Affect Regulation / Emotion Regulation

Affect regulation, or emotion regulation, is the ability of an individual to modulate their emotional state in order to adaptively meet the demands of their environment. Individuals with a broad range of affect regulation strategies will be able to flexibly adapt to a range of stressful situations. Individuals who struggle with emotional regulation may fall back upon a more limited range of stereotyped strategies that are not as successful in meeting their needs, or which come with more severe unintended consequences. The ability to successfully regulate emotion is sometimes viewed in the light of attachment theory (Bowlby, 1969/1982). Read more

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Grounding Techniques Menu

Dissociation can be described as a shift of a person’s attention away from the present moment. When working with traumatized clients, this shift oft ... https://www.psychologytools.com/resource/grounding-techniques-menu/

Cognitive Distortions – Unhelpful Thinking Styles (Extended)

Cognitive distortions (or ‘unhelpful thinking styles’) are ways that our thoughts become biased. Different cognitive biases are associated with di ... https://www.psychologytools.com/resource/cognitive-distortions-unhelpful-thinking-styles-extended/

Fight Or Flight Response

The fight or flight response is an automatic physiological reaction to an event that is perceived as stressful or frightening. The perception of threa ... https://www.psychologytools.com/resource/fight-or-flight-response/

Assertive Communication

Communicating and acting assertively is an interpersonal skill that helps people to maintain healthy relationships, resolve interpersonal conflict, an ... https://www.psychologytools.com/resource/assertive-communication/

Window Of Tolerance

The window of tolerance concept was coined by Dan Siegel in his 1999 book The Developing Mind. Siegel proposes that everyone has a range of intensitie ... https://www.psychologytools.com/resource/window-of-tolerance/

Embracing Uncertainty

Intolerance of uncertainty (IU) was first described in individuals suffering from Generalized Anxiety Disorder (GAD). Many behaviors associated with G ... https://www.psychologytools.com/resource/embracing-uncertainty/

Grounding Techniques

Individuals who have experienced trama often find it difficult to stay within the 'window of tolerance'. Grounding techniques (which can be sensory/pe ... https://www.psychologytools.com/resource/grounding-techniques/

Unhelpful Thinking Styles (Archived)

NOTE: Two improved versions of this resource are available here: Cognitive Distortions – Unhelpful Thinking Styles (Common) and Cognitive Disto ... https://www.psychologytools.com/resource/unhelpful-thinking-styles-archived/

Assertive Responses

Being able to communicate assertively is an essential skill for developing and maintaining healthy relationships and positive self-esteem. Individuals ... https://www.psychologytools.com/resource/assertive-responses/

Worry Flowchart

Worry is a cognitive process that involves thinking about problems that might happen in a way that causes anxiety. Not all worry is problematic – we ... https://www.psychologytools.com/resource/worry-flowchart/

Audio Collection: Psychology Tools For Relaxation

The Psychology Tools For Relaxation Audio Collection is designed to help anyone experiencing stress or heightened physiological arousal. The audio col ... https://www.psychologytools.com/resource/psychology-tools-for-relaxation-audio-collection/

Responses To Threat: Freeze, Appease, Flight, Fight

Human beings are programmed to respond automatically in a variety of ways to a threat including freezing, escaping, and dissociation. Traumatized indi ... https://www.psychologytools.com/resource/responses-to-threat-freeze-appease-flight-fight/

Motivational Systems (Emotional Regulation Systems)

At the heart of Compassion Focused Therapy (CFT) is an evolutionary model of human motivational systems. Developed by Paul Gilbert it is a helpful len ... https://www.psychologytools.com/resource/motivational-systems-emotional-regulation-systems/

Emotions Motivate Actions

Many clients find it helpful to recognize the range of actions that are motivated by different emotional states. This worksheet encourages clients to ... https://www.psychologytools.com/resource/emotions-motivate-actions/

Anxiety - Self-Monitoring Record

Developing self-monitoring skills teaches clients to systematically observe and record specific targets such as their own thoughts, body feelings, emo ... https://www.psychologytools.com/resource/anxiety-self-monitoring-record/

Relaxed Breathing

Practising Relaxed Breathing serves to reduce physiological arousal and can be an excellent grounding technique. This client information handout descr ... https://www.psychologytools.com/resource/relaxed-breathing/

Decatastrophizing

Catastrophic thinking (magnification) is characteristic of many anxiety problems. This CBT worksheet for decatastrophizing is a tool for cognitive res ... https://www.psychologytools.com/resource/decatastrophizing/

Habituation

The Habituation information sheets are designed to help clinicians to explain the concept of habituation and its role in exposure therapy. The handout ... https://www.psychologytools.com/resource/habituation/

Emotions

Many people find it hard to label their emotional states or reactions. This information handout provides a list of emotions, categorizing them as basi ... https://www.psychologytools.com/resource/emotions/

Compassionate Thought Challenging Record

Thought challenging records are commonly used in CBT to help people to evaluate their negative automatic thoughts for accuracy and bias. This Compassi ... https://www.psychologytools.com/resource/compassionate-thought-challenging-record/

Progressive Muscle Relaxation

Progressive relaxation training originated in the 1930’s as a treatment for tension and anxiety. Edmund Jacobsen developed a systematic and lengthy ... https://www.psychologytools.com/resource/progressive-muscle-relaxation/

Exposure And Response Prevention

Exposure And Response Prevention (ERP, EX/RP) is an effective treatment for obsessive compulsive disorder (OCD). This CBT worksheet guides therapists ... https://www.psychologytools.com/resource/exposure-and-response-prevention/

Types Of Dissociation

The Types Of Dissociation information handout is designed for clients who have experienced trauma and describes dissociation using accessible terminol ... https://www.psychologytools.com/resource/types-of-dissociation/

How Breathing Affects Feelings

Normal, anxious, and exercise breathing have significant effects upon our physiology and our emotions. This information handout explains the physiolog ... https://www.psychologytools.com/resource/how-breathing-affects-feelings/

Managing Substance Use Disorder (Third Edition): Practitioner Guide

Managing Substance Use Disorder comes in two volumes. This page is for the Practitioner Guide. Click on the following link to access the Workbook.&nbs ... https://www.psychologytools.com/resource/managing-substance-use-disorder-practitioner-guide/

Audio Collection: Psychology Tools For Overcoming PTSD

The Psychology Tools for Overcoming PTSD Audio Collection is designed for anyone with post-traumatic stress disorder (PTSD). This skills development p ... https://www.psychologytools.com/resource/psychology-tools-for-overcoming-ptsd-audio-collection/

Stimulus Discrimination

Stimulus discrimination is a component of cognitive behavioral treatment for post-traumatic stress disorder (PTSD). Clients are guided to deliberately ... https://www.psychologytools.com/resource/stimulus-discrimination/

Trauma And Dissociation

Trauma and Dissociation is a guide written for clients who have experienced trauma and who are troubled by dissociation. It provides clear informatio ... https://www.psychologytools.com/resource/trauma-and-dissociation/

Autonomic Nervous System

The autonomic nervous system (ANS) automatically regulates the function of body systems outside of voluntary control. The Autonomic Nervous System han ... https://www.psychologytools.com/resource/autonomic-nervous-system/

What Keeps Panic Going?

The "What Keeps It Going?" series is a set of one-page diagrams explaining how common mental health conditions are maintained. Friendly and concise, t ... https://www.psychologytools.com/resource/what-keeps-panic-going/

Interoceptive Exposure

Misappraisals of body sensations trigger emotional and physiological reactions of fear and heightened arousal. These feelings motivate behavioral resp ... https://www.psychologytools.com/resource/interoceptive-exposure/

How Your Body Responds To Stress

Many clients identify with the concept of ‘stress’ more readily than ‘threat’ and the The How Your Body Responds To Stress information handou ... https://www.psychologytools.com/resource/how-your-body-responds-to-stress/

Uncertainty Beliefs – Experiment Record

Situations which are uncertain, novel, or ambiguous trigger a state of uncertainty. Evidence indicates that individuals who are dispositionally high i ... https://www.psychologytools.com/resource/uncertainty-beliefs-experiment-record/

Progressive Muscle Relaxation (Audio)

Progressive Muscle Relaxation is an audio exercise from the Psychology Tools For Overcoming PTSD Audio Collection. It is designed to help anyone exper ... https://www.psychologytools.com/resource/progressive-muscle-relaxation-audio/

Fight or Flight (CYP)

The Fight Or Flight (CYP) information handout has been specifically designed for younger children and includes carefully simplified language. The prof ... https://www.psychologytools.com/resource/fight-or-flight-cyp/

Your Stone Age Brain

Your Stone Age Brain is an information handout which describes the freeze-flight-fight response: a set of evolutionary adaptations that increase the c ... https://www.psychologytools.com/resource/your-stone-age-brain/

Forgiveness Methods

Forgiveness is an effective treatment for anger and the relief of hurt. This information handout describes techniques for forgiveness and the steps in ... https://www.psychologytools.com/resource/forgiveness-methods/

Unforgiveness – The Hook

Everyone experiences hurts and transgressions. When an offence occurs, people often react with anger, fear, or sadness. When these responses persist, ... https://www.psychologytools.com/resource/unforgiveness-the-hook/

Intrusive Memory Record

Intrusive (unwanted, involuntary) memories are a common feature of PTSD, but also depression and other conditions. This Intrusive Memory Record is des ... https://www.psychologytools.com/resource/intrusive-memory-record/

How Does Emotion Affect Your Life?

Emotions are an essential part of being human. Everyone experiences a wide variety of emotions in response to changes in their thoughts, biology, and ... https://www.psychologytools.com/resource/how-does-emotion-affect-your-life/

Learning To Relax (CYP)

Stress and tension are prevalent complaints amongst children and young people. Teaching relaxation exercises can engender a beneficial sense of contro ... https://www.psychologytools.com/resource/learning-to-relax-cyp/

Anger Decision Sheet

Individuals who have a problem with anger can benefit from considering and rehearsing different responses to triggering situations. The Anger Decision ... https://www.psychologytools.com/resource/anger-decision-sheet/

Anger Thought Challenging Record

Evaluating and disputing thoughts is a fundamental skill taught by cognitive therapists to their clients. The Anger Thought Challenging Record can hel ... https://www.psychologytools.com/resource/anger-thought-challenging-record/

A Guide To Emotions (Psychology Tools For Living Well)

Cognitive behavioral therapy can help your clients to live happier and more fulfilling lives. Psychology Tools for Living Well is a self-help course ... https://www.psychologytools.com/resource/a-guide-to-emotions-psychology-tools-for-living-well/

Progressive Muscle Relaxation (Archived)

NOTE: An improved version of this resource is available here: Progressive Muscle Relaxation. Older versions of a resource may be archived in the event ... https://www.psychologytools.com/resource/progressive-muscle-relaxation-edition-1/

Anger - Self-Monitoring Record

Relaxed Breathing Exercise 1 (Audio)

Relaxed Breathing Exercise 1 is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. The aim of this breathing exercise is t ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-1-audio/

Combined Relaxation Exercise (Audio)

The Combined Relaxation Exercise is an audio track from the Psychology Tools For Relaxation Audio Collection. It is designed to help anyone experienci ... https://www.psychologytools.com/resource/combined-relaxation-exercise-audio/

Trauma, Dissociation, And Grounding (Archived)

NOTE: An improved version of this resource is available here: Trauma And Dissociation. Older versions of a resource may be archived in the event that ... https://www.psychologytools.com/resource/trauma-dissociation-and-grounding/

Barriers Abusers Overcome In Order To Abuse

Individuals who have experienced abuse often focus on their own actions (or inactions) and blame themselves for their own abuse. This client informati ... https://www.psychologytools.com/resource/barriers-abusers-overcome-in-order-to-abuse/

Urges – Self-Monitoring Record

The Urges – Self-Monitoring Record worksheet is designed to help clients capture information about their urges and cravings. It includes columns to ... https://www.psychologytools.com/resource/urges-self-monitoring-record/

Sensory Grounding Using Your Five Senses (Audio)

The Sensory Grounding Using Your Five Senses exercise is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. It is designed ... https://www.psychologytools.com/resource/sensory-grounding-using-your-five-senses-audio/

Your Stone Age Brain (CYP)

Your Stone Age Brain is an information handout designed to stimulate discussion with anxious children & adolescents. It describes the freeze-fligh ... https://www.psychologytools.com/resource/your-stone-age-brain-cyp/

Breathing To Calm The Body Sensations Of Panic (Psychology Tools For Overcoming Panic)

Psychology Tools for Overcoming Panic takes a cognitive behavioral therapy (CBT) approach to this common anxiety problem. This chapter discusses the ... https://www.psychologytools.com/resource/breathing-to-calm-the-body-sensations-of-panic-psychology-tools-for-overcoming-panic/

Cognitive Behavioral Model Of Fear Of Body Sensations

Fear of bodily sensations is present in a number of conditions, most notably panic disorder. The Cognitive Behavioral Model Of Fear Of Bodily Sensatio ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-fear-of-body-sensations/

Drawing Your Feelings (CYP)

Enhancing a child’s vocabulary for their feelings is one way of helping them to understand and learn to manage their internal world. The Drawing You ... https://www.psychologytools.com/resource/drawing-your-feelings-cyp/

Grounding Statements (Audio)

The Grounding Statements exercise is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. This audio track is designed for p ... https://www.psychologytools.com/resource/grounding-statements-audio/

Attention - Self-Monitoring Record

Anger Diary (Archived)

NOTE: An improved version of this resource is available here: Anger – Self-Monitoring Record. Older versions of a resource may be archived in t ... https://www.psychologytools.com/resource/anger-diary-archived/

Relaxed Breathing Exercise 2 (Audio)

Relaxed Breathing Exercise 2 is an audio track taken from the Psychology Tools For Overcoming PTSD Audio Collection. The aim of this breathing exercis ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-2-audio/

Recovering From A Nightmare (Audio)

The Recovering From A Nightmare exercise is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. Many people with PTSD have ... https://www.psychologytools.com/resource/recovering-from-a-nightmare-audio/

Relaxed Breathing Exercise 3 (Audio)

Breathing Exercise 3 uses the imagery of breathing air of different colours to help the listener make their breathing slower, deeper, and more regular ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-3-audio/

Cognitive Behavioral Model Of The Relapse Process (Marlatt & Gordon, 1985)

Marlatt & Gordon’s cognitive behavioral model of relapse (1985) conceptualizes relapse as a “transitional process, a series of events that unf ... https://www.psychologytools.com/resource/cognitive-behavioural-model-of-the-relapse-process-marlatt-gordon-1985/

Permissive Thinking – Self-Monitoring Record

Stimulus Discrimination (Audio)

The Stimulus Discrimination audio exercise is taken from the Psychology Tools For Overcoming PTSD Audio Collection. It is designed to help people with ... https://www.psychologytools.com/resource/stimulus-discrimination-audio/

Relaxed Breathing Exercise 4 (Audio)

Relaxed Breathing Exercise 4 is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. Slow, relaxed, diaphragmatic breathing ... https://www.psychologytools.com/resource/relaxed-breathing-exercise-4-audio/

Grounding Objects (Audio)

The Grounding Objects exercise is a simple technique which teaches people with PTSD or dissociative disorders how to use objects with particular senso ... https://www.psychologytools.com/resource/grounding-objects-audio/

Coping With Body Sensations (Psychology Tools For Overcoming Panic)

Psychology Tools for Overcoming Panic takes a cognitive behavioral therapy (CBT) approach to this common anxiety problem. This chapter discusses inte ... https://www.psychologytools.com/resource/coping-with-body-sensations-psychology-tools-for-overcoming-panic/

Relaxed Breathing Record Form

Practicing relaxed breathing serves to reduce physiological arousal and can be an excellent grounding technique. This record form helps clients to mon ... https://www.psychologytools.com/resource/relaxed-breathing-record-form/

VAS Scale

Visual analogue scales (VAS's) can be used for subjective ratings of emotion or other sensations such as pain. This is a handy VAS scale in the style ... https://www.psychologytools.com/resource/vas-scale/

Sensory Grounding Using Smells (Audio)

The Sensory Grounding Using Smells exercise is an audio track from the Psychology Tools For Overcoming PTSD Audio Collection. It is designed to teach ... https://www.psychologytools.com/resource/sensory-grounding-using-smells-audio/

Links to external resources

Psychology Tools makes every effort to check external links and review their content. However, we are not responsible for the quality or content of external links and cannot guarantee that these links will work all of the time.

Information Handouts

Distress tolerance worksheet
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Interpersonal effectiveness skills handout (DEAR MAN)
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Working with primary and secondary emotions
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Emotion myths worksheet
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Guided mindfulness practice script
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Reality acceptance skills overview
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DBT skills mindfulness overview
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States of mind handout (logical, emotional, wise)
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DBT skills quick reference sheet
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Presentations

Adolescent mentalization based therapy | Louise Duffy, Helen Griffiths | 2016
Archived Link
What is mentalizing and why do it? | Chris Taylor
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Mentalisation Based Therapy – clinical slidesucl.ac.uk
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Mentalisation Based Therapy – training slides ucl.ac.uk
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Self-Help Programmes

Facing Your Feelings (Workbook) | Center For Clinical Interventions | 2012
- Module 1: Understanding Distress Intolerance
  Primary Link Archived Link
- Module 2: Accepting Distress
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- Module 3: Improving Distress
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- Module 4: Tolerating Distress
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Treatment Guide

Emotion regulation, interpersonal effectiveness, and distress tolerance skills for adolescents: A treatment manual | Charlers Bonner | 2002
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A quality manual for MBT | Anthony Bateman, Dawn Bales, Joost Hutsebaut | 2014
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Worksheets

DBT skills training pros and cons worksheet
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DBT behavior chain and solution analysis worksheet
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Opposite action handout and worksheet
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Check the facts handout and worksheet
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DBT multi-purpose pros and cons worksheet
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What Is Affect Regulation?

Techniques for Affect Regulation

Affect regulation is a broad category that encompasses almost anything done to manage our emotional state including:

acceptance (the effortful ‘allowing’ of the experience of aversive states without engaging in avoidance or distraction)
cognitive restructuring / cognitive reappraisal
distraction
distress tolerance
grounding techniques
mindfulness / mindful awareness
psychoeducation / understanding about emotions
response modulation (the strategic use of exercise or relaxation)
urge surfing

References

Bowlby, J. (1969). Attachment and loss: Volume I. Attachment. London: The Tavistock Institute of Human Relations.
Bowlby, J. (1982). Attachment and loss: retrospect and prospect. American journal of Orthopsychiatry, 52(4), 664.

Affect Regulation / Emotion Regulation

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What Is Affect Regulation?

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