How to Self-Soothe When You're Overwhelmed: Techniques, Evidence, and Limits
How do I self-soothe when I am overwhelmed, anxious or upset?
Self-soothing is calming your own distress on purpose. Techniques from DBT and breathing research, what the evidence shows, and when to seek help.
Self-soothing means calming your own distress on purpose: giving your body and mind something that signals comfort or safety, so that a surge of anxiety, anger or hurt comes back down to something you can think inside of. It can be as small as a long, slow exhale, a warm mug held in both hands, or a hand resting on your chest. This page covers techniques drawn from a clinical skills program (the dialectical behavior therapy skill called "self-soothe"), from breathing research and from self-compassion research, and it says plainly where each one is well supported and where it is not.
It also says, in the middle of the page and not in a footer, when self-soothing is the wrong tool: ongoing panic, urges to hurt yourself, thoughts of suicide, or distress that is stopping you from living your life all call for a licensed clinician or a crisis line, and the section titled "When self-soothing is not enough" gives numbers, with the country each one works in.
What self-soothing is, and what it is not
Self-soothing is one form of emotion regulation: specifically, bringing your own arousal back down after it has risen. A working distinction, taught in a lot of clinical settings, is that soothing keeps you in contact with yourself while the intensity drops, whereas numbing lowers the intensity by getting away from the experience, through hours of scrolling, drinking, or any habit whose job is to make the feeling stop being felt. Both can feel like relief in the moment, which is why they are easy to confuse.
There is research behind being wary of the second pattern. A 2010 meta-analysis by Aldao, Nolen-Hoeksema and Schweizer, pooling 114 studies, found that habitual avoidance and suppression were associated with more symptoms of anxiety, depression, eating problems and substance-related problems. That is an association, not proof that avoidance causes those problems, and it describes habits rather than the occasional decision to step away from an argument or take your mind off something. Stepping away for a while is not the issue. The question is what you do when you come back, and whether the pattern is your main way of handling every hard feeling.
Start with the body: slower breathing with a longer exhale
A common way to start: breathe in through your nose for a count of about four, then out slowly for six to eight, for a few minutes. The specific counts are a teaching convention rather than numbers taken from a trial; the idea is simply that the exhale is longer than the inhale and the whole thing is slower than your breathing when upset.
What the research says is encouraging but uneven. A 2018 systematic review in Frontiers in Human Neuroscience by Zaccaro and colleagues covered 15 studies of healthy adults breathing slower than ten breaths per minute. Slow breathing was associated with higher heart rate variability (a marker of parasympathetic, "rest and digest" activity) and with lower anxiety and arousal and greater relaxation, though the findings were inconsistent across studies. The authors could not pool the results statistically because the studies differed so much, and they noted that none of the included studies used a longitudinal or randomized design.
A 2023 randomized study by Balban and colleagues in Cell Reports Medicine gave 108 people five minutes of daily practice for 28 days. An exhale-focused pattern called cyclic sighing produced a larger increase in daily positive mood than mindfulness meditation did. The groups were small, the study was run remotely, it lasted four weeks, and there was no follow-up.
Neither study tested slow breathing on someone in the middle of a real surge of distress, so it is reasonable, but not proven, to expect a longer exhale to bring an acute spike down. If breathing exercises make you dizzy or more anxious, ease off or stop; paying attention to your breath is not comfortable for everyone.
Explore: box breathing
Use the senses: the five-senses self-soothe skill
Marsha Linehan, who developed dialectical behavior therapy (DBT), lists "self-soothe" among the crisis survival skills in the distress tolerance module of her skills training manual. The skill is organized around the five senses: find something comforting to look at, to listen to, to smell, to taste and to touch. In practice that might be a photo or a view out a window, a playlist or rain sounds, a candle or a familiar soap, a piece of dark chocolate or a hot drink, a soft blanket or a warm shower. You do not need all five. Pick one, and give it a full minute of real attention rather than half-using it while the worry keeps running.
The plausible reason this helps is that pleasant, absorbing sensory input gives your attention something to hold other than the distress. That is a reasonable account of the mechanism, not a measured one for this particular skill. It is taught as a clinical skill, and we did not find a trial that tests it on its own, so treat it as a practical, clinically taught tool rather than a proven treatment.
One practical point: when you are upset, choosing is harder. Many people find it helps to make a short list while calm, of the few specific things that comfort them, so that in a bad moment the choice is already made. A related, widely taught grounding exercise is to name five things you can see, four you can touch, three you can hear, two you can smell and one you can taste, which gives the same kind of anchor.
Explore: dialectical behavior therapy · grounding techniques
Touch and kind words
Psychologist Kristin Neff defines self-compassion as having three parts: self-kindness, a sense of common humanity (that struggling is part of being a person, not proof something is wrong with you) and mindfulness. In her self-compassion exercises she teaches supportive touch, such as a hand over the heart, and explains it as a way of communicating compassion to yourself that seems to activate a calming response. That is her stated rationale.
One randomized trial tested a version of this. Dreisoerner and colleagues (2021) put 159 healthy adults aged 18 to 35 through a standardized laboratory stress test. People told to give themselves 20 seconds of soothing touch, mostly one hand on the chest and one on the abdomen, had lower cortisol than a control group at three of four measurements afterward. But heart rate and self-reported stress did not differ between groups. So the finding is a measurable hormonal effect in one lab study of young, healthy participants, not a demonstrated drop in how distressed people felt.
Words work the same way as touch, as an experiment you can run on yourself. Notice whether your inner voice in distress is cold or punishing, then ask what you would say to a friend feeling exactly this. Honest comfort tends to land better than forced positivity: "This is really hard, and it makes sense that I am struggling" is more believable than "I am amazing". As far as this page could check, the evidence for kind self-talk and supportive touch is modest, but both cost nothing to try. If touch or closing your eyes feels unsafe to you, skip it and use another sense.
Explore: self compassion break
How to tell soothing from numbing in your own life
These questions are clinical rules of thumb, not a tested measure. After you do something to cope, ask: do I feel calmer and still in touch with myself, or just further away from the feeling? Do I have more capacity afterward, or less? Could I have stopped when I meant to? When the habit ends, does the feeling come back exactly as it was? A two-hour scroll that leaves you emptier than you started is doing a different job than a ten-minute walk or a hot shower that leaves you steadier, even though both felt better than sitting with the feeling at the time.
None of this makes distraction a failure. Sometimes buying yourself some time is the right call, and the aim is only to know which one you are doing.
When self-soothing is not enough
Self-soothing is for distress that rises and falls: the ordinary, and sometimes very intense, upsets of life. It is not a treatment for an anxiety disorder, depression, trauma or a mental health crisis. And coaching, including the AI coaching described at the end of this page, is not therapy and does not replace it.
Talk to a licensed clinician, such as a doctor, psychologist or other licensed mental health professional, if panic attacks keep coming back, or you have started arranging your life around avoiding them; if you worry most days in a way you cannot control and it has gone on for months (the National Institute of Mental Health describes generalized anxiety disorder as difficulty controlling worry on most days for at least six months, along with other symptoms, and only a clinician can diagnose it); if distress is getting in the way of work, school or relationships; if these techniques are not helping; or if you rely on alcohol or other substances to get through and cannot cut back. The same institute notes that the physical symptoms of a panic attack can resemble those of serious medical conditions such as a heart attack, so a first episode, or chest pain you cannot explain, deserves a medical evaluation. Treatment for these conditions, such as cognitive behavioral therapy, is well established, and some clinical programs, DBT among them, teach skills like the ones on this page as part of treatment.
If you are having urges to harm yourself, or thoughts of suicide, self-soothing is not the tool, and you do not have to manage this alone or wait until it feels bad enough. In the United States, call or text 988, the 988 Suicide & Crisis Lifeline, or chat at 988lifeline.org; it is available 24/7, free and confidential. In the United States you can also text HOME to 741741 to reach the Crisis Text Line. In Canada, call or text 9-8-8, available 24 hours a day. In the United Kingdom and Ireland, Samaritans can be reached any time on 116 123, which is free to call. In Australia, call Lifeline on 13 11 14, or text 0477 13 11 14. If you are somewhere else, findahelpline.com lists verified helplines by country, and if you are in immediate danger, call your local emergency number (911 in the United States).
Why some people find this hard: how the skill develops
Many researchers describe emotion regulation as something that begins between two people. A caregiver soothes a distressed child, and over years the child takes over more and more of that job. This is often called co-regulation. In a 1994 review, Jude Cassidy examined how attachment relationships shape emotion regulation, and argued that people who are flexibly able to accept and integrate both positive and negative emotions are generally securely attached, whereas limited or heightened negative emotion is more associated with insecure attachment. That is a pattern across people drawn from a review, not a verdict on any one person's childhood.
If you never saw this modeled, or what you were offered was dismissal rather than comfort, finding self-soothing hard is not a character flaw, and it is not a reason to think it cannot be learned later in life. Skills training for adults, DBT being a well-known example, exists because these skills are taught to people who did not pick them up earlier. Reaching for a calm, non-judgmental person is also a legitimate way adults settle themselves; it is not a failure of self-soothing. It helps most when the other person is actually calm, and less when they tend to minimize or escalate.
Explore: co regulation · attachment theory
A note on polyvagal theory
Breathing and touch techniques are often explained online with polyvagal theory, the idea that distinct branches of the vagus nerve govern states of safety and threat. That theory is contested. In 2023, Paul Grossman published a critique in Biological Psychology arguing that its five basic premises are not supported by the physiological evidence, and Stephen Porges, who proposed the theory, has published a response disputing those criticisms. Nothing on this page depends on that debate: the techniques above are described by what studies of them found, not by that mechanism.
Frequently Asked Questions
What is self-soothing in simple terms? It is deliberately comforting yourself when you are upset, using the body (slow breathing, warmth, touch), the senses, or kind self-talk, so the intensity comes down enough for you to think and choose what to do next.
Is self-soothing the same as avoidance? Not by definition. Soothing keeps you in contact with yourself while intensity drops; avoidance and numbing lower intensity by getting away from the experience. Habitual avoidance has been associated with more symptoms across many studies, as described above, though that is an association, not proof of cause.
Which technique should I try first? There is no research-backed ranking for acute distress. Many people start with a slower exhale because it needs nothing but you, then add a sense or a hand on the chest. If one does nothing for you, that is information about what suits you, not a sign you are doing it wrong.
Can I use these during a panic attack? A panic attack can last from a few minutes to an hour or sometimes longer, according to the National Institute of Mental Health, and slow breathing and grounding are commonly used during them, but this page does not claim they will stop one. If panic keeps recurring, see the section above about talking to a clinician.
What this page is not
This page is not a diagnosis, and it is not a claim that any of these techniques will work for everyone or work every time. The evidence behind them is uneven: slow breathing has the most research, the five-senses skill rests mainly on clinical practice, and touch and self-talk have modest support. It is also not a substitute for treatment. For people with a history of trauma, closing your eyes, focusing on the body or being touched can sometimes bring up distress rather than calm, and a clinician can help you adapt these skills safely.
Where IX Coach fits
This page is published by an AI coaching company, and that belongs on the table plainly. IX Coach is an AI coaching system you can talk to directly, designed around reflection, goal clarity and the move from insight to action, and available at any hour. Once the intensity has come down, a conversation can be one place to look at what set the feeling off and what you might do differently next time. It is not built to be a crisis service, a therapist or a replacement for the people in your life, and if what is happening is covered in the section above on when self-soothing is not enough, a clinician or a crisis line is the right place to go.
How do I self-soothe when I am overwhelmed, anxious or upset?
Self-soothing is calming your own distress on purpose. Techniques from DBT and breathing research, what the evidence shows, and when to seek help.
What is self-soothing in simple terms?
It is deliberately comforting yourself when you are upset, using the body (slow breathing, warmth, touch), the senses, or kind self-talk, so the intensity comes down enough for you to think and choose what to do next.
Is self-soothing the same as avoidance?
Not by definition. Soothing keeps you in contact with yourself while intensity drops; avoidance and numbing lower intensity by getting away from the experience. Habitual avoidance has been associated with more symptoms across many studies, as described above, though that is an association, not proof of cause.
Which technique should I try first?
There is no research-backed ranking for acute distress. Many people start with a slower exhale because it needs nothing but you, then add a sense or a hand on the chest. If one does nothing for you, that is information about what suits you, not a sign you are doing it wrong.
Can I use these during a panic attack?
A panic attack can last from a few minutes to an hour or sometimes longer, according to the National Institute of Mental Health, and slow breathing and grounding are commonly used during them, but this page does not claim they will stop one. If panic keeps recurring, see the section above about talking to a clinician.
Research
- Linehan, M. M., (2015), DBT Skills Training Manual, Second Edition, Guilford Press — Source for the self-soothe skill (comforting yourself through the five senses) as a distress tolerance crisis survival skill in dialectical behavior therapy. Print book; the skill was confirmed through published descriptions of it rather than the manual text itself, so it carries no verification date.
- Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B., & Gemignani, A., (2018), How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing, Frontiers in Human Neuroscience, 12, 353 — Systematic review of 15 studies of healthy adults: slow breathing was associated with higher heart rate variability and lower anxiety and arousal, with inconsistent findings and no pooled analysis possible.
- Balban, M. Y., Neri, E., Kogon, M. M., et al., (2023), Brief structured respiration practices enhance mood and reduce physiological arousal, Cell Reports Medicine, 4(1), 100895 — Randomized study of 108 people over 28 days of five-minute daily practice; exhale-focused cyclic sighing raised daily positive mood more than mindfulness meditation. Small groups, remote delivery and no follow-up are limits the authors state.
- Dreisoerner, A., et al., (2021), Self-soothing touch and being hugged reduce cortisol responses to stress: A randomized controlled trial on stress, physical touch, and social identity, Comprehensive Psychoneuroendocrinology — Trial of 159 healthy young adults: 20 seconds of self-soothing touch was followed by lower cortisol, while heart rate and self-reported stress did not differ from controls.
- Neff, K. D., (2003), Self-compassion: An alternative conceptualization of a healthy attitude toward oneself, Self and Identity, 2, 85-102 — Source for the three-part definition of self-compassion used on this page: self-kindness, common humanity and mindfulness. Confirmed through published descriptions of the paper rather than the paper text itself, so it carries no verification date.
- Neff, K., Happiness Break: Self-Compassionate Touch, Greater Good Science Center, UC Berkeley — Kristin Neff describes supportive touch such as a hand over the heart and gives her own account of why it calms; the page presents that as her rationale, not as a measured result.
- Aldao, A., Nolen-Hoeksema, S., & Schweizer, S., (2010), Emotion-regulation strategies across psychopathology: A meta-analytic review, Clinical Psychology Review, 30(2), 217-237 — Meta-analysis associating habitual avoidance, suppression and rumination with more symptoms of anxiety, depression, eating and substance-related problems. Correlational; confirmed through published summaries rather than the full text, so it carries no verification date.
- Cassidy, J., (1994), Emotion regulation: Influences of attachment relationships, Monographs of the Society for Research in Child Development, 59, 228-249 — Review linking attachment relationships to individual differences in emotion regulation; used here for the association between secure attachment and flexible handling of emotion, stated as a pattern rather than a rule. Confirmed through published summaries, so it carries no verification date.
- Grossman, P., (2023), Fundamental challenges and likely refutations of the five basic premises of the polyvagal theory, Biological Psychology, 180, 108589 — A published critique of the physiological premises of polyvagal theory; cited to show the theory is disputed, alongside a response from Stephen Porges.
- Generalized Anxiety Disorder: What You Need to Know, National Institute of Mental Health — Source for the criterion of difficulty controlling worry on most days for at least six months, and for seeking professional help when anxiety interferes with daily life.
- Panic Disorder: What You Need to Know, National Institute of Mental Health — Source for panic attack symptoms and duration (a few minutes to an hour or sometimes longer), the point that symptoms can resemble serious medical conditions, and the recommendation to seek professional help when anxiety disrupts everyday life.
- 988 Suicide & Crisis Lifeline (United States), 988lifeline.org — Confirms the United States Lifeline is available 24/7, free and confidential, by call, text or chat.
- 9-8-8 Suicide Crisis Helpline (Canada), 988.ca — Confirms the Canadian line is reachable by call or text at 9-8-8, 24 hours a day.
- Contact Samaritans (United Kingdom and Ireland), Samaritans — Confirms 116 123 is open any time and free to call from landlines and mobiles in the UK and Ireland.
- Lifeline Australia, lifeline.org.au — Confirms Lifeline Australia is reachable on 13 11 14 and by text on 0477 13 11 14, with 24/7 support.
- Crisis Text Line, crisistextline.org — Confirms that in the United States you can text HOME to 741741, free and 24/7.
- Find A Helpline, findahelpline.com (ThroughLine) — A free directory listing verified helplines in more than 175 countries, for readers outside the countries named above.
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