C-PTSD Parts Therapy Grounding Worksheet (Printable PDF) | Emotional Flashbacks, Dissociation & Trauma Parts Assessment

Complex PTSD (C-PTSD) often involves chronic emotional dysregulation, internal conflict, and trauma-related “parts” that emerge in response to perceived threat. These may include hypervigilant, dissociative, self-critical, or emotionally overwhelmed states. This Parts Therapy Worksheet is designed to help identify and track these parts, measure their intensity, and develop strategies to regulate and integrate them using CBT, DBT, and trauma-informed approaches.

C-PTSD Parts Therapy Worksheet

Section 1: Identify Trauma Parts

Part	Description	Intensity (0-10)
Hypervigilant	Scanning for danger
Emotional Flashback	Overwhelming emotional flooding
Dissociative	Detached, numb, disconnected
Self-Critical	Shame, harsh inner voice

Section 2: Understanding the Part

Which part is most active? What is it protecting you from? What does it need?

Section 3: Regulation (DBT)

5-4-3-2-1 grounding
Box breathing
Orient: “I am safe right now”

Section 4: Reframing (CBT)

Thought	Balanced Thought

Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ASDCS, NATC, CCTP, CCTP II, ADHD-CCSP, C-DBT, C-PD
Double Board Certified Licensed Clinical Psychotherapist