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Flashback Grounding Worksheet

A pocket protocol — written once, used many times

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A pocket protocol for flashbacks — spoken out loud when possible. Not something to figure out in the moment; write once, use many. Read top-to-bottom during a flashback.

1 · Say your name and today's date, out loud.
My name
Today's date
2 · Say where you are and how old you are now.
3 · Feet on floor. Name 5 things you can see.
4 · The sentence that reminds me this is a memory, not now.
5 · The person I text if I am still not back after 20 minutes.
Initials only
What tends to trigger flashbacks for me — so I can spot the runway
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About this worksheet

A pocket protocol for flashbacks, filled in advance and read top-to-bottom during a flashback. Not something to figure out in the moment — written once, used many. Five steps. 1: say name and today's date out loud. 2: say where the client is and how old they are now. 3: feet on floor; name five things you can see. 4: the specific sentence that reminds the client this is a memory, not now. 5: the person to text if the client is not back after 20 minutes (initials only). Ends with what tends to trigger flashbacks for this client — the runway they can learn to spot. The protocol is not a substitute for trauma-focused therapy. It is the interim tool that keeps the client oriented while trauma work is underway.

When to use it

  • PTSD and dissociative flashbacks.
  • Trauma triggers with derealization or depersonalization.
  • Panic attacks with time-slip quality.
  • As pocket reference during CPT, EMDR, or PE course of work.
  • For clients in early trauma therapy before deeper stabilization is in place.

How to use it

  1. 1
    Complete in a calm session

    The words the client will use in a flashback have to be written when they are not in one.

  2. 2
    Say it out loud

    Silent reading works less well than spoken. The client's own voice is orienting information.

  3. 3
    Feet on floor is not decorative

    The felt sense of ground is one of the fastest reorienting cues. Skip if physical setting makes it unsafe; otherwise use.

  4. 4
    20 minutes is the check-in point

    If the client is not oriented within 20 minutes, external contact is needed. That threshold prevents both isolation and over-contact.

Frequently asked questions

Isn't grounding just distraction?+

Distraction moves attention elsewhere. Grounding brings attention to now. Different mechanisms; grounding is the trauma-informed one.

What if the flashback overwhelms all five steps?+

That is important information — usually means the protocol needs to be shorter for this client. Use only step 1 and 3, or add a physical grounding item (ice, textured object) to step 3.

Is this worksheet free?+

Yes. Free printable PDF. Sign in to send as a secure client link.

Worksheet — Flashback Grounding Worksheet — provided by TherapistAssist for clinical use. Not a substitute for assessment or treatment.