MARK ZAUSS - THERAPY
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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​
  • Home
  • Credentials
  • ADHD
    • Adult ADHD Self-Report Scale
    • ADHD self score assessment
    • ADHD Comprehensive Assessment
    • Cognitive Disengagement Syndrome (CDS).
    • ADHD Atypical Symptoms
    • ADHD Management
    • ADHD in the workplace
    • ADHD and Relationships
    • ADHD help for College Students from a licensed therapist
    • ADHD Impulse Pause & Reframe
    • Reaction Sensitivity Worksheet
    • SPIN (Social Phobia Inventory)
    • ADHD Medication Facts - comprehensive answers and information
    • ADHD medications are Neuroprotective
    • ADHD Medications List >
      • Adderall
      • Vyvanse
      • Methylphenidate
      • Concerta
      • Focalin (dexmethylphenidate)
      • Guanfacine (Intuniv)
      • Atomoxetine (Strattera)
      • Clonidine (Kapvay)
      • Onyda XR
      • Wellbutrin
      • Qelbree
      • Azstarys
      • Xelstrym
    • ADHD Medication for Anxiety >
      • Sertraline
      • Wellbutrin
      • Escitalopram (Lexapro)
      • Duloxetine (Cymbalta)
      • Venlafaxine (Effexor)
      • Buspirone (Buspar)
      • Hydroxyzine (Vistaril, Atarax)
      • Fluoxetine (Prozac)
      • Paroxetine (Paxil)
      • Propranolol (Inderal)
      • Accutane - Adverse effects
    • Pomodoro Technique
    • Pomodoro Worksheet
    • ADHD Neurochemical
    • Alcohol and ADHD
    • ADHD Procrastination reduction worksheet
    • ADHD Task Prioritization Worksheet
    • ADHD time management
    • ADHD Worksheets
    • ADHD and Autism Symptoms
    • ADHD and Alcohol treatment Worksheet
  • OCD
    • Y-BOCS OCD Assessment
    • OBQ-44 - OCD Assessment
    • PHQ-9 & GAD-7
    • Compulsive Activities Checklist
    • Cognitive Restructuring
    • Thought Stopping
    • Rumination Reduction Worksheet
    • DBT Tools Anxiety Reduction
    • medications to treat OCD
  • Anxiety
    • Panic Attacks
    • Panic Attacks reduction Worksheet
    • Exposure Ladder Worksheet
    • DBT Tools Anxiety Reduction
    • Progressive relaxation
    • Systematic desensitization
    • Why You Feel Tired Before It Rains
    • 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
    • Anxiety Medications >
      • Sertraline
      • Buspirone (Buspar)
      • Fluoxetine (Prozac)
      • 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
    • Nutrition
    • Resources
    • Overcoming Shame
    • Health and Alcohol
    • AUD Videos
    • ADHD and Alcohol treatment Worksheet
    • Appetite Cannabis Assessment
    • Appetite Cannabis CB1 Receptor
  • Bipolar
    • Bipolar Disorder Treament
    • Bipolar Check List
    • Mood Disorder Questionnaire (MDQ) –
    • Bipolar II Traits Screener
    • Bipolar Disorder Worksheets
    • DBT Tools Anxiety Reduction
    • Dysthymia assessment
    • Dysthymia Disorder Description
    • Cyclothymic Disorder Assessment
    • Cyclothymic Disorder Description
    • Cocaine abuse causes bipolar symptoms
    • Bipolar Disorder Medications >
      • Abilify
      • Lamictal (Lamotrigine)
      • Seroquel (Quetiapine)
      • Lithium
      • Depakote
      • Olanzapine (Zyprexa)
      • Risperidone (Risperdal)
      • Carbamazepine (Tegretol)
      • Lumateperone (Caplyta)
      • Cariprazine (Vraylar)
      • Brexpiprazole (Rexulti)
      • Lurasidone (Latuda)
      • Olanzapine/Samidorphan (Lybalvi)
  • Autism
    • Autism Etiology
    • Autism more than one condition
    • Autism Treatment
    • 4 Autism Subtypes
    • ASD Medications
    • Autism Spectrum Rating Scale
    • Developmental History
    • ABAS-3
    • SRS-2
    • SPIN (Social Phobia Inventory)
    • Physical Symptoms Social Anxiety
    • Social anxiety self rating scale
    • Social Engagement Worksheet
    • ADHD and Autism Symptoms
    • ADHD - ASD developmental delays
  • CBT and DBT
    • CBTWorkbook
    • Cognitive Distortions
    • Impulse Pause & Reframe
    • CBT Tools Comprehensive
    • Cognitive Restructuring
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Anxiety Reduction
    • Anger Assessment
    • Anger Exercise
    • Intrusive Thoughts Exercise
    • Breathing >
      • Journaling Benefits
    • Physical Symptoms Social Anxiety
    • DBT Tools Anxiety Reduction
    • Congruence worksheet
    • CBT Worksheets
  • Narcissistic Abuse
    • Narcissistic Partner Assessment
    • Pathology of Narcissism
    • Covert Narcissistic traits
    • Psychopaths vs Narcissists
    • How to DEFEAT a Narcissist
    • Narcissistic Family Members
    • Impact of a Narcissist Parent
    • Brain Venn Diagram
    • Narcissist Red Flag Checklist
    • Partner Narcissistic Traits
    • Narcissist - short assessment
    • 1 ) Narcissistic Relationship Assessment
    • 2) Narcissistic Relationship Assessment
    • Trauma Education
    • Grounding Techniques
    • Breathing Technique
    • Trauma Worksheets
    • Trauma Assessments
    • PCL 5 Trauma Assessment
    • ACE Childhood Trauma
    • Dissociative Experiences Scale
    • Super Traits
    • Cognitive dissonance Checklist
    • Cognitive dissonance treatment exercise
    • Assertiveness Worksheet
    • Narcissistic Personality Inventory, NPI
    • DBT Tools Anxiety Reduction
    • Hypersensitive Narcissism Scale (HSNS)
    • Therapy for Narcissists
    • Therapist checklist
  • Post-Concussion Syndrome
    • PCS - Vestibular intake
    • Isolation intake
    • PHQ-9 & GAD-7
    • Social anxiety self rating scale
    • Psychological effects
    • Cognitive Focusing exercise
    • Eye tracking exercise exercise
  • Insurance
  • Contact
    • Consent form 1
    • Consent form employer
    • Consent form other