Coaching practices for Pe Therapy Hierarchy
Describe almost anything you are working through and IX Coach finds the practices whose real-world fit is closest. For Pe Therapy Hierarchy, these are the strongest matches in the current practice library.
Does this sound like the set of challenges you might be facing?
- When I’m this far gone no single trick is enough
- Every calming trick I know needs a clear head, and I don’t have one when I’m flooded
- I’ve got one go-to thing I do when I’m overwhelmed and I lean on it for everything, but it doesn’t always land
- My world has quietly shrunk to almost nothing
- I only ever try to work with my body when something huge and overwhelming is already on me
Practices that may help
- Combine TIPP components into a crisis sequence
For very high arousal, run TIPP as a full sequence — temperature first, then exercise, then breathing, then relaxation.
TIPP: DBT’s Crisis Skill for Rapidly Lowering Emotional Intensity - Use TIPP to make other skills accessible again
TIPP is not the endpoint — it reduces arousal so cognitive and interpersonal skills become usable.
TIPP: DBT’s Crisis Skill for Rapidly Lowering Emotional Intensity - Understand TIPP — the full DBT context for this skill
Temperature is one of four DBT crisis-survival tools (TIPP: Temperature, Intense exercise, Paced breathing, Paired muscle relaxation).
The Dive Reflex, Made Practical - Prolonged Exposure Therapy: Principles, Practices, and the Evidence
Prolonged Exposure (PE), developed by Edna Foa, is one of the most rigorously studied treatments for PTSD, with consistent randomized trial support across populations. The core mechanism is extinction learning: repeated, systematic contact with trauma-related cues in a safe context teaches the brain that those cues no longer predict danger. The full PE protocol — including imaginal and in vivo exposure — requires a trained therapist; the underlying principles of graduated, systematic approach to avoided cues can be applied in coached or self-guided contexts for sub-clinical fear and avoidance. - Build an avoidance hierarchy
List the situations, places, people, and thoughts you avoid — ordered from least to most feared.
Prolonged Exposure Therapy: Principles, Practices, and the Evidence - Practice titration with low-stakes material to build the skill
Apply the titration approach to ordinary everyday discomfort — mild frustration, physical tension, minor disappointment — to build the skill before harder material.
Titration in Somatic Practice, Made Practical - Examine stuck points across the five disrupted domains
CPT organizes trauma-disrupted beliefs into five domains — Safety, Trust, Power, Esteem, Intimacy — to ensure none are missed.
Cognitive Processing Therapy (CPT): Unsticking the Meanings That Maintain PTSD - Move up only when the current step is manageable
Advance to the next rung when peak distress on the current one is consistently below 30 SUDs — not before.
The Fear Ladder: Graded Exposure Made Practical - Titration in Somatic Practice, Made Practical
Titration, borrowed from chemistry, describes Peter Levine’s principle of working with overwhelming experience in the smallest possible doses — like adding one drop at a time to avoid a reaction that floods and destabilizes. In somatic practice, titration means touching the edges of a difficult memory, sensation, or emotion briefly before retreating to safety, rather than diving into the whole experience at once. This prevents retraumatization and allows the nervous system to process what was previously too much to digest. - Build a fear hierarchy
List feared situations from mildly anxiety-provoking to most feared, then work up from the bottom.
Exposure Therapy: Facing Fears to Shrink Them
Related concerns
- Trauma Titration Technique
Titration, borrowed from chemistry, describes Peter Levine’s principle of working with overwhelming experience in the smallest possible doses — like adding one drop at a time to avoid a reaction that floods and destabilizes. In somatic practice, titration means touching the edges of a difficult memory, sensation, or emotion briefly before retreating to safety, rather than diving into the whole experience at once. This prevents retraumatization and allows the nervous system to process what was previously too much to digest.
- Avoidance Hierarchy Ptsd
List the situations, places, people, and thoughts you avoid — ordered from least to most feared.
Build an avoidance hierarchy
- Combining Tipp Skills
TIPP is not the endpoint — it reduces arousal so cognitive and interpersonal skills become usable.
Use TIPP to make other skills accessible again
- Dbt Tipp Temperature
TIPP — Temperature, Intense exercise, Paced breathing, Progressive relaxation — is a DBT skill developed by Marsha Linehan for rapidly reducing extreme emotional arousal using physiological interventions. Unlike cognitive approaches, TIPP works on the body directly and can shift arousal within minutes, making skills that require reflective thinking accessible again.
- Dose Timing Titration
Titration, borrowed from chemistry, describes Peter Levine’s principle of working with overwhelming experience in the smallest possible doses — like adding one drop at a time to avoid a reaction that floods and destabilizes. In somatic practice, titration means touching the edges of a difficult memory, sensation, or emotion briefly before retreating to safety, rather than diving into the whole experience at once. This prevents retraumatization and allows the nervous system to process what was previously too much to digest.
- Exposure Hierarchy
List feared situations from mildly anxiety-provoking to most feared, then work up from the bottom.
Build a fear hierarchy
Describe your situation in your own words to search the complete practice library.