Traumatized individuals often become triggered and overwhelmed without noticing they are ungrounded. They typically do not yet know how to safely self-regulate. When dysregulated, patients cannot integrate new information or work productively in therapy. Therefore, it is crucial that clinicians are skilled in detecting signs of dysregulation and know strategies to help patients get regulated. Repeatedly working on noticing dysregulation and practicing grounding in sessions teaches patients how to engage in therapy from within a grounded state; this is a crucial skill they can transfer to their daily lives. This chapter provides clinicians with the information and tools they need to do this work, including descriptions of signs of hyperarousal and hypoarousal, ways to teach patients how to get grounded and regulated, and instructive roleplays that provide the language and approaches that are useful for supporting patients’ management of dissociation, emotions, and somatic symptoms.