Orientation
Mindfulness
Distress Tolerance
Walking the Middle Path
Example Scenarios
100

What does DBT stand for? 

Dialectical Behavior Therapy 

100

What are three states of mind?

Emotion Mind, Reasonable Mind, Wise Mind 

100

What does the T in TIPP stand for? 

Temperature

100

What does it mean to validate someone? 

Showing their feelings, thoughts, or experience make sense. 

100

You're having a bad day, so you put on your favorite song to help you get through the moment. Are you using a TIPP or Self-Soothe skill? 

False

200

What does dialectical mean? 

Two things that seem opposite can be true 
200

What are three mindfulness "what" skills? 

Observe, describe, participate 

200

Name two TIPP skills

Temperature, Intense Exercise, Paced Breathing, Paired Muscle Relaxation

200

True or false: Validating someone means you agree with them.

False

200

You're getting annoyed at your sibling, so you notice yourself getting tense and take a few slow breaths before saying anything. What DBT skill are you using? 

Mindfulness/paced breathing 

300

Give an example of two opposite things that can be true. 

Ex: I can be mad at someone AND care about them

300

What are three mindfulness "How" skills? 

Nonjudgmentally, One-mindfully, Effectively 

300

What is the goal of distress tolerance skills? 

Ex: To get through a difficult situation without making it worse
300

Your friend says: "I studied really hard and still got a bad grade." Give one validating response. 

Ex: "That sounds really frustrating after you worked so hard."

300

Your friend cancels plans at the last minute. You think "I'm disappointed, but I can't change the fact they cancelled." What skill are you using? 

Radical Acceptance 

400

Your parent says "You need to get off your computer" and you think "they NEVER let me do anything." What kind of thinking might this be?

All or nothing

400

You are doing homework while texting, watching TV, and checking TikTok. Which mindfulness skill might help? 

Ex: One-mindfully 

400

You're extremely angry after an argument and feel like saying something mean. Name a distress tolerance skill you could use before responding. 

Ex: TIPP, ACCEPTS, IMPROVE, Self-Soothe

400

What is positive reinforcement? 

Adding something after a behavior that makes the behavior more likely to happen again. 

400

Your friend says "My parents took my phone away and I'm so mad." You respond, "Yeah, I can see why you'd be really frustrated." What skill are you using? 

Validation 

500

Finish the dialectic: "I'm doing the best I can AND..."

Ex: I need to do better

500

Change this to a description of the facts: "My teacher is a jerk because they gave me extra homework." 

Ex: "My teacher assigned me extra work, and I feel frustrated about it." 

500

Your plans get cancelled at the last minute and there is nothing you can do to change it. What skill could help you stop fighting the fact that it happened? 

Radical Acceptance

500

A parent keeps saying "no" when their adolescent asks for more screen time. The adolescent keeps asking and complaining, and eventually the parent says "fine." What behavior is being reinforced. 

Asking and complaining 

500

You're angry because your parents said you can't go out with friends. You're at a 9/10 and want to start yelling. Name two DBT skills you could use before responding and explain why. 

Ex: TIPP, paced breathing, Wise Mind ACCEPTS, Self Soothe, etc. 

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