Five-Senses Grounding: CBT Exercises, Worksheets, Videos

Virtual Coach

Work step-by-step through the Self-Monitoring & Awareness exercise with the virtual coach.

Try it now

Introduction

When anxiety spikes or dissociation blurs the room, your senses are the quickest lifeline. Five-Senses Grounding (often called the 5-4-3-2-1 technique) forces the brain to orient to sights, textures, sounds, scents, and flavors in front of you, shifting neural activity from threat-scanning networks to present-moment processing. Therapists use it in trauma care, crisis lines, and CBT skills groups because it works anywhere, needs zero equipment, and takes under two minutes.

Scroll Up

Instructions

Goal: Use this exercise whenever distress is 6 out of 10 or higher. Try to practice at least once per day so it becomes automatic when needed.
Time needed: 30-90 seconds.

Step 1: Pause & Breathe
Plant both feet on the floor. Take a slow 4-second inhale and a longer 6-second exhale.
Longer out-breath nudges the vagus nerve and cues calm.

Step 2: Scan 5 Sights
Silently name five things you can see. Try to pick different colors, shapes, or distances.
Count ceiling corners, light reflections. Every detail matters.

Step 3: Touch 4 Textures
Notice four distinct textures you can feel. Your sleeve, the floor, your phone, your hair.
Tiny finger movements (like rubbing thumb and forefinger) can sharpen focus.

Step 4: Tune 3 Sounds
Listen for three sounds: distant traffic, HVAC, typing. If the environment is quiet, make soft sounds like snapping fingers or tapping your desk.
Just noticing the background sound can bring you into the present.

Step 5: Sample 2 Scents
Inhale two smells: coffee, hand lotion, or even just the air.
Keep a small scent anchor in your pocket like mint gum or citrus oil.

Step 6: Note 1 Taste
Identify one taste. Take a sip of water, chew gum, or simply notice the taste in your mouth.
Even a neutral taste (like running your tongue over your teeth) works.

Step 7: Re-Rate Distress
Check your distress level again (0–10). If it’s still above 5, repeat the exercise or switch to a different skill.
Use the worksheet to track changes and find what works best for you.

Scroll Up

FAQs

Doesn’t counting objects distract me instead of “solving” the feeling?

Exactly! That brief distraction gives your prefrontal cortex time to come back online so later CBT tools (reframing, problem-solving) can work. Clinical trials show sensory grounding lowers arousal and short-circuits dissociative spirals. emerald.com

I can’t find two scents. What now?

Swap senses as needed (e.g., two pressures like cross arms, press palms). The order is less important than full sensory engagement.

Will people think I’m weird naming objects aloud?

Whisper or think of the words. The effect comes from focused noticing, not volume.

My distress only drops a point. Am I doing it wrong?

Any drop is success. Repeat the cycle, pair it with slow breathing, or pivot to another skill (Mindful Minute, STOPP Card) if intensity stays high.

Scroll Up

Disclaimer

If you have any behavioral health questions or concerns, please talk to your healthcare or mental healthcare provider. This article is supported by peer-reviewed research and information drawn from behavioral health societies and governmental agencies. However, it is not a substitute for professional behavioral health advice, diagnosis, or treatment.

Scroll Up

Leave a Comment

Scroll Up
Add Your Comment

Leave a Comment

"Going through all the DBT worksheets really helped me rethink the way I was approaching my life. Thank you!"

- Tillie S.

"Life changer! I struggled with depression and anxiety before I did this course. Do it!"

- Suzanne R.

"I started doing your worksheets a month ago. My therapist says they helped us make faster progress in our sessions."

- Eduardo D.

"Stick with it. It really works. Doing these exercises every day helped me get over a really bad spell of depression."

- Juliana D.