Box Breathing
Slow your racing heart. Four counts in, four counts hold, four counts out.
Box Breathing
4-4-4-4 Breathing:
- Breathe IN for 4 seconds
- HOLD for 4 seconds
- Breathe OUT for 4 seconds
- HOLD for 4 seconds
- Repeat 4 times
This activates your parasympathetic nervous system and reduces anxiety.
5-4-3-2-1 Grounding
Get out of your head and into the present moment using your senses.
5-4-3-2-1 Grounding
Name out loud:
- 5 things you can SEE
- 4 things you can TOUCH
- 3 things you can HEAR
- 2 things you can SMELL
- 1 thing you can TASTE
This interrupts spiraling thoughts and grounds you in reality.
Call Someone
You do not have to do this alone. Reach out right now.
Call Someone
People who care:
- 988 - Suicide & Crisis Lifeline
- 1-800-662-4357 - SAMHSA
- 1-818-773-9999 - NA Helpline
- 1-212-647-1680 - AA 24hr
Or text your sponsor. Right now.
Self-Compassion
Talk to yourself like you would talk to a friend who is struggling.
Self-Compassion
Say to yourself:
- "This feeling will pass."
- "I am doing my best."
- "I have survived hard things before."
- "I deserve recovery."
- "One moment at a time."
You are not your worst moments.
Move Your Body
Get out of your head. Physical movement changes brain chemistry.
Move Your Body
Try one of these right now:
- Walk around the block
- Do 20 jumping jacks
- Stretch for 5 minutes
- Take a cold shower
- Dance to one song
Movement releases endorphins and interrupts cravings.
Surf the Urge
Cravings are like waves. They rise, peak, and fall. You can ride them out.
Surf the Urge
Urge surfing steps:
- Notice the craving without judgment
- Where do you feel it in your body?
- Rate its intensity 1-10
- Breathe and observe it change
- Most urges peak within 15-30 minutes
You are not your cravings. They will pass.
Play the Tape Forward
Think through what happens if you use. The whole story, not just the relief.
Play the Tape Forward
Ask yourself:
- How will I feel in 1 hour?
- How will I feel tomorrow morning?
- What will I have to lie about?
- Who will I hurt?
- Is it worth losing what I have built?
The first hit is never just the first hit.
HALT Check
Hungry? Angry? Lonely? Tired? These make us vulnerable.
HALT Check
Quick fixes:
- Hungry: Eat something. Blood sugar matters.
- Angry: Name what you are really feeling under the anger.
- Lonely: Text someone. Go to a meeting. You are not alone.
- Tired: Rest if you can. Exhaustion lies to us.
Address the basics before the craving.
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