Action planning

Before you get started, and while you are in a calm and receptive place, please complete the following form. Print it if possible (here) and put it somewhere accessible. Use it in the moments you know you aren’t making your clearest choices. This is an ever-changing, ever-updating form. Please modify as you see fit.

Date

MM

DD

YYYY

The events or triggers most likely to overwhelm me are:

In the event of anything that feels like a crisis, my first 3 steps toward safety are:

To re-regulate my body when it responds to a real or perceived threat I will:

(List 3)

If I need support, my primary points of contact are (this can be a friend/family member, organisation, crisis line, or any other that makes sense for you):

To have a copy of this plan sent to you, enter your email address below: