Trinsic • CBT Module
Anxiety & Worry
Grounding & Trauma
Depression & Thoughts
Anger & Regulation
About Anxiety

Anxiety is a natural alarm system — your brain attempting to protect you from perceived threat. In CBT, we learn to distinguish between real danger and the mind's tendency to overestimate risk and underestimate our capacity to cope. This module helps you slow down the worry spiral and examine the thoughts fueling it.

Worry Spiral Capture
When we're anxious, thoughts tend to loop and amplify. Writing them down externalizes the worry — moving it from inside your body to the page, where it becomes something you can look at rather than something you're trapped inside.
What are you worried about?
How intense does this feel? (0–10)
5
Barely noticeableOverwhelming
What thought patterns might be at work?
Select any that feel relevant. Tap one to learn more about it.
Catastrophizing
Mind Reading
Fortune Telling
All-or-Nothing
Overgeneralizing
Mental Filter
Personalization
Should Statements
What evidence challenges this worry?
Think of times the feared outcome didn't happen, or resources you have that you might be discounting right now.
Worry Postponement
A core CBT technique: rather than fighting a worry or giving it unlimited airtime, you acknowledge it and schedule it for a designated "worry time" later. This trains your mind that the thought has been heard, without letting it hijack the present moment. Park a worry below and return to it intentionally.
Park this worry for later
About Grounding

Trauma can cause the nervous system to respond to present-day triggers as though the original danger is still occurring. Grounding techniques work by redirecting attention to the sensory reality of the current moment — using your five senses as an anchor to the here and now. They do not erase the past; they help you return to the present.

Current Distress Check-In
Before beginning any grounding practice, it helps to notice where you are. This isn't about judgment — it's simply a starting point so you can track how you shift through the exercise.
5
CalmSeverely distressed
You're carrying something. Let's work through it together.
5-4-3-2-1 Grounding
This sensory grounding technique works by recruiting five different sensory channels simultaneously, making it very difficult for the mind to sustain a trauma-state response. Work through each step slowly and in order. There is no rush. Tap each step when you've completed it.
1
Name 5 things you can see
Look around slowly. Notice color, shape, texture, light. Let your eyes land on things without judgment.
2
Notice 4 things you can touch
Your chair, your clothing, the surface beneath your feet, the temperature of the air. Feel the physical reality of where you are.
3
Listen for 3 things you can hear
Let sounds come to you rather than searching for them. Near and far. Obvious and subtle.
4
Identify 2 things you can smell
Even subtle — the air, a fabric, your own breath. If you can't identify anything, simply notice the absence.
5
Notice 1 thing you can taste
The inside of your mouth. Water if it's nearby. Something subtle is fine.
Safe Place Visualization
Safe place imagery is used in trauma therapy to build an internal resource — a mental space your nervous system can learn to associate with calm and safety. This place can be real or imagined. The more sensory detail you give it, the more real it becomes to your brain. Describe it in as much detail as you can: what you see, feel, hear, smell. Return to it whenever you need.
Describe your safe place
About Depression and Thought Patterns

Depression is maintained, in part, by patterns of automatic negative thinking — thoughts that arise quickly, feel completely true, and pull us toward withdrawal and hopelessness. CBT doesn't ask us to think positively; it asks us to think accurately. The thought record below is one of the most evidence-based tools in the field for gently loosening the grip of these patterns.

Thought Record
A thought record helps you slow down the connection between a situation, the thought it triggered, and the emotion that followed. By making each step visible, you create distance — and distance creates choice. Work through each field at your own pace.
Situation — what happened?
Be specific. Where were you, what were you doing, who was there, what time of day was it?
Automatic thought — what ran through your mind?
Automatic thoughts are fast, instinctive, and feel like facts. They often start with "I am…", "They think…", "This always…", or "Nothing will ever…"
How much do you believe this thought right now? (0–100%)
70%
Emotional intensity — how strong is the feeling? (0–10)
6
MildOverwhelming
Balanced response — what would you say to a close friend?
This isn't about forcing positivity. It's about asking: is there another way to see this that is also true? What evidence exists on both sides?
Behavioral Activation
Depression creates a withdrawal cycle: low mood leads to inactivity, which deepens the low mood. Behavioral activation interrupts this by scheduling small, meaningful activities — not to feel better first, but to act first and let the mood follow. Research shows that even very small activities (10–15 minutes) can begin to shift the cycle. The goal is not enjoyment; it is engagement.
What once felt meaningful, even slightly?
Think of something small — a walk, a cup of tea made slowly, a song, calling one person. It doesn't have to feel possible right now. Just name it.
A note on motivation In depression, motivation rarely comes before action — it tends to follow it. You don't need to want to do the thing. You only need to begin. Starting is the entire intervention.
About Anger

Anger is not a problem to be eliminated — it is information. In CBT and DBT, we learn to read what anger is communicating: usually an unmet need, a perceived violation of fairness, or a threat to something that matters deeply to us. Regulation means neither suppressing the anger nor acting it out, but understanding it well enough to respond rather than react.

Anger Check-In
Anger is rarely one thing. Naming the specific emotion more precisely helps you understand what is actually happening and what you might actually need. Select the emotion that feels closest.
What am I actually feeling?
Irritated
Frustrated
Angry
Furious
Hurt
Disappointed
Overwhelmed
Resentful
5
MildExplosive
Trigger Dissection
Between a trigger and a reaction, there is almost always a thought — an interpretation of what happened and what it means. This space is where regulation becomes possible. The questions below help you slow that process down.
What triggered this response? What belief or expectation was threatened?
Anger often flares when something we believe should happen, didn't — or something we believed shouldn't happen, did. What rule or expectation was at stake?
What need is underneath this anger?
Common needs beneath anger include: respect, fairness, safety, being heard, autonomy, connection, or predictability. What was missing or threatened?
Regulation Toolkit — TIPP
TIPP is a DBT-derived set of skills for intense emotional activation. These techniques work at a physiological level — they shift your body's state first, which makes thinking more clearly possible. Use them before attempting to analyze or problem-solve. Tap each one when you've tried it.
T
Temperature — Cold water on face or wrists
Cold water on the face activates the mammalian dive reflex, rapidly slowing heart rate and producing physiological calm within 30–60 seconds. Hold your face in a bowl of cold water, or apply a cold cloth.
I
Intense Exercise — 5–10 minutes of movement
Anger floods the body with adrenaline to prepare for action. Intense physical movement gives that adrenaline a legitimate outlet — burning it off so the system can return to baseline. Walk fast, do jumping jacks, anything sustained.
P
Paced Breathing — Breathe in for 4, out for 6
A longer exhale than inhale activates the parasympathetic nervous system — the body's rest and recovery mode. Even five slow cycles can produce measurable physiological change. Focus entirely on the breath and repeat.
P
Progressive Muscle Relaxation
Systematically tense and then release each major muscle group, starting from your feet and working upward to your face. The contrast between tension and release teaches the body the difference between held stress and actual relaxation.