Back
Trauma · Regulation

Hypervigilance at Home Plan

Dose the skill down, do not shame it

TherapistAssist logo

Vigilance that kept someone alive does not switch off because the setting changed. This page treats it as a skill running in the wrong context — dosed down, not deleted — and gives the household a shared plan.

Where it fires
Setting
Cue
What I do automatically
Level 0-10
What actually helps
Level-matched responses
Low (1-3)

Orienting: name five things in the room, long exhale, feet on the floor. Conversation is still possible.

Medium (4-6)

Change the input: step outside, cold water, walk the perimeter once and stop. Keep sentences short.

High (7-8)

Movement before words. Leave the crowd, get space, no problem-solving and no arguing at this level.

Very high (9-10)

Safety only, and a pre-agreed signal that ends the situation without discussion or blame.

Household agreement
The signal I use when I need to step out, and what it does not mean
What helps from the people I live with, and what makes it worse
How we come back to it later, once the level is down
Anger plan: what I do before it reaches the room

Dose it down, do not shame it

Telling someone their scanning is irrational rarely reduces it. Matching the response to the level, and agreeing an exit in advance, reliably does — and protects the relationships that make recovery possible.

© 2026 TherapistAssist ·
Option One

Get the Hypervigilance at Home Plan

Print-ready PDF. Instant download — no account needed. We email you a copy too.

This sheet only. Unsubscribe anytime.

Option Two

Or send it to your client

Every worksheet, plus 80 interactive tools your client opens on their phone. No app. No login.

  • Their response lands in your dashboard
  • Unlimited worksheet downloads
Start 7-day trial

$20/mo after · cancel in one click

Same clinical territory — free to view, print, or send to a client.