MARK ZAUSS - THERAPY
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    • Using peripheral vision to reduce anxiety
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Progressive relaxation for treatment of insomnia 

​Progressive Muscle Relaxation (PMR)

​Progressive Muscle Relaxation is a structured relaxation technique designed to reduce physical tension and promote a sense of calm by systematically tensing and then relaxing specific muscle groups in the body. Originally developed by Dr. Edmund Jacobson in the 1920s, PMR helps individuals become more aware of the physical sensations associated with stress and teaches them how to release that tension intentionally.
Progressive Muscle Relaxation (PMR) – Step-by-Step Guide
  1. Before You Begin:
  2. Find a quiet, comfortable place where you won’t be disturbed.
  3. Sit or lie down in a relaxed position.
  4. Close your eyes if you feel comfortable doing so.
  5. Take a few slow, deep breaths—in through your nose, out through your mouth.

Instructions:
​
You will tense each muscle group for 5–10 seconds, then release for 20–30 seconds, noticing the difference between tension and relaxation. Never tense to the point of pain.

1. Hands and Forearms
  • Tense: Make a fist with both hands.
  • Relax: Let your hands fall open and feel the tension release.
2. Upper Arms
  • Tense: Bend your elbows and tense your biceps.
  • Relax: Let your arms fall gently to your sides.
3. Shoulders
  • Tense: Shrug your shoulders up toward your ears.
  • Relax: Drop them down completely.
4. Neck
  • Tense: Gently press your head back (or forward if preferred).
  • Relax: Return to a neutral position and feel the release.
5. Face
  • Tense: Scrunch your face—tighten your eyes, mouth, and forehead.
  • Relax: Let everything go soft and loose.
6. Jaw
  • Tense: Clench your teeth (gently).
  • Relax: Let your jaw hang loose.
7. Chest
  • Tense: Take a deep breath and hold it, tightening your chest.
  • Relax: Exhale slowly and fully.
8. Stomach
  • Tense: Tighten your abdominal muscles.
  • Relax: Let your belly expand as you breathe naturally.
9. Lower Back and Buttocks
  • Tense: Squeeze your glutes together.
  • Relax: Let them go completely.
10. Thighs
  • Tense: Press your legs together or squeeze your thighs.
  • Relax: Let your legs gently open or rest comfortably.
11. Calves
  • Tense: Point your toes up toward your knees.
  • Relax: Let your feet fall naturally.
12. Feet
  • Tense: Curl your toes tightly.
  • Relax: Uncurl and let them spread.
Final Step:
  • Take a few deep, slow breaths.
  • Scan your body and notice how it feels.
  • Stay still for a moment, letting yourself enjoy the relaxed state before moving.
🎧 Audio Guides for Progressive Muscle Relaxation
  1. Therapist Aid – Guided PMR Audio
    • A professionally recorded session that guides listeners through each muscle group with clear instructions.
    • Listen or download: Therapist Aid​
  2. Dartmouth College – Student Wellness Center
    • A calming PMR audio guide designed to help listeners recognize and release muscle tension.
    • Access here: For You: Students | Dartmouth​
  3. University of Michigan – Psychological Clinic
    • Offers a series of PMR audio files, including sessions focused on specific muscle groups.
    • Explore the collection: mari.umich.edu​
  4. YouTube – Guided Progressive Muscle Relaxation
    • A 20-minute video session suitable for beginners, guiding viewers through the PMR process.
    • Watch here: YouTube​
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    • ADHD Medications List >
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      • Focalin (dexmethylphenidate)
      • Guanfacine (Intuniv)
      • Atomoxetine (Strattera)
      • Clonidine (Kapvay)
      • Onyda XR
      • Wellbutrin
      • Qelbree
      • Azstarys
      • Dextroamphetamine
      • Xelstrym
    • ADHD Medication for Anxiety >
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      • Wellbutrin
      • Escitalopram (Lexapro)
      • Duloxetine (Cymbalta)
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      • Hydroxyzine (Vistaril, Atarax)
      • Fluoxetine (Prozac)
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      • Propranolol (Inderal)
      • Accutane - Adverse effects
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    • Exposure Ladder Worksheet
    • DBT Tools Anxiety Reduction
    • PTSD Veteran Worksheet
    • PTSD Nightmare Treatment
    • Positive Memory Worksheet
    • Progressive relaxation
    • Daily Baseline Calm Grounding Worksheet
    • Systematic desensitization
    • Why You Feel Tired Before It Rains
    • ADHD-Like Symptoms from Anxiety Depression
    • Thought Reframing Anxiety Reduction Worksheet
    • Grounding Skills Worksheet
    • Social Engagement Worksheet
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Social anxiety self rating scale
    • Physical Symptoms Social Anxiety
    • PHQ-9 & GAD-7
    • Post Partum Assessment
    • Anxiety Medications >
      • Sertraline
      • Buspirone (Buspar)
      • Fluoxetine (Prozac)
      • Pristiq
      • Effexor
      • Paroxetine (Paxil)
      • Escitalopram (Lexapro)
      • Propranolol (Inderal)
      • Hydroxyzine (Vistaril, Atarax)
      • Duloxetine (Cymbalta)
    • Body Map of Emotions
    • Neurobiology of Anxiety
  • AUD
    • AUD Medications >
      • Naltrexone
      • Acamprosate
      • Disulfiram (Antabuse)
      • Topamax
      • Gabapentin
    • What to expect
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      • Lumateperone (Caplyta)
      • Cariprazine (Vraylar)
  • Autism Spectrum Disorder (ASD)
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    • ABAS-3
    • SRS-2
    • SPIN (Social Phobia Inventory)
    • Physical Symptoms Social Anxiety
    • Social anxiety self rating scale
    • Social Engagement Worksheet
    • ASD & ADHD Sensory Overstimulation Worksheet
    • ASD Medications >
      • Brexpiprazole (Rexulti)
      • Lurasidone (Latuda)
      • Olanzapine/Samidorphan (Lybalvi)
  • CBT and DBT
    • Anxiety Treatment & CBT/DBT Therapy Hub | Evidence-Based Tools & Worksheets
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    • CBTWorkbook
    • Panic Attacks reduction DBT
    • Cognitive Distortions
    • Rewiring Harmful Automatic Beliefs
    • Anxiety reduction DBT
    • Couples Rebuild Trust with new partner
    • Impulse Pause & Reframe
    • Using peripheral vision to reduce anxiety
    • Tic Disorders Tourettes worksheet
    • CBT Tools Comprehensive
    • Cognitive Restructuring
    • Core beliefs Confidence
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Coping with Grief
    • Thought Reframing
    • Daily Baseline Calm Grounding Worksheet
    • Reduce Food Cravings
    • Hoarding Help for family members
    • Clutter Reduction Anxiety worksheet
    • Anger Assessment
    • Anger Management Treatment
    • Conflict Resolution Worksheet
    • Anger Exercise
    • Intrusive Thoughts Exercise
    • Imposter Syndrome
    • Breathing >
      • Journaling Benefits
    • Physical Symptoms Social Anxiety
    • DBT Tools Anxiety Reduction
    • Congruence worksheet
    • CBT Worksheets
  • Narcissistic Abuse
    • Narcissist Red Flag Checklist
    • Narcissistic Partner Assessment
    • Narcissistic female Assessment
    • Pathology of Narcissism
    • Covert Narcissistic traits
    • Psychopaths vs Narcissists
    • How to DEFEAT a Narcissist
    • Narcissistic ex partner management
    • Leave vs Stay Relationship Clarity Tool
    • Narcissistic Family Members
    • Impact of a Narcissist Parent
    • Brain Venn Diagram
    • Partner Narcissistic Traits
    • Couples Rebuild Trust with new partner
    • Decision worksheet Covert Narcissism
    • Narcissist - short assessment
    • 1 ) Narcissistic Relationship Assessment
    • 2) Narcissistic Relationship Assessment
    • Trauma Education
    • Trauma Bonding Comprehensive worksheet
    • Grounding Techniques
    • Breathing Technique
    • Trauma Worksheets
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    • ACE Childhood Trauma
    • Dissociative Experiences Scale
    • Super Traits
    • Parts Therapy Grounding
    • Daily Baseline Calm Grounding Worksheet
    • Cognitive dissonance Checklist
    • Cognitive dissonance treatment exercise
    • Confidence Building Worksheet
    • Assertiveness Worksheet
    • Narcissistic Personality Inventory, NPI
    • DBT Tools Anxiety Reduction
    • Hypersensitive Narcissism Scale (HSNS)
    • Therapy for Narcissists
    • Can a Narcissistic Change
    • Why do I feel like I'm the Narcissistic?
    • Therapist checklist
  • PTSD Treatment Hub
    • Complex PTSD Assessment
    • Emotional Flashback Assessment.
    • Hypervigilance Assessment.
    • Trauma Trigger Identification Worksheet
    • Trauma Memory Activation Scale
    • Dissociation Assessment
    • PTSD Functional Impairment Assessment
    • Window of Tolerance Worksheet
    • Emotional Flooding Assessment
    • Trauma Related Shame Assessment
    • PTSD Veteran Worksheet
    • PTSD Nightmare Treatment
    • Fight Flight Freeze Fawn Assessment
    • Trauma Trigger Tracker & Pattern Analysis Worksheet
    • Attachment Trauma Assessment
    • Emotional Safety Assessment
    • Trauma Core Belief Worksheet
    • Trauma Recovery Progress Tracker
    • PTSD Relationship Trigger Worksheet
    • C-PTSD Schema Therapy Worksheet
    • Parts Therapy Grounding Worksheet
    • Parts Therapy Worksheet Advanced
    • Neurobiology of PTSD
  • Post-Concussion Syndrome
    • PCCS Treatment Hub
    • PCCS assessment
    • VOMS Concussion Test
    • PCCS Occurance
    • PCS - Vestibular intake
    • Cognitive Fatigue Test
    • DBT Emotional Regulation
    • Autonomic Nervous System Dysregulation Scale
    • Sleep Recovery Scale | Concussion Fatigue & Post-Concussion Sleep Assessment
    • Isolation intake
    • Social anxiety self rating scale
    • Cognitive Endurance exercise
    • Cognitive Focusing exercise
    • Eye tracking exercise exercise
    • Chronic Traumatic Encephalopathy (CTE)
    • PHQ-9 & GAD-7
    • Psychological effects
  • Medical Conditions & Mental Health
    • Chronic Fatigue Causes
    • Chronic Fatigue worksheet
    • Chronic Pain worksheet
    • Fibromyalgia
    • Fibromyalgia worksheet
    • PCOS Symptoms, Treatment & Mental Health Impact Assessment
    • Comprehensive Definition of Multiple Sclerosis (MS)
    • Multiple sclerosis (MS) worksheet
    • Low Iron Symptom Tracker
    • Normal TSH Range for Women
    • Hypothyroidism Symptom Tracker
    • Post Partum Assessment
    • IBS - Irritable Bowel Syndrome Signs and Symptoms
    • Endometriosis Signs and Symptoms
    • Chronic Fatigue, Fibromylagia, PCOS & MS
    • Tirzepatide for Insulin Resistance
    • Uterine Fibroid Surgery Recovery
    • ​Pontine-medullary hemorrhage
    • Pontine-Medullary Stroke Recovery Progress Tracke
  • Borderline Personality Disorder Hub
    • Borderline Personality Disorder DSM-5-TR Criteria Checklist
    • SCID-5-PD Companion: BPD Diagnostic Documentation Page
    • IPDE Companion: Borderline Personality Disorder Pattern Review
    • DIB-R Companion: BPD-Specific Domain Summary
    • Original Brief BPD Screener: MSI-BPD-Informed Companion
    • PAI-BOR Companion: Borderline Features Interpretation Page
    • BSL 23 BPD Severity Tracker
    • Schema Therapy Worksheet
    • MCMI-IV Companion: Borderline Pattern Documentation Page
    • Parts Therapy Grounding
    • Parts Therapy Worksheet Advanced
    • DBT Tools Anxiety Reduction
    • DBT Treatment Plan for Borderline Personality Disorder
    • DBT Emotional Regulation
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    • Consent form 1
    • Consent form employer
    • Consent form Legal
    • Consent form other