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Samaritans: 116 123

When you're at peak crisis

TIPP

Four body-based skills from DBT for when distress is extreme — when breathing exercises feel too slow. Use one or all four.

Pick one. You can do just one — you don't need to do all four. Temperature is usually fastest if you can get to a sink.

Temperature

Cold water — the fastest way to calm your body

Intense exercise

Burn off the adrenaline for 60 seconds

Paced breathing

Exhale longer than you inhale

Paired muscle relaxation

Tense everything, then let go

If you feel unsafe right now

Call Samaritans on 116 123 or, for an immediate NHS mental-health response, call 111 and press option 2.

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