1Learn CBT Progressive Muscle Relaxation Skill
Goal: Practice the full 16-muscle sequence once daily for 14 days, plus a 3-group “mini-PMR” whenever tension ≥ 6 / 10.
Full run-time: ~12 minutes
Step 1: Set Up
Sit or lie down, spine straight. Silence phone.
Cue: “Ready, begin.”
Pro-tip: Dim lights if possible.
Step 2: Hands & Arms
Curl fists for 5 seconds, then release for 10. Repeat with biceps.
Cue: “Tight … relax.”
Pro-tip: Inhale on tension, exhale on release.
Step 3: Face & Shoulders
Scrunch forehead, eyes; shrug shoulders.
Pro-tip: Notice the contrast as muscles release.
Step 4: Chest & Back
Inhale, arch back slightly → release.
Pro-tip: Don’t strain. Use mild tension only.
Step 5: Belly & Hips
Pull belly in → release; clench glutes → release.
Pro-tip: Keep breathing slow and steady.
Step 6: Legs
Tense thighs, then calves, then feet/toes. One group at a time.
Pro-tip: Point then flex toes for full range.
Step 7: Scan & Repeat Hotspots
Do a full-body scan; retension any area still > 3/10 tight.
Cue: “Let go.”
Pro-tip: Jaw and shoulders often need a second pass.
Step 8: Finish with 3 Breaths
Use a 4-7-8 diaphragmatic cycle.
Cue: “Calm …”
Pro-tip: Locks in the body’s relaxation response.
Step 9: Rate Tension
SUDS or tension scale 0–10 before vs. after; log result.
Pro-tip: Aim for ≥ 3-point drop. Use patterns to guide future practice.
Mini-PMR (60 Seconds)
- 1) Shoulders
- 2) Jaw
- 3) Hands
Tense for 3 seconds, release for 6 seconds. One cycle each. Use whenever tension spikes mid-day.
2Fill out the worksheet
Track full sessions and brief mini-PMR practices separately. Record how tension changes and which areas need attention; use mild, comfortable tension only.
Date & Time : …
FAQs
I cramp or shake during tensing. Bad sign?
Reduce squeeze to 50 % strength or shorten tense time to 3 sec; PMR should never hurt.
Can I skip areas after an injury or surgery?
Yes! Visualize tensing the area instead, or simply breathe into it and release.
I get sleepy. Is this safe before driving?
PMR can drop alertness; schedule sessions at home or take a 2-minute energizing stretch afterward if you must drive.
How is this different from body scan mindfulness?
PMR adds active tension to sharpen awareness of contrast; scans rely on passive noticing. Many users blend both.
Disclaimer
This lesson is an educational practice resource, not a substitute for professional assessment, diagnosis, or treatment. Discuss behavioral health questions or concerns with a qualified healthcare professional.
Sources and further reading
These resources explain the background approach. They do not validate this worksheet as a standalone treatment or its suggested practice schedule.