PTSD Emergency Management Plan

Personal Information

• Name: _________________
• Emergency Contact: _________________
• Contact Phone: _________________
• Therapist/Psychiatrist: _________________
• Crisis Hotline: _________________

Warning Signs (Check all that apply)

• Increased anxiety or panic attacks
• Intense flashbacks
• Severe dissociation
• Suicidal thoughts
• Difficulty sleeping
• Increased irritability
• Social withdrawal

Immediate Coping Strategies

Grounding Techniques

1. 5-4-3-2-1 Method

   • 5 things you can see
   • 4 things you can touch
   • 3 things you can hear
   • 2 things you can smell
   • 1 thing you can taste

2. Physical Grounding

   • Hold ice in your hands
   • Splash cold water on face
   • Focus on breathing (4-7-8 technique)

Safety Plan Steps

Step 1: Make Environment Safe

• Remove potential hazards
• Go to a quiet, familiar space
• Turn on lights if at night

Step 2: Use Support System

1. Call primary support person: _________________
2. Call backup support person: _________________
3. Contact mental health professional

Step 3: Professional Help

When to Seek Immediate Help:

• Thoughts of self-harm
• Severe panic attacks
• Loss of touch with reality
• Unable to ensure own safety

Emergency Resources

• Emergency Services: 911
• National Crisis Line: 988
• Local Crisis Center: _________________

Daily Management Tools

• Medication schedule: _________________
• Regular exercise routine: _________________
• Relaxation practices: _________________

Complete this form with your mental health professional