Sos For Emotions: Tools For Emotional Health

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SOS FOR

EMOTIONS

TOOLS FOR
EMOTIONAL HEALTH

NYUStudentHealthCenter
BE WELL.
CARE FOR YOUR EMOTIONAL HEALTH!

The one thing we all have in


common as people is that we are
emotional creatures. This is both a
gift and sometimes a curse.

The good news is that we can be


active in maintaining and fostering
our emotional health in good
times and bad through a variety of
practical strategies. It may seem like
a lot of effort at first, but with time
and effort it can be enjoyable and a
big confidence booster!

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WHAT DO YOU NEED HELP WITH
IN MANAGING EMOTIONS?
Set a GOAL!

-- PREVENTION: Preparing and


anticipating difficult times with
better coping skills
-- REGULATION: Learning how to
use less harmful coping strategies
when upset
-- POST-RECOVERY: Learning to
learn from bad experiences and
improve coping
-- WELLNESS SKILLS: Learning
how to improve your emotional
resilience

FLIGHT OR FIGHT RESPONSE

What can makes things even


more complicated in managing
our emotions is that when our
balance gets thrown off, it can
trigger a secondary stress
reaction… a fear response.

• FIGHT
• FLIGHT
• FREEZE

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EMOTIONAL DISTURBANCE CYCLE
Negative Cycles - Positive Cycles

With Emotional Regulation Skills, you can change a negative


emotional cycle into a positive one... step by step... skill by skill.

CONNECTING
THE EMOTIONAL
DYSREGULATION
DOTS

Take the mystery


out of your
emotions!

3
TIPS
To manage our emotions we can:

1. Improve and strengthen our coping

2. Change our thinking

3. Engage in positive behaviors

4. Respond to and care for our emotions

5. Reduce stress as well as improve our


stress tolerance

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BEHAVIORAL TOOLS
Behavioral techniques are all about taking action.
Here are some common ideas:

• Take a time out when


overwhelmed
• Pace yourself when feeling
stressed
• Ask for help when stuck
• Use problem-solving
techniques when in a corner

The idea is: To feel different,


you have to do different.

COGNITIVE TRAINING
Ask New Questions

Cognitive Techniques: Managing our self-talk gives us options


when upset. Here’s what a balanced conversation would sound
like...

• What am I reacting to?


• What is it that’s really pushing
my buttons here?

• Am I jumping to conclusions?
• Is there another way of dealing
with this?

• Is it fact or opinion?
• We all give situations and see
things from our point of view.
Broaden your perspective and
consider the bigger picture.

• What meaning am I giving this situation?


• How important will this be 6 months from now?

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COGNITIVE TRAINING:
STOPP TECHNIQUE
When feeling overwhelmed try STOPP!

• S Stop. Don’t act immediately.


• T Take a deep breath.
• O Observe. What am I thinking right now?
• P Pull back. Zoom out. See the bigger picture.
• P Practice your skills.

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MINDFULNESS
Most people miss out on paying
attention to moments in the
course of the day, which could
provide stress relief, rest, or
renewal.

Learn how to tap into


mindfulness skills to manage
tough days.

INTERPERSONAL SKILLS TRAINING


Our relationships are a common source of emotional stress.
It’s easy to get into ruts on how we relate to others. Being
more aware of how we relate and trying new things can be a
great way to manage our needs and subsequent emotions.
Here are some common DBT pointers...

• Ask for what you want


• Clarify what you need
• Learn the difference between being assertive
versus agressive

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DISTRESS TOLERANCE
Managing and tolerating stress is an ongoing daily requirement.

• Riding the subway


• Taking a test
• Waiting to hear from a job
application

All require varying degrees


of stress tolerance.

IMPROVE THE MOMENT

A good coping tool is to remember to improve the moment.


Let’s see how DBT defines this coping tool.

I IMAGERY
M Find MEANING in the situation
P Engage in PRAYER or
Meditation
R RELAXATION
O Take ONE thing at a time
V Take a VACATION
E ENCOURAGE through
positive self-statements

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SELF-SOOTHING TOOLS
Soothing through the senses can often provide immediate
comfort and distraction.

√ Sounds: Listening to or playing music


√ Smells: Aromatherapy or a relaxing bath
√ Sights: Spending time outdoors
√ Tastes: A pleasurable meal
√ Activity: A positive, absorbing activity: arts &
crafts or attending a performance
√ Guided Imagery: VIsualizing a safe place

EMOTIONAL REGULATION
Anyone can feel many emotions in the course of any given
day. Emotional Regulation teaches you how to smooth out
the emotional roller coasters of difficult moments.

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EMOTIONAL TOOLS
A Feelings Journal

A direct way to keep our emotions in check is to keep a feelings


journal. Using a feelings list such as the one below can help us
give a name to a sensation we may be stuck in. Using a feelings
list can also help expand our emotional vocabulary for what we
are going through.

Anger Joy Sadness Hurt Fear


bothered content sad lonely uncertain
annoyed peaceful depressed homesick worried
bitter relaxed distraught abandoned anxious
angry cheerful despair embarrassed frightened
irritated satisfied melancholy shame scared
disgusted joyous grief guilt nervous
frustrated excited helpless foolish afraid
exasperated ecstatic hopeless humiliated terrified
furious happy miserable hurt overwhelmed

SKILL COPING OPTIONS


When distressed, it can be helpful to remind ourselves of
our options.

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CHANGE OPTIONS
What can I change?

• Environment
• Situation
• My Reactions

How can I make the changes?

What resources do I need?

When can I do it?

What do I do first?

ACCEPT OPTIONS

• It is as it is.

• I don’t have to agree with it or judge it as good or bad.

• I can always come back to it later.

• I can keep my options open.

• This is a normal body reaction.

• I don’t have to fight it or try to stop it.

• It will pass.
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LETTING GO OPTIONS

Ask yourself:

Is it worth it?
Is this something I can leave or let go of and move on
from this experience?
Can I learn from this experience?
What would I want to do differently next time?

RADICAL
ACCEPTANCE
In DBT, we learn that to
improve our emotional
health, it is critical to both
accept where we are at the
moment and also take a
step towards change.

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STRESS MANAGEMENT
Active vs. Reactive
AVOID CRASH - BURN - RECOVERY!

Effective Stress Management


includes:

• Inside-Out
• Ex: Walking
• Outside-In
• Ex: Meditation
• Low-Moderate-High Energy exertion

Pick stress management activities


that are doable and accessible.

STRESS MANAGEMENT TOOLS


Relaxation Response
Why is it important to relax and how does it help
emotional health?

• Reduces emotional fatigue


• Improves your ability to think clearly
• Helps with the energy reserve that problems require when
trying to solve them
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BREATHE

Remember - coping can always start with taking a deep breath.


It can be a simple yet powerful step to start your journey.

CBT COACHING
Memory Tools
How can you remember to use your skills?
• Use a memory tool.

Memory Tools:
• Associations
• Carrying notes with you
• Email reminders
• Ex: Use your phone!
• Enlisting support

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POSITIVE ACTIVITIES
In Positive Psychology, they promote an idea that we don’t
have to wait for life to get better to feel better.

Make a commitment to try something new each week.

Don’t leave your mood to chance. Schedule positive activities.

Be Creative - Dabble in a hobby!

Quick Tip: NYU has over 200 clubs!

MEDITATION:
Take a time out! Give your brain a break.
Formal Meditation
• Mindfulness
• Focusing - “Felt Sense”
• Prayer
• Time Out

Meditative Activity
• Cleaning
• Painting
• Playing Music
• “In the Zone”

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FINDING YOUR
FORMULA:
Emotional Safety Plan

What would your emotional


safety plan look like?
• Warning Signs (Red Flags)
• Internal Coping Strategies
• External Social Support
• Making your environment safe

LIFE LONG LEARNING:


Relapse-Prevention

Building healthy coping skills takes TIME and


PRACTICE, PRACTICE, PRACTICE!

• Lapse...Relapse...Collapse
• Remember that once you commit to skills training...relapse
is part of learning and it is also a way of falling forward,
not backward.
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NYU – CWS Resources
• Relaxation Oasis
www.nyu.edu/shc/relax

• Toolkits
• Groups
• Yoga Resources

• Wellness Exchange Hotline


To speak with a counselor over the phone 7 days a week,
24 hours a day, please call (212) 443-9999.

• Wellness Exchange Walk-in


(no appointment necessary)

If you would like to be seen immediately, you can attend


Counseling walk-in hours. For times and locations, please view
our website at www.nyu.edu/999/counseling.
Student Health Center
726 Broadway, 3rd and 4th Floors
(212) 443-1000 • www.nyu.edu/health • health.center@nyu.edu

Counseling and Wellness Services


726 Broadway, 4th Floor, Suite 471
(212) 998-4780 • www.nyu.edu/counseling • wellness.exchange@nyu.edu
Wellness Exchange 24/7 Hotline: (212) 443-9999

This publication was authored by:

Reji Mathew, PhD


NYU Counseling and Wellness Services
Dialectical Behavior Therapy Clinical Team

10/2012

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