CCP Calibrated SUD Chart (Subjective Units of Distress)

CCP Calibrated SUD (Subjective Units of Distress) Chart
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Name of CCP therapist you are seeing*
On a SUD scale, "1" is equivalent to feeling grounded, calm, and sensing your surroundings with comfort and ease. A "10" is equivalent to full panic mode, completely dissociated, and/or the worst distress you have ever experienced.

On the calibrated scale below:
- First, you will describe the symptoms experienced mentally, physically, and/or emotionally. This may include what thoughts might be occuring in your head (Are you able to think in full sentences? Do you have "control" of your thoughts? Are you unable to form a complete, rational thought? Are your thoughts generally negative or positive?), what is happening in your body (Notice temperature, heartrate, breathing, tension, and/or other somatic symptoms such as nausea), and/or what you are experiencing emotionally (angry, sad, scared, annoyed, frustrated, paranoid, etc.). These symptoms may also relate to a recent event or situation.
  - For example, a level 4 may be "I feel nervous while driving. My heart is racing and I feel irritable. I am annoyed at the other drivers. I am having trouble concentrating or redirecting my thoughts."
- Next, you will list what you need and what interventions can help (or what you hope will help) at each level.
  - For example, "I need to take a deep breath. Putting on my favorite music helps. Thinking of getting to see my cat when I get home. Or not looking at the time while I am driving."
1. (You Are The Buddha) Note how you feel/act when you are at a 1
Example: I feel calm, happy, and my muscles are relaxed
Interventions That Can Help Keep You Here
Example: regular exercise and journaling, taking a shower every morning, getting plenty of alone time or time with friends
2. Note how you feel/act when you are at a 2
Example: I feel a little "rush" in my chest, a little fidgety, thoughts moving a little faster
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Use a fidget, take some deep breaths
3. Note how you feel/act when you are at a 3
Example: I have an increased heart rate and a knot in my stomach, my muscles feel a tiny bit tight
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Utilize mindfulness skills, try a meditation, take a walk, name what I'm feeling, talk to a friend
4. Note how you feel/act when you are at a 4
Example: I have racing thoughts and a sense of doom, my thoughts are more negative than positive, my body is getting tighter and more uncomfortable
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Distract self with reading, music, or TV show, contact a safe person to talk to
5. Note how you feel/act when you are at a 5
Example: I notice that others see that I am upset, I start to "freak out", I get a headache
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Call a safe person to talk, journal thoughts/feelings
6. Note how you feel/act when you are a 6
Example: I feel clammy and numb, I think "here it comes", I have a flushed face and racing heart
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Attempt a progressive muscle relaxation, reframe thoughts, take some space, go for a walk
7. Note how you feel/act when you are at a 7
Example: I get snappy and defensive, my muscles are very tight, I pace, I am afraid I might faint
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Practice 5-4-3-2-1 skill, focus on the feeling of my feet on the floor, repeat affirmations
8. Note how you feel/act when you are at a 8
Example: I feel overwhelmed, I check my pulse, I feel hopeless, I feel afraid, thoughts are racing and feel out of control
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Attempt a distraction or take 1 deep breath, ice water, intense exercise
9. Note how you feel/act when you are at a 9
Example: My chest is very tight, things feel unreal, I feel like I might die, I'm unable to talk or form complete sentences or thoughts
Interventions That Can Help De-escalate and/or Prevent Further Escalation
Example: Ice water, a tight hug, time alone, take a nap
10 (You Are In Full Panic Mode) Note how you feel/act when you are at a 10
Example: Total panic, full fight/flight/freeze, blacked out, throwing up, "help!"
Interventions That Can Help De-escalate
Example: time, laying on the floor, being wrapped in a favorite sweater or blanket, complete darkness and/or quiet
General Tool Dump
Use this space to track and write out any general or specific tools that come to mind. You can assign them to the categories above after you have written them out if this is helpful.
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