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Distress tolerance
Rating Your Level of Distress
The tools you need for the Situations You Encounter
"Crisis doesn't need instant answers--balance the mind, then decide. "
MARSHA FERRICK
Helping you one skill at at time to improve your ability to tolerate distress.
At LIFE IN PROGRESS it’s about learning how to tolerate distress:
• distract when feeling overwhelmed
• no major decision making
• tolerate stress at higher levels over time
Tolerating distress is not about making a decision. In reality, tolerating distressing is about regaining our balanced center before doing anything else of import.
Lack of self care and environmental stressors make it more difficult to tolerate distress effectively.
We fail to set limits and become overwhelmed.
We don’t take care of things in a timely manner and thus they become emergencies.
We do not pay attention to the messages our body is telling us to slow down, take a break.
We have little tolerance to stress, and regulating emotions.
When emotional distress becomes intense, our nervous system shifts into survival mode. The brain’s primary goal in these moments is not problem solving, insight, or growth — it is protection. Heart rate increases, thinking narrows, emotions feel overwhelming, and our ability to reason or make balanced decisions temporarily decreases. In this state, trying to “figure things out” or force emotional processing often makes distress stronger rather than calmer.
Distraction is not avoidance or denial. Healthy distraction is a temporary regulation strategy that gives the mind and body time to settle. Just as we would step away from physical danger to regain stability, emotional distraction allows our nervous system to move out of overwhelm and back toward balance. When intensity lowers, access to judgment, perspective, compassion, and problem-solving naturally returns.
During periods of high distress, continuing to focus on painful thoughts or feelings can unintentionally amplify them. The brain begins looping — replaying fears, regrets, or catastrophic predictions. Attention acts like fuel: whatever we repeatedly focus on grows stronger in the moment. Purposeful distraction interrupts this emotional escalation. It creates psychological space, preventing impulsive reactions, harmful decisions, or words spoken in moments we may later regret.
Distraction also protects relationships and long-term wellbeing. When overwhelmed, people are more likely to react defensively, withdraw completely, or act in ways that do not reflect their values. Taking a temporary mental break allows emotions to cool so responses can later come from intention rather than reaction. In this way, distraction supports—not prevents—emotional responsibility.
Importantly, distraction is not meant to replace emotional processing. Difficult feelings still deserve attention, understanding, and care. The goal is timing. We first stabilize, then reflect. Once emotional intensity decreases, we are far better able to understand what happened, communicate effectively, and choose constructive next steps.
In essence, distraction is an act of self-care and wisdom. It recognizes that human beings cannot heal, learn, or connect well when emotionally flooded. By stepping away briefly, we create the conditions needed to return with clarity, steadiness, and self-compassion. Sometimes the most skillful thing we can do in moments of intense distress is not to push through — but to pause, redirect attention, and allow calm to re-enter the system.
RATING YOUR LEVEL OF DISTRESS USING SUBJECTIVE UNITS OF DISTRESS (SUDs)
Understanding SUDS
Subjective Units of Distress Scale
Emotions can feel overwhelming partly because they are difficult to measure. When distress rises, everything may feel equally urgent or intense. The Subjective Units of Distress Scale (SUDS) helps bring clarity by giving us a way to estimate how activated or calm we feel in a particular moment.
SUDS is a personal rating system that measures emotional distress on a scale from 0 to 100. It is called subjective because there is no right or wrong number — the rating reflects your internal experience, not an outside judgment.
Using a distress scale helps us answer an important question:
What skill do I need right now?
Rather than reacting automatically, we begin responding with awareness.
The SUDS Scale (0–100)
🟢 0–20 | Calm & Comfortable
Example:
Quiet contentment, feeling grounded, emotionally steady.
👉 Best time for reflection, learning, or emotional processing.
🟡 30–50 | Activated but Manageable
Example:
Worry before an important conversation or mild frustration.
👉 Use grounding or soothing skills.
🟠 60–80 | High Distress
Example:
Intense anxiety, anger, or emotional overwhelm.
👉 Distraction and regulation skills are recommended.
Processing now may increase distress.
🔴 90–100 | Emotional Flooding
Example:
Worst distress you can remember feeling.
👉 Safety and stabilization come first.
No emotional processing should occur here.
Why SUDS Matters
When distress rises above about 60–70, the brain shifts toward survival functioning. Insight, empathy, and problem-solving temporarily decrease. Attempting deep conversations or emotional analysis at this level often leads to escalation rather than resolution.
The SUDS scale helps us recognize:
Quick Decision Guide Using SUDS
SUDS Level | What Helps Most |
0–30 | Reflect, communicate, process |
30–60 | Grounding & calming |
60–80 | Distract & regulate |
80–100 | Stabilize & ensure safety |
Practice Exercise
“Name Your Number”
Pause and ask yourself:
Right now, my distress level is: ____ /100
Then ask:
The goal is not zero distress. The goal is returning to a range where wise choices become possible.
Emotional awareness begins when we learn to notice intensity without judgment. The SUDS scale helps us meet ourselves honestly — responding with care rather than criticism — one regulated moment at a time.









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If we have difficulty regulating emotions then we will be more vulnerable to distress
Inadequate self-care leaves us vulnerable to emotional dis-regulation and this to higher levels of distress.
Busyness can lead to distress because we are not taking time to slow down and consider our options.
Unprocessed material from our past may trigger us into immense distress over what others may see as insignificant events.
Stressors outside ourselves that we have no control may impact us and create a greater vulnerability to distress.
Give yourself grace, slow down, find the eye in the midst of the storm









Both would be appropriate.
Regulating emotions is a daily activity which can be maintained with good self-care. Tolerating distress is about being able to manage higher levels of stress without becoming disregulated.
When distressed we are in emotional mind. Decisions are best made in balanced mind.
False
Support can be helpful if it can help us distract from our own distress for a time.
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