Crisis

High Tension

For strong physical or vegetative activation without necessarily a fully escalated crisis.

17
entries
4
roles
3
Clusters

What this is about

High tension sits below the crisis threshold but above the range where mindfulness-based skills are easy to apply. It is physiologically distinct from inner restlessness — the activation is stronger, more body-centered, and more stable over time. The body has shifted into a state of readiness that resists purely cognitive or reflective approaches.

Useful skill categories are body-based regulation (TIP, paced breathing), radical acceptance with movement, and distress tolerance skills that work without cognitive prerequisites. The frequent mistake is treating high tension as a problem to be solved rather than a state to be stabilized — problem-solving raises activation further. Many people only recognize high tension once it has persisted for hours and has started to affect their judgment.

What happens in the body

Body reactions, typical impulses in an exceptional state, and escalation course as orientation for first stabilizing steps.

First entry (2)

The most direct first step for this situation.

Orient (1)

Helps frame the situation and gain an overview.

Apply (5)

Concrete exercises and skills for the situation.

Stabilize (9)

Supports calming and regulation in the situation.

SkillPrioritized firstDistress Tolerance

Physiological Coping Skills

When the body has to be downregulated first before other skills can even be accessed again.

Also in: Emotion Regulation

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ComponentPrioritized firstDistress Tolerance

TIP: Temperature

When the TIP skills need to be regulated particularly quickly via the body and not via language or cognition.

Also in: Emotion Regulation

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ComponentPrioritized firstDistress Tolerance

TIP: Paced Breathing

When acute tension requires immediate, close-to-the-body and discreet regulation.

Also in: Emotion Regulation

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ExercisePrioritized firstDistress Tolerance

Safe-Place Visualization

When, in times of stress or fear, a quickly accessible inner counter-image to threats and excessive demands needs to be created.

Also in: Emotion Regulation

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ComponentPrioritized firstDistress Tolerance

STOP: Take a Step Back

When it is not necessary to intervene immediately, but rather to gain a small distance so that you do not continue to act reflexively.

Open entry
ComponentPrioritized firstDistress Tolerance

TIP: Intense Exercise

When high tension not only calms you down, it should first be physically reduced so that other skills can take action.

Also in: Emotion Regulation

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ComponentPrioritized firstDistress Tolerance

TIP: Paired Muscle Relaxation

When physical alertness needs to be specifically regulated via muscle and tension levels.

Also in: Emotion Regulation

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ExercisePrioritized firstDistress Tolerance

Cue-Controlled Relaxation

When not only general relaxation is needed, but also the fastest possible, trained approach to calming down in stressful situations.

Also in: Emotion Regulation

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SkillPrioritized firstDistress Tolerance

Self-Soothing

When reassurance, body regulation or a non-punitive form of self-care are needed before problem solving, emotion regulation or interpersonal skills.

Also in: Mindfulness · Emotion Regulation

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