Practical Ways to Ground Beyond the Buzzwords
Dr. Jeff McNairy, Psy.D., M.P.H., is a doctor, speaker, and advocate for plant medicine with 35 years of healthcare experience, specializing in addiction, mental health, and trauma. As Chief Medical Officer of Rythmia Life Advancement Center, he champions a more holistic, internally driven approach to healing. Learn more at www.jeffmcnairy.com.
Dissociation, the warning signs most people ignore, and why some of us can’t ground at all.
Clinically, dissociation is a disruption in the normal integration of consciousness, memory, identity, emotion, and bodily awareness. Ordinarily, those run as one continuous stream. You know what you are feeling, where you are, and what your body is doing, and it all arrives as a single experience. Dissociation is what happens when pieces of that stream come apart and run on separate tracks. It sits on a continuum. The severe end is what brings people into treatment. The mild end is measurable in the general population, and most of us are somewhere on it right now.

Most people move through a normal week in a state of dissociation. I call it socially appropriate dissociation, because it looks exactly like a functional life.
You are working, taking Zoom calls, working through your tasks on ClickUp, handling accounting, chasing an invoice that went far beyond the already annoying NET30 payment terms, sitting through a meeting that could have been an email, and agreeing to a deadline you already know is absurdly tight. You are in go-go-go mode between the kids, bills, family, the thing that came up at 4:55 pm. The proverbial rat race keeps you constantly running on a fast-paced Western mindset that treats output as the point and presence as some inevitable finish line. Somewhere along the way you absorbed the idea that you are worth what you produce, and the system reinforces it daily while insisting that rest is something you earn once the work is finished, but the work is never finished, so sitting still starts to feel like you’re doing something “wrong” and will get in “trouble.”
This often goes unexamined because it works enough to maintain the status quo: because you are producing, you are showing up, and for all intents and purposes you have a “life,” but here is what deserves a minute of your attention. How much of that life are you actually here for? You can build one for years and be barely present inside it, and from the outside, the two look identical.
I want you to try answering three questions right now, without overthinking, performing, or second-guessing your answers:
- How am I feeling?
- Where am I at?
- What am I thinking?
Most people go blank at first, and that blankness is the subject of this article. If any of this is landing with you, it means you have been in get-it-done mode long enough that you lost the thread back to yourself, and it’s time to find some ground control.
The Warning Signs
Everyone detaches at one point or another, and sometimes it is a necessary defense mechanism. However, trouble starts when detachment becomes the default mode.
Here is what I watch happen time and time again: Anxiety amplifies. Depression amplifies. Addiction surfaces, or the drinking creeps past normal. Isolation sets in.
I read those as signals, and they show up when someone has been gone from themselves long enough for the distance to start taking a toll emotionally, mentally, or even physically.
What Grounding Actually Means
The term “grounding” often gets absorbed into wellness marketing, or vague spiritual practices that seem to go off of vibes alone. The word is evocative of candles, bare feet in grass, and an obtuse instruction to relax. My definition of the word is much narrower, easier to use, and pretty damn practical.
In my practice, grounding means being connected instead of dissociated, and that is the whole thing.
When you ask yourself what you can do to get your emotions back to yourself, that question is an integral part of the practice.
Build Two or Three
We all ground differently, and sticking to just one method can leave you stranded when it stops “working.”
For me, one of the best grounding techniques is exercise, but certain music does it too. Exercise puts me back in my body. Music gets me there faster on the days I do not have an hour or a gym.
The textbook options work fine, like yoga, meditation, breathwork, time outside touching grass, movement of any kind, really. What matters is having more than one option, because the day you need grounding most is often the day your first option is unavailable. The gym is closed. The music lands flat. And if you have not built out a short list of what else works for you, that is where people get stuck.
Presence Inside the Practice
Most grounding advice stops at the technique list, but the actual work starts after that.
You can sit in meditation for twenty minutes and stay dissociated the entire time. You can run five miles and be gone for all of it.
In order to stay mindfully present inside the grounding moment, you need to work at it. For example, if you are meditating, picture yourself present with your feelings. Picture yourself back to yourself, wholly, warts and all, as they say.
Here is a version of that same concept that I use during exercise: I scan my body, and I notice the lactic acid building. I feel my muscles straining, and I notice that the strain feels good. My lungs work harder, my heart rate climbs, and I track all of it while it happens.
That is grounding, because I am feeling it all. I am taking inventory in real time, cataloging sensation as it arrives, and I include the uncomfortable parts along with the pleasant ones.
Connection is the Therapeutic Part
When you are connected, you feel your emotions, and you are back in contact with what is actually true for you, and that is where the therapeutic value lives, but it is also why this gets hard.
Why You Might Not Want to Ground
The reason this is hard becomes obvious once you follow the logic. Grounding puts you back in contact with your emotions. So if your emotions are the problem, dissociation is the solution, and it has been solving it for you this whole time.
Some of us carry emotions we would rather leave alone, like anger, sadness, guilt, shame, resentment, and fear. Those are the reasons people avoid grounding, because connection means feeling all of it, and keeping it at bay has been working so far.
I want to say something to anyone who has tried this and failed. If meditation felt unbearable, or your mind sprinted the second you sat still, you ran into something real. The resistance is information, because it tells you what is waiting on the other side of that threshold.

When Grounding Needs Supervision
Here is the part I never fail to address, because this is where people can get hurt: if fear of your own emotions keeps you from grounding, you need a safe way to handle those emotions first.
The 12-step model is peer-led by design. There is no clinician running the meeting. Members work the steps, take a personal inventory, make amends, and hold each other accountable for staying sober one day at a time. The focus stays on present behavior and the next right action, and the fellowship itself is explicit that it does not treat what it calls outside issues. Anything requiring clinical care gets referred out to a professional. They keep trauma work out of the rooms entirely, and out of the conversations between members.
The reason for that is containment. A 12-step meeting is a lay community, which means the people in it are there on the strength of their own lived experience rather than clinical training. There is no anchor point in the room, meaning a designated person with a license or responsibility for what happens if someone destabilizes. Opening up historical trauma in that setting puts everyone at risk, which is why that conversation belongs in a therapeutic space with a trained person present.
So my message to anyone who feels resistance is to get support for the return, because when someone tells me they do not want to ground, I read it as an indication for professional supervision to help them get past the emotions they are avoiding. Asking for that help is the correct next step.
Where to Start
Pick two grounding techniques that feel best for you. Choose the ones you will actually do at six in the morning or at the end of a bad day. Practice them while your life is stable, because a grounding practice you have never used when things are calm may not feel as accessible to you when you’re in a crisis.
Now that you’ve gotten to this point of the article, I’d love for you to ask yourself the three questions again:
- How am I feeling?
- Where am I at?
- What am I thinking?
The goal is simply to have the answers, whatever they happen to be. That is what being present looks like, and everything worth having in your life is on that side of the work that comes from being in the moment and feeling it all–the joy and the grief and the boredom and the fear- instead of running on mute.
TAKE ACTION: Pause and ask yourself: How am I feeling? Where am I? What am I thinking? Then choose two grounding practices you can return to regularly, especially when life feels stable. If reconnecting with your emotions feels overwhelming or unsafe, seek support from a qualified mental health professional. Explore more of Dr. Jeff McNairy’s work at the intersection of psychology, trauma, and integrative healing,
"When you are connected, you feel your emotions and you are back in contact with what is actually true for you, and that is where the therapeutic value lives, but it is also why this gets hard."
Dr. Jeff McNairy Post to X
Dr. Jeff McNairy, Psy.D., M.P.H., is a doctor, speaker, and advocate for plant medicine with 35 years of healthcare experience, specializing in addiction, mental health, and trauma. As Chief Medical Officer of Rythmia Life Advancement Center, he champions a more holistic, internally driven approach to healing.
Read more from Dr. Jeff McNairy or connect with him on Instagram, Facebook (Dr. Jeff McNairy and Rhythmia), X, or his website.











