In summary, various breathing strategies can be helpful for a therapist to offer a client as an exercise to practice managing their distress between therapy sessions. A pluralistic approach involves engaging the client in a dialogical conversation so they can be active in the decision-making process to determine the best strategy for them. Therefore, the therapist would need to be aware of a range of breathing strategies to offer to the client. In addition, if the client tends to become overwhelmed with their emotions, it might serve them better to use the five-senses exercise to help ground them and bring them back to the 'here and now', so they move their attention away from worrying about what may happen and what has happened to focus on the present moment. Further strategies that incorporate touch are discussed, highlighting several benefits, including gentle, appropriate therapist touch, providing there is explicit client permission, as well as strategies from animal-assisted therapy, soft toys, and weighted therapy toys.