Better Day Therapy · Cristen Coker, LMHC, NCC ← All Resources
Coping Skills

Coping Skills

Coping skills aren't only for crisis moments. Used consistently, they build tolerance, resilience, and self-awareness over time. Click any skill below to expand it.

Coping skills fall into a few broad categories: skills that calm the nervous system in the moment, skills that change how you think about a situation, skills that change what you do in response to distress, and skills that build long-term resilience. A good toolkit includes something from each category.

One thing to know: Coping skills work best when practiced before crisis, not only during it. Think of them like a fire drill: rehearse when things are calm so the skill is actually available when you need it.

Section 1 Calming the Nervous System

Skills that directly regulate physiological arousal, most useful when anxiety, anger, or overwhelm is spiking.

When anxiety spikes, breathing becomes shallow and fast, which sends more alarm signals to the brain. Slowing the breath, especially extending the exhale, activates the parasympathetic nervous system and begins to physically calm the body. The 4-7-8 ratio works particularly well because of how long the exhale is. Regular practice strengthens the effect over time.

How To
  1. Exhale completely through your mouth
  2. Inhale through your nose for a count of 4
  3. Hold your breath for a count of 7
  4. Exhale completely through your mouth for a count of 8
  5. Repeat the cycle 3 more times
When To Use It
  • Before a stressful situation
  • When anxiety or anger spikes suddenly
  • To fall asleep when your mind is racing
  • As a brief daily practice, since it builds in effectiveness over time
Journal Prompts

After practicing 4-7-8 breathing, describe what you noticed in your body. What shifted, even slightly?

What's one situation this week where you could use this technique before the anxiety peaks rather than after?

When you're anxious or overwhelmed, attention tends to drift away from the present. It's often focused on what might happen next, or replaying what already went wrong. Grounding pulls attention back through sensory experience. The 5-4-3-2-1 technique is simple, discreet, and works anywhere.

How To
  • Notice 5 things you can see
  • Notice 4 things you can physically feel
  • Notice 3 things you can hear
  • Notice 2 things you can smell
  • Notice 1 thing you can taste
Tips
  • Go slowly. The point is deliberate attention, not speed
  • Look for small details your mind usually filters out
  • Works especially well when anxiety feels overwhelming or spiraling
  • Full worksheet at TherapistAid.com →
Journal Prompts

What sensory experiences feel most grounding to you? Consider sights, sounds, textures, and temperature. How could you make those more accessible when things get hard?

Describe a moment this week when you felt anxious and were able to redirect your attention. What brought you back to the present?

Anxiety and stress collect in the body as muscle tension, often without any conscious awareness of it. Progressive Muscle Relaxation teaches the body to notice the difference between tension and release by deliberately working through each muscle group. Over time, you get better at catching tension early and letting it go before it builds.

How To
  1. Find a comfortable position, either sitting or lying down
  2. Starting with your feet, tense the muscle group firmly for 5 seconds
  3. Release completely and notice the feeling of relaxation for 10 seconds
  4. Move up through legs, abdomen, hands, arms, shoulders, face
  5. End with a few slow, deep breaths
When To Use It
  • Before bed to reduce nighttime tension and improve sleep
  • During high-stress periods as a daily reset
  • When you notice physical symptoms of anxiety building
  • Full sessions take 15–20 minutes; abbreviated versions can be done in 5
Journal Prompts

Where do you hold tension in your body most often? What tends to trigger it, and how long does it typically stay?

After a PMR practice, describe the difference between how your body felt before and after.

Section 2 Changing How You Think

Skills for examining and reframing the thoughts that drive distress.

When strong emotion spikes, the space between what happens and how you respond can collapse almost instantly. The STOP technique is designed to manually restore that space. It works in the middle of difficult moments and doesn't require you to feel calm first.

The Four Steps
  • S: Stop completely. Freeze. Don't move.
  • T: Take a step back. Notice your breath.
  • O: Observe your surroundings and your inner experience without judgment.
  • P: Proceed mindfully. What does your wisest self want to do here?
When To Use It
  • When you feel the urge to snap, flee, or shut down
  • Before sending an emotionally charged message
  • When a situation suddenly feels overwhelming
  • Any time you notice your body going into alarm mode
Journal Prompts

Think of a recent moment when you reacted before you had a chance to pause. What would the STOP technique have made possible in that moment?

What does your wise mind sound like, the part of you that isn't driven purely by anxiety or emotion? What does it usually want you to do?

Thought challenging has nothing to do with positive thinking. It means treating anxious or critical thoughts as hypotheses rather than facts, then looking at the actual evidence. Done consistently, this builds a more accurate relationship with your own thinking. Accuracy is the goal, not optimism.

Questions to Ask
  • What am I predicting will happen?
  • What evidence supports this?
  • What evidence contradicts it?
  • What's the most realistic, balanced view?
  • What would I tell a friend who had this thought?
Tips
  • Write it down. Thoughts on paper are much easier to examine than thoughts circling in your head
  • Track predictions over time to see how often they come true
  • Watch for all-or-nothing thinking, catastrophizing, emotional reasoning
Journal Prompts

Take one of your most frequent anxious or self-critical thoughts and walk it through the thought challenging questions. What do you find?

What would you say to a close friend who was having this exact thought? Why is it easier to offer that perspective to someone else than to yourself?

Defusion is an ACT (Acceptance and Commitment Therapy) skill that creates psychological distance from thoughts. Rather than being fused with a thought and treating it as reality, you observe it as a mental event passing through. It's especially useful for intrusive thoughts, self-critical thoughts, and thoughts that feel urgent and impossible to ignore.

Defusion Techniques
  • Add "I'm having the thought that..." before the thought
  • Visualize the thought as a leaf floating down a stream
  • Label the type of thought: "There's the worry story again"
  • Say the thought in a silly voice or very slowly, and notice what changes
What Defusion Is Not
  • It's not suppressing the thought or pushing it away
  • It's not arguing with the thought or trying to prove it wrong
  • It's not telling yourself the thought doesn't matter
  • It's noticing the thought without being consumed by it
Journal Prompts

What thought would you most benefit from defusing from? What would it look like to observe that thought rather than believe it completely?

What's the difference between having a thought and being defined by it? Where in your life do you blur that line most often?

Section 3 Changing What You Do

Skills focused on behavior, specifically on acting in ways that reduce distress rather than feed it.

Opposite action is a DBT skill built on a simple observation: distressing emotions like anxiety, depression, shame, and anger generate urges that tend to make things worse. Opposite action means noticing what the emotion is pushing you toward and choosing differently. Motivation isn't required. Just the willingness to notice the urge and not follow it automatically.

Emotion → Urge → Opposite
  • Anxiety → avoid → approach gradually
  • Depression → withdraw → reach out or show up
  • Shame → hide → share with one trusted person
  • Anger → attack or shut down → engage calmly or take space
What to Know
  • You don't need to do the full opposite. Any movement in that direction counts
  • The goal isn't to feel great. It's to act against the pull
  • Track what you notice after opposite action vs. following the urge
Journal Prompts

What emotion is most reliably giving you unhelpful urges right now? What would one small opposite action look like today?

Describe a time you did the opposite of what a difficult emotion told you to do. What happened as a result?

Behavioral activation rests on a well-supported idea: behavior shapes mood, not just the other way around. When depression or low motivation is present, scheduling meaningful activity gradually rebuilds the neurochemistry that supports better mood. The sequence matters here. Action comes first. Motivation and mood tend to follow.

How To Start
  • List 5–10 activities that have brought pleasure, meaning, or connection in the past
  • Schedule one per day and be specific about the time
  • Start with the lowest-effort item on the list
  • Track the activity and note any mood shift, even slight
Types of Activity
  • Pleasure: things that bring enjoyment
  • Achievement: things that give a sense of accomplishment
  • Connection: any interaction with others, however brief
  • Movement: physical activity at any level
Journal Prompts

What gets in the way when you try to engage in activities you know might help? What would it take to lower the barrier just slightly?

Think about a time when doing something, even reluctantly, shifted your mood. What does that tell you about the relationship between action and feeling?

Section 4 Building Resilience

Longer-term practices that strengthen emotional capacity over time.

Self-compassion is not self-pity and it doesn't mean lowering your standards. Research by Dr. Kristin Neff links it directly to reduced anxiety, depression, and self-criticism, as well as stronger emotional resilience. For most people, especially high-achievers with a long history of self-criticism, it will feel unnatural at first. That's worth knowing going in.

Three Elements (Kristin Neff)
  • Self-kindness: treat yourself as you'd treat a struggling friend
  • Common humanity: suffering is part of shared human experience, not a sign something is uniquely wrong with you
  • Mindfulness: hold painful feelings in balanced awareness, without over-identifying
Simple Practices
  • Hand on heart: say something kind to yourself out loud
  • Write the letter you'd write to a friend going through this
  • When the inner critic speaks, ask: would I say this to someone I love?
  • Notice self-criticism without adding more criticism on top of it
Journal Prompts

Write a letter to yourself about what you're going through, written the way you'd write to a close friend you cared about. What would you want them to know?

Where did you learn that self-criticism was more appropriate than self-compassion? What would it take to begin updating that belief?

Distress tolerance skills from DBT are for moments when emotion is so intense that other skills simply aren't reachable yet. The goal is not to solve the problem or feel better. It's to get through the moment without doing something that makes things worse. TIPP works by targeting the physiology of emotional intensity directly.

TIPP Skills
  • T: Temperature. Cold water on your face or wrists rapidly lowers heart rate.
  • I: Intense exercise. 20 minutes of vigorous movement metabolizes stress hormones.
  • P: Paced breathing. Slow, exhale-focused breathing activates the parasympathetic system.
  • P: Paired muscle relaxation. Tense and release each muscle group while breathing out.
When To Use It
  • When emotion is so intense you can't think clearly
  • When you're at risk of acting in ways you'll regret
  • Before a difficult conversation when you're already activated
  • As a bridge: use TIPP first, then apply other skills once you're calmer
Journal Prompts

Which of the TIPP skills feels most accessible to you? What would it look like to have that option ready before the next crisis moment?

Think about a recent moment of intense emotion. What did you do to get through it? Was it effective, or did it make things harder afterward?

Mindfulness is the practice of paying attention to the present moment with openness, without judgment. It underpins many of the other skills on this page, including grounding, defusion, self-compassion, and opposite action. There's strong research support for its effects on anxiety, depression, and stress. It's a skill, not a personality trait, and it gets easier with practice.

Starting Simply
  • Set a timer for 5 minutes. Sit comfortably and focus on your breath.
  • When your mind wanders (and it will), gently return attention to your breathing
  • The noticing and returning is the practice, not staying focused
  • Try one mindful activity per day. Eating, walking, washing dishes. Full attention on one thing at a time
Common Misunderstandings
  • Mindfulness is not emptying your mind
  • You don't have to feel calm to practice it
  • Distraction during meditation is not failure. Noticing the distraction and returning is the actual practice
  • It doesn't require sitting still. Movement-based mindfulness counts too
Journal Prompts

When during your day are you most fully present? What tends to support that?

What gets in the way of being present for you most often? Is it anxiety about the future, rumination about the past, or something else?

These resources are for educational purposes. Working with a therapist can help you identify which skills are most relevant to your situation and practice them effectively.