Blue_Bird I don't see that it would hurt or stop being effective using the 54321 technique daily to help with anxiety/dissociation. At the very least, it would seem like it could lower your base level anxiety. I've never really used it for dissociation much, just panic & anxiety. Well, really, I use cold temperature because that works best for me. Deep breathing if I'm in a bind and trying to concentrate on the 54321 technique or getting to something cold is not doable (like if panic hits while driving).

I dissociate a lot too. Most days to some extent or another. Some times are more bothersome than others like if it happens while I'm driving. I've never really tried grounding to help with dissociation, a lot of the time when I dissociate I don't panic. Only if I start thinking/focusing on the dissociation too much I panic or if I do something that needs 100% of my focus like driving, I'm not sure that even makes sense?