Looking for a test to measure or assess how well your client or patient can regulate their emotions? Read our guide to learn more about emotional regulation. Then, use the Emotion Regulation Questionnaire to gauge how well your patient or client can regulate their emotions and how to improve.
## **An overview of emotional regulation**
Emotional regulation is the ability to influence which emotions — both positive emotions and negative emotions — we have, when we have them, and how we experience and express them (Gross, 1998). It's a fundamental skill that involves complex processes like monitoring, evaluating, and modifying emotional reactions, especially those that are intense or challenging (Ramachandran, 2012).
Effective regulation doesn't mean suppressing feelings; rather, it means responding to them in ways that are flexible, adaptive, and goal-directed. This skill is critically important for good mental health, as it allows individuals to cope with stress and obtain greater life satisfaction (Neaga Susanu & Popa, 2025).
A person who is unable to regulate their emotions effectively often faces a variety of significant psychological and interpersonal problems. They may experience emotional lability, characterized by rapid and intense mood swings, making them feel out of control (Sherrell, 2022). This can manifest as an inability to soothe oneself after distress, leading to prolonged periods of feeling negative emotions, sadness, anxiety, or anger, and potentially culminating in harmful behaviors like self-harm or substance abuse as maladaptive coping mechanisms.
Interpersonally, poor regulation often results in negative consequences such as chronic conflict, difficulty maintaining employment, and the deterioration of close relationships due to impulsive actions or extreme emotional reactions that push others away (The Counseling Center Group, 2025). Over time, this struggle can severely undermine self-esteem and quality of life, increasing the vulnerability to developing a major mental illness.
## **What is an Emotion Regulation Questionnaire (ERQ)?**
The Emotion Regulation Questionnaire (ERQ) is an invaluable tool in psychology, specifically designed to ascertain an individual's propensity towards two fundamental emotion regulation strategies: cognitive reappraisal and expressive suppression.
Developed by psychologists James J. Gross and Oliver P. John, the ERQ takes the form of a ten-item self-report scale, inviting respondents to reflect on their habitual emotional responses. According to recent research, such as a 2020 study by Preece et al., confirmatory factor analyses in each sample were replicable and fit the data. To add, the cognitive reappraisal item and expressive suppression item scores both had acceptable to excellent levels of internal consistency and reliability.
Cognitive reappraisal, the first of the two strategies, refers to reframing one's perspective on an emotion-inducing situation to alter its emotional impact. For instance, if you're anxious about public speaking, you might use cognitive reappraisal to reinterpret the situation as a valuable opportunity to share your insights, reducing your anxiety. This strategy is mental because it involves thought processes, and it's a form of regulation because it modifies the emotional response to the situation.
Expressive suppression, in contrast, is a strategy of inhibiting or concealing the outward signs of inner emotions. To continue with the public speaking example, you might feel highly nervous but use expressive suppression to hide your anxiety and appear calm. While suppression also regulates emotion, it differs from reappraisal by targeting the external expression of emotion rather than the internal experience.
This tool is useful for multiple scenarios, such as:
- **Clinical setting**: If you are a mental health professional, the ERQ can be used to assess a client's typical emotion regulation strategies. Understanding how your client typically responds to emotional events can guide treatment plans.
- **Research purpose**: If you're a researcher studying emotional processes, mental health, or related fields, the ERQ can serve as a key data collection instrument. The questionnaire can help investigate the correlation between emotion regulation strategies and various psychological outcomes or explore how emotion regulation varies across different populations.
- **Workplace training**: The ERQ could enhance the team's emotional intelligence in organizational training or team-building exercises. Understanding personal and peers' emotional regulation strategies can facilitate better communication, conflict resolution, and team cohesion.
- **Personal growth**: For individuals interested in personal development and improved emotional well-being, using the ERQ can increase self-awareness regarding emotion regulation. Recognizing one's patterns can be the first step in making conscious changes towards more adaptive emotion regulation strategies.
In sum, the ERQ sheds light on our natural ways of dealing with emotions, thus serving as a springboard to better emotional health, improved relationships, and overall well-being.
## **How does it work?**
The process of using the ERQ starts with the individual's willingness to explore their emotion regulation strategies. Here are the detailed steps involved in using/filling the ERQ:
### **Step 1: Download and print**
The first step is to access the ERQ. You can download a printable Emotion Regulation Questionnaire online for ease of use.
### **Step 2: Understand the scale**
Help your client familiarize themselves with the 7-point Likert scale used in the ERQ, where one represents "strongly disagree," and seven stands for "strongly agree." This scale gauges the extent of their agreement with each statement.
### **Step 3: Read each statement**
The ERQ contains ten statements relating to real-life scenarios that might elicit an emotional response. Ask your client to carefully read each statement, ensuring they understand what each one means. Encourage them to take their time to contemplate each scenario.
### **Step 4: Respond**
After considering each statement, have them respond according to their typical reaction. Remind them that there's no right or wrong answer here, just their honest self-report. Indicate your level of agreement with each statement on a scale from 1 (strongly disagree) to 7 (strongly agree).
### **Step 5: Score**
After completing all ten items, the next step is scoring. Cognitive reappraisal is measured by items 1, 3, 5, 6, 8, and 9, while expressive suppression or avoidance of emotional expression is gauged by items 2, 4, 7, and 10. Each strategy's score is the sum of its related items. A higher score indicates a greater tendency to use that strategy.
By adhering to these steps, you can effectively use the ERQ to help patients gain deeper insights into their emotion regulation strategies.
## **Exercises to help your patients/clients improve their emotional regulation**
Effective interventions for improving emotional regulation often draw from evidence-based frameworks like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). One foundational exercise is mindfulness meditation, which trains individuals to observe their emotions non-judgmentally as passing mental events rather than defining facts (Wu et al., 2019).
Another critical skill is cognitive reappraisal, where clients practice identifying negative automatic thoughts and deliberately reframing them to alter the emotional response—essentially "telling a different story" about the situation.
For immediate distress tolerance, physiological techniques like diaphragmatic breathing (Tanya et al., 2023) or the "5-4-3-2-1" grounding method (The Counseling Center Group, 2024) are highly effective; these exercises activate the parasympathetic nervous system to physically de-escalate arousal and anchor the individual in the present moment
Should you need additional resources to assess your client's ability to self-regulate and to aid with emotional regulation, here are free ones you can download:
- **[Emotion Regulation Checklist](https://www.carepatron.com/templates/emotion-regulation-checklist/#app-chapter-one)**: Evaluate children's self-regulation and ability to manage positive emotions and negative emotional responses.
- **[Emotional Regulation Chart](https://www.carepatron.com/sv/templates/emotional-regulation-chart)**: Help patients identify, understand, and manage emotions using a clear visual guide.
- **[Emotional Regulation Worksheets](https://www.carepatron.com/templates/emotional-regulation-worksheets/)**: Aid clients in managing stress, improving self-awareness, and fostering emotional resilience with worksheets.
## **References**
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271
Preece, D. A., Becerra, R., Robinson, K., & Gross, J. J. (2020). The Emotion Regulation Questionnaire: Psychometric properties in general community samples. Journal of Personality Assessment, 102(3), 348–356. https://doi.org/10.1080/00223891.2018.1564319
Ramachandran, V. S. (2012). Encyclopedia of human behavior, 2nd ed., 3v. Elsevier, Inc. https://www.sciencedirect.com/referencework/9780080961804/encyclopedia-of-human-behavior
Susanu, N., & Popa, B. (2025). Emotion regulation, stress, and well-being investigated through life experiences. Theory and Research in Education, 7(2), 48–58. https://www.researchgate.net/publication/395840879_Emotion_Regulation_Stress_and_Well-Being_Investigated_Through_Life_Experiences#:~:text=As%20research%20in%20this%20area,preserving%20their%20mental%20and%20emotional
Sherrell, Z. (2022, April 7). What is emotional dysregulation and how to manage it? Medical News Today. https://www.medicalnewstoday.com/articles/dysregulation#summary
Tanya, D’Andrea-Penna, G., Rakic, M., Arce, N., LaFaille, M., Berman, R., Cooley, K., & Sprimont, P. (2023). Breathing practices for stress and anxiety reduction: Conceptual framework of implementation guidelines based on a systematic review of the published literature. Brain Sciences, 13(12), 1612–1612. https://doi.org/10.3390/brainsci13121612
The Counseling Center Group. (2024, February 11). DBT distress tolerance skills. https://counselingcentergroup.com/treatments/dbt-distress-tolerance-skills/
The Counseling Center Group. (2025, February 17). Spotting signs of emotional dysregulation & how to cope well. https://counselingcentergroup.com/signs-of-emotional-dysregulation/