Dialectical Behavior Therapy

Distress Tolerance Skills Training

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Introduction to Distress Tolerance Skills

The lesson link will open the guided educational lesson based on the book DBT Skills Training Manual. The handout link will open a PDF document from the book DBT Skills Training Handouts and Worksheets. The video link will open a YouTube video. Warning!: If you do not have a YouTube Premium membership subscription, there will be advertisements. In the future, the videos from YouTube will be replaced by self-published videos embedded in the website page, (NO ADS!).

video Distress Tolerance Skills: EFT Tapping (Dr. Jennifer May)

Lesson 

Goals of Distress Tolerance. 

Lesson 

Overview: Crisis Survival Skills. 

Crisis Survival Skills. 

Crisis Survival Skills. 

Crisis Survival Skills. 

Lesson 

When to Use Crisis Survival Skills

Lesson 

The STOP Skills

video Distress Tolerance Skills: STOP Skills (Dr. Jennifer May)

Tracking your practice of the STOP Skills (option 1)

Tracking your practice of the STOP Skills (option 2)

video Distress Tolerance Skills: Consequences and Pros & Cons (Dr. Jennifer May)

Lesson 

Pros and Cons

Pros and Cons of Acting on Crisis Urges (option 1)

Pros and Cons of Acting on Crisis Urges (option 2)

video Distress Tolerance Skills: TIPP Skills (Dr. Jennifer May)

Lesson 

TIP Skills – Changing Your Body Chemistry

Lesson 

Using Cold Water – Step by Step

video Distress Tolerance Skills: Managing Urges with Hot & Cold (Dr. Jennifer May)

Changing Body Chemistry with TIP Skills

Lesson 

Distress Tolerance Handout 6B: Paired Muscle Relaxation – Step by Step

Paired Muscle Relaxation

Lesson 

Effective Rethinking and Paired Relaxation

Effective Rethinking and Paired Relaxation

video Distress Tolerance Skills: ACCEPTS (Dr. Jennifer May)

Lesson 

Distracting with ACCEPTS

Recording your Distracting with Wise Mind practice: ACCEPTS (option 1)

Recording your Distracting with Wise Mind practice: ACCEPTS (option 2)

Recording your Distracting with Wise Mind practice: ACCEPTS (option 3)

video Distress Tolerance Skills: Self-Soothing with your 6 senses (Dr. Jennifer May)

Lesson 

Self-Soothing

Recording your Self Soothing Practice (option 1)

Recording your Self Soothing Practice (option 2)

Recording your Self Soothing Practice (option 3)

Lesson 

Body Scan Meditation

video Distress Tolerance Skills: IMPROVE the moment (Dr. Jennifer May)

Lesson 

Improving the moment – IMPROVE

Record your practice of Improving the moment with IMPROVE (option 1)

Record your practice of Improving the moment with IMPROVE (option 2)

Record your practice of Improving the moment with IMPROVE (option 3)

Lesson 

Sensory Awareness – Step by Step

video Distress Tolerance Skills: Review of the Skills (Dr. Jennifer May)

video Distress Tolerance Skills: The ULTIMATE Self Care Package (Dr. Jennifer May)

video Distress Tolerance Skills: Creating a Digital & Physical Toolbox (Dr. Jennifer May)

DBT Distress Tolerance Skills: Reality Acceptance

video Reality Acceptance: Allowing and Letting Be (Greg Dorter, Self-Help Toons)

Lesson 

Overview: Reality Acceptance Skills

Recording your practice: Reality Acceptance Skills (option 1)

Recording your practice: Reality Acceptance Skills (option 2)

Recording your practice: Reality Acceptance Skills (option 3)

video Distress Tolerance Skills: Radical Acceptance (Dr. Jennifer May)

Lesson 

Learning Radical Acceptance

Radical Acceptance Work

Lesson 

Radical Acceptance: Factors that Interfere

Lesson 

Practicing Radical Acceptance

Recording Radical Acceptance Practice

Lesson 

Turning the Mind

Lesson 

Willingness

Turning the Mind, Willingness, Willfulness

Lesson 

Half-Smiling and Willing Hands

Lesson 

Practicing Half-Smiling and Willing Hands

Recording your practice of Half Smiling and Willing Hands (option 1)

Recording your practice of Half Smiling and Willing Hands (option 2)

Lesson 

Mindfulness of Current Thoughts

Lesson 

Practicing Mindfulness of Current Thoughts

Recording your practice of Mindfulness of Current Thoughts (option 1)

Recording your practice of Mindfulness of Current Thoughts (option 2)

Distress Tolerance Skills for when the Crisis is Addiction

Lesson 

Overview: When the Crisis is Addiction

Skills when the Crisis is Addiction

Lesson 

Common Addictions

Lesson 

Dialectical Abstinence

Lesson 

Planning for Dialectical Abstinence

Planning for Dialectical Abstinence

Lesson 

Clear Mind (Addict Mind – Clean Mind)

Lesson 

Behaviors Characteristic of Addict Mind and of Clean Mind

From Clean Mind to Clear Mind

Lesson 

Community Reinforcement

Reinforcing Non-Addictive Behaviors

Lesson 

Burning Bridges and Building New Ones

Burning Bridges and Building New Ones

Lesson 

Alternative Rebellion and Adaptive Denial

Practicing Alternative Rebellion and Adaptive Denial