Bay Area CBT Center · Worksheet
The Timeout Contract
Past a certain level of activation, you are not having a conversation — you are having a stress response. Reasoning, explaining, and making your case all stop working, because the part of your brain that does those things has gone offline. The timeout is not a punishment and it is not the silent treatment. It is a structured pause with a job to do, and a guaranteed time you come back.
Why this works — and the one rule that makes or breaks it
Call a timeout any time either of you is at 70 or above. At that level you’re not in your prefrontal cortex anymore, you’re in your primitive brain. You will not make sense. Nothing you say will land the way you mean it, and nothing your partner says will land the way they mean it. This is not the moment to reason, explain, defend, or make one more point. It is the moment to stop talking.
Either of you can call it, and the other honors it immediately. A timeout is never negotiated in the moment. There is no “just let me finish.”
The timeout has a job. It is not for cooling off by distraction, and it is not for building your case. You use the time to regulate yourself, get clear on what you’re feeling and needing, and come back with a specific request.
You must come back at the time you agreed on
This is the rule that makes the whole contract work. If you don’t come back at the agreed time, the timeout has stopped being a timeout and has become avoidance — and the moment that happens, your partner can no longer trust the word, and the contract is dead. Come back at the time. Even if you come back only to say you need a longer one.
Part 1The contract
Fill out together, calmDo this when you are both regulated — never mid-argument. Then print it and keep it somewhere you’ll both see it.
Partner 1
Partner 2
Our timeout word
Pick one word or short phrase that either of you can say to start a timeout. It has to be non-judgmental and it cannot contain “you” language — nothing that lands as an accusation. A neutral cue word works well precisely because it carries no content: chicken, pineapple, red, anchor. A plain statement works too, as long as it’s about you: “I need a timeout,” “I’m at a 70,” “timeout.”
When we call it
The threshold is a number, not a judgment call in the moment. At or above it, the word gets said — by either of us, without debate.
How long, and what happens if we’re still activated
Twenty minutes works for most people. Some need longer — use what actually regulates you. If you come back and either of you is still at or above the threshold, you don’t push through. You escalate to the next round.
The standard. Long enough for your body to come down, short enough that nothing festers.
Use this when 20 minutes wasn't enough. Nobody has to justify needing it.
For the ones that go deep. Still a timeout, not a freeze-out — you still come back at the time.
The rules we’re both agreeing to
Initial each one. If you can’t agree to a line, that’s the conversation to have now — not at a 70.
Signed — Partner 1
Signed — Partner 2
Part 2What you do during a timeout
One per timeoutThis is the work. Never come back from a timeout without your NVC formula, a specific request, and a regulated body. Fill one of these out each time you take a timeout — separately, each of you.
Timeout 1
1The clock
Set before you separate. Say it out loud to each other.
Round
Left at
Coming back at
My activation when I called it
Where I am now
2Regulate first
Do this before you write anything down. You cannot write a clean request from a flooded body, and rehearsing your argument will keep you activated. Pick what works — you are responsible for your own regulation here.
Where do you feel it most intensely? What color is it? What shape? What size? Can you make space around it rather than pushing it out — and send it some warmth?
“It makes sense that I feel ______.” · “It makes sense that I need ______.”
It makes sense that I feel hurt. It makes sense that I feel lonely. It makes sense that I feel angry. It makes sense that I need respect. It makes sense that I need understanding. It makes sense that I need empathy.
Use a guided practice if it helps — self-compassion and loving-kindness meditations. Or your own phrases: “This is a moment of suffering.” “May I be kind to myself right now.” “May I give myself what I need.”
3Your NVC formula
Fill in all four. You do not come back without this.
What triggered me
The observation only — what a camera would have caught. No interpretation, no motive, no “always” or “never.”
What I felt
What I need
My specific request
Specific, doable, and phrased as what you do want. Something your partner could actually do, starting today.
The schema that fired for me
4Their side — your best guess
Guess, in good faith, before you come back. You will be wrong about some of it, and the guessing itself is what softens you. Ask them if you got it right when you return.
What triggered them
What they may have felt
What they may need
The schema that may have fired for them
5Coming back
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