Bring one moment into the conversation.

Most people who experience anxiety, chronic stress, or trauma responses aren't consciously aware of the pattern running underneath — a five-stage cycle that moves from trigger to sensation to urge to action to outcome, often repeating before it's ever named. The Survival Loop is an original clinical framework developed at Clearpath Therapy Group to map that cycle in concrete, somatic terms.

This worksheet walks you through the framework step by step, so you can map a real moment you experienced — what triggered it, where you felt it in your body, what your nervous system wanted to do, and what actually happened. It's designed to be filled out on your own, then brought into a therapy session as a starting point for deeper work.

Download the worksheet below, print it, and work through it for a specific moment when you noticed yourself caught in the loop. There's no wrong way to fill it out — the goal is simply to make the pattern visible.