishment can be very empowering. Set small, achievable goals and work towards them – level 1 in Duo Lingo then level 2 and so on… A one mile run at 4.5 mph, then 5 mph and so on… This increases self-confidence and reduces feelings of helplessness when you demonstrate to yourself both your agency and capacity for mastery.

Mental grounding:

Engage your prefrontal cortex and reduce the hijacking of your limbic system by thinking of categories such as musical instruments or types of trees and then listing as many as you can. Another method is to recite something you know by heart, like a poem or song (pick a long one like American Pie), which helps distract and center your thoughts (Side note: for anyone with kiddos, I like asking my daughter to list how many Disney Princesses she can name when she’s dysregulated…)

Use of humor: 

As a coping tool, Humor can be a great way to diffuse distress. Despite how much I love it, there’s a big difference in my mood and nervous system when I switch from binge watching Game of Thrones to watching The Office. Dose yourself with comedy as a distress tolerance coping skill (and to give yourself a break from the wonderful but usually mega heavy HBO goodness there is).

Dispel energy through rapid physical activity: 

True story, when I’m anxious before a big work meeting, I’ll do twenty jumping jacks in my office to try and dispel the adrenaline and cortisol coursing through me. Push ups or high knees would work well, too.

Behavioral activation: 

Actively engage in tasks aligned with your values and goals, even when feeling distressed. Like still making time to volunteer at your kiddo’s school despite feeling overwhelmed by your workload. This connection with your values can boost your mood and reduce your distress.

Exposure-based techniques: 

Gradually face distressing situations or thoughts instead of avoiding them. Over time, this builds tolerance to distress and reduces anxiety. Get a friend or your therapist to do it with you at first if it feels like too much to do it alone. This is like exercise number five but the action that follows the contemplation…

Breathing exercises: 

Another great coping tool? Practice deep and paced breathing exercises to calm the nervous system. Techniques like diaphragmatic breathing or 4-7-8 breathing can help reduce anxiety and improve emotional regulation.

Emotional Regulation

Emotional regulation is the capacity to manage the intensity, duration, and expression of your emotional responses. For relational trauma survivors, this capacity was often underdeveloped because the caregivers who should have modeled and co-regulated emotions were themselves dysregulated — or the source of the dysregulation.

Journaling: 

Maybe my favorite one on this whole list, journaling can be a powerful tool for managing distress and enhancing emotional well-being. By writing down your thoughts and feelings, you can gain insight into your emotions, identify patterns, and explore solutions to problems. I like to write down my problems and then try and brainstorm solutions (minimum five) to see if I can alleviate my anxiety about them.

When is it time to seek professional support for building your coping skills?

“aw-pull-quote”

While building your personal toolkit of coping strategies is invaluable, many people with relational trauma find that working with a therapist helps them understand which tools work best for their unique nervous system and trauma history.

A skilled trauma therapist doesn’t just teach you coping techniques—they help you recognize your specific triggers, understand why certain situations feel so overwhelming, and develop personalized strategies that match your particular pattern of activation. In therapy, you can practice these coping tools in a safe environment, learning to trust that you can handle distress without being alone in it.

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This supported practice is especially important if your relational trauma taught you that asking for help was dangerous or that you had to manage everything by yourself. For those considering this path, understanding if you are codependent can help clarify whether your coping patterns might be entangled with taking care of others at your own expense.

The therapeutic relationship itself becomes a coping resource—knowing you have someone steady and reliable to return to when life feels overwhelming, teaching your nervous system that support is available and that you don’t have to white-knuckle through distress alone anymore.

Wrapping up.

I hope that even one of these coping tools feels helpful for you to read about and add to your own self-care tool chest!

And now I’d love to hear from you in the comments below:

Of these coping tools I mentioned, which sounds like the most helpful for you to begin to practice? Is there another coping tool I didn’t mention on this list that is really supportive for you?

If you feel so inclined, please leave a message so our community of 30,000 blog readers can benefit from your share and wisdom.

Here’s to healing relational trauma and creating thriving lives on solid foundations.

Warmly,

Annie

RESOURCES & REFERENCES

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How can I make time for self-care when my trauma makes me feel constantly overwhelmed and busy?

It’s understandable to feel overwhelmed, especially when managing trauma alongside a demanding life. Start small by integrating brief, intentional moments of self-care, like a five-minute breathing exercise or a mindful walk. Consistency with even short practices can build resilience and create space for healing without adding to your burden.

I often feel guilty prioritizing my own needs, especially when dealing with the lingering effects of trauma. Is this a common experience?

Yes, feeling guilty about prioritizing your needs is incredibly common, particularly for driven, ambitious women who may have learned to put others first. This guilt often stems from past experiences, including trauma or emotional neglect, that taught you your needs were secondary. Recognizing this pattern is the first step towards reclaiming your right to self-care.

What are some immediate, practical self-care tools I can use to help calm my nervous system when trauma symptoms flare up?

When trauma symptoms arise, focus on grounding techniques that bring you back to the present moment. Try deep diaphragmatic breathing, engaging your five senses by noticing sights, sounds, and textures around you, or using a weighted blanket for comfort. These tools can help regulate your nervous system and create a sense of safety.

How can I tell if my self-care routine is genuinely helping me process trauma, or if I’m just using it to avoid deeper issues?

It’s a valid question to ask if your self-care is truly supportive or merely a distraction. Genuine self-care for trauma often involves practices that gently connect you to your body and emotions, fostering a sense of safety and presence. If your routine consistently leaves you feeling more disconnected or anxious, it might be worth exploring with a therapist whether avoidance is at play.

My past trauma makes it difficult to trust myself and my choices, even when it comes to choosing self-care activities. How can I navigate this?

Trauma can indeed erode self-trust, making decisions about your well-being feel daunting. Begin by experimenting with small, low-stakes self-care activities and pay attention to how your body responds. Gradually, as you observe positive effects, you can rebuild trust in your ability to choose what genuinely supports your healing journey.

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About the Author

Annie Wright, LMFT

LMFT #95719  ·  Relational Trauma Specialist  ·  W.W. Norton Author

Helping ambitious women finally feel as good as their résumé looks.

As a licensed psychotherapist (LMFT #95719), trauma-informed executive coach, and relational trauma specialist with over 15,000 clinical hours, she guides ambitious women — including Silicon Valley leaders, physicians, and entrepreneurs — in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.

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Annie Wright, LMFT

Annie Wright

LMFT · 15,000+ Clinical Hours · W.W. Norton Author · Psychology Today Columnist

Annie Wright is a licensed psychotherapist, relational trauma specialist, and the founder and successfully exited CEO of a large California trauma-informed therapy center. A W.W. Norton published author, she writes the weekly Substack Strong & Stable and her work and expert opinions have appeared in NPR, NBC, Forbes, Business Insider, The Boston Globe, and The Information.

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Medical Disclaimer

Frequently Asked Questions

Coping tools are emergency strategies for managing overwhelming emotions in the moment of crisis, while emotional regulation involves the broader ability to recognize, understand, and appropriately express emotions before they reach crisis levels. Think of coping as acute care and regulation as preventive medicine for your emotional health.

Start with something physical like the TIPP technique or grounding through your five senses—these work directly on your nervous system without requiring much cognitive effort. When you're overwhelmed, your thinking brain goes offline, so body-based interventions often work better than trying to think your way out of distress.

Having at least 5-10 different coping strategies gives you options for different situations and emotional states. What works at home might not work at the office, and what helps with anxiety might not help with anger—variety ensures you're never without a lifeline.

While coping tools are essential for managing acute distress, exclusively relying on them without addressing underlying trauma can become avoidance. They're meant to help you return to baseline so you can eventually engage in deeper healing work, not to permanently bypass difficult emotions.

A coping tool is working if it helps reduce the intensity of your emotional distress enough that you can think more clearly and make conscious choices rather than reacting impulsively. You don't need to feel completely calm—just regulated enough to function without causing harm to yourself or your relationships.

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