ERT-V REDCAP
Emergency Resources
local_hospital
Catch Yourself Reacting
Session 5
chevron_right
Exercise
Are you...
In session
Between session
Session
Select one...
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Therapist
Please select your therapist.
Select one...
Alex
Anthony
Charlotte
Jacob
Jeannie
Michal
Phillip
Alexandra
Kallisse
Kat
Miranda
Trigger
Describe the situation, person, event (external or internal), bodily sensation, or behavior that might have instigated emotional reactions
How long ago did this trigger occur?
(Enter "0" Hours, "0" Minutes if happening now; enter "0" Hours, "5" Minutes if trigger happened 5 minutes ago)
Hours:
Minutes:
Emotions
Select emotions you experienced.
Fear
Anxiety
Anger
Sadness
Hopelessness
Shame
Interest
Joy
Disgust
Excitement
Other emotions:
Current
Motivations
Your current motivational pulls.
Pull for Security
Low
High
0
1
2
3
4
5
6
7
8
9
10
Pull for Reward
Low
High
0
1
2
3
4
5
6
7
8
9
10
Reactive
Responses
Select responses you exhibited.
Distracting
Over-focusing
Can't concentrate
Worry
Rumination
Self-criticism
Feeling lonely
Feeling guilty
Numbing
Other reactive responses:
Consequences
Select consequences you experienced.
Reassurance-seeking
Starting an argument
Avoidance
Compulsive repetitive behaviors
Smoking
Drinking and/or drug use
Over- or under-eating
Other consequences:
Desired
Motivations
Pull for Security:
Low
High
0
1
2
3
4
5
6
7
8
9
10
Pull for Reward:
Low
High
0
1
2
3
4
5
6
7
8
9
10
Counteractions
What would you do differently if you could wave a magic wand (or step into a portal) to change how you are feeling?
Different Thoughts:
Different Actons:
Skills
Implemented
Select skills used to promote counter-action.
Orienting
Allowing
Distancing
N/A
In the moment...
I paid attention to what I was doing in the present moment.
Not at all
Very much
0
1
2
3
4
5
6
7
8
9
10
I was aware of what was going on in my body.
Not at all
Very much
0
1
2
3
4
5
6
7
8
9
10
I noticed pleasant and unpleasant thoughts and emotions.
Not at all
Very much
0
1
2
3
4
5
6
7
8
9
10
I was aware of what was going on in my mind.
Not at all
Very much
0
1
2
3
4
5
6
7
8
9
10
I experienced my thoughts more as events in my mind than a direct reflection of the way things "really" are.
Not at all
Very much
0
1
2
3
4
5
6
7
8
9
10
I experienced my changing thoughts and feelings as separate from myself.
Not at all
Very much
0
1
2
3
4
5
6
7
8
9
10
Outcome
Was using skills helpful to gain emotional clarify?
Yes
No
Were you able to take
counter-action?
Yes
No
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
