This form was created to accompany the Self Care Kit: For Emotional First Aid with Heart Elixir, Tulsi Elixir, Yarrow Flower Essence, and Rose Relaxation Bath Fizzies. The kit was created with the intention of preventing burn-out and helping to promote a culture of self-care and collective-care. More info here. Feel free to print this form, fill it out, and share.
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In Case of (emotional) Emergency
To fill out when you’re feeling grounded, supported, calm, inspired, etc. To read when you’re not.
I feel better when I (check all that apply/fill in the blanks)
□Go outside □Call a friend □Take time alone
□Share meals w/ loved ones. □Scream into a pillow/in a car □Dance
□Draw, color, paint, get crafty □Play with kids □Cry it out
□Play soccer □Connect with mentors/elders □Go for a walk
□Have an orgasm (alone □Clean my space/change it up □
or with someone else) □Go bowling □
□Laugh (watch funny film, □Light a candle □
hang out with fun folks) □Get acupuncture/massage □
□Go bowling □Burn incense □
□Go bowling □Burn incense □
□Massage myself with oils □Am in water (shower, bath, □
before going to bed ocean, lake, puddle)
□Listen to good music like __________________________________________before going to bed ocean, lake, puddle)
□Watch these movies _____________________________________________
These plants support me: in the form of: tea, massage oil, bath, photos, hanging out with…
□Rose □Milky oats □Tulsi □Cinnamon
□Nettles □Chamomile □Licorice root □__________
□Calendula □Pine trees □Lemon Balm □__________
□Sunflower □Garlic □Corn □__________
My (emotional) emergency contacts are:
I can call this person/these friends, mentors, family members, neighbors, hotlines…
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Other suggestions:
-Start with the Basics: Breathe. Breathe. Drink water! Eat good food!
-Drained from dealing with (or not dealing with) conflict? Role-play difficult situations/
conversations with a friend.
-Reach-out! Let folks know you could use some support (face-to-face or via calls/email/text/Facebook, etc. Don’t rely on telepathy with this one!)
-Is there an element out of balance? (Are you feeling angry, fiery, frustrated? Get in water!
Feeling uber-emotional or really flakey? Go outside and feel the earth under your feet.)
-Connect with what grounds you with your deep self (beyond our daily lives): nature, meditating, looking at old photos, talking with old friends who know you well, etc.
-Take times of transition/stress to re-evaluate and learn from it all (when you’re ready)
Take as much space as you'd like for more notes, drawings, whatever you like…
By Dana L Woodruff, community herbalist and health educator, Dandelioness Herbals
dandelionessherbals.blogspot.com dandelionessherbals.etsy.com @dandelionessherbals
dandelion778@yahoo.com facebook.com/dandelionessherbals
dandelionessherbals.blogspot.com dandelionessherbals.etsy.com @dandelionessherbals
dandelion778@yahoo.com facebook.com/dandelionessherbals