TIPP
CBT Triangle
DEARMAN
Anxiety & Avoidance Cycle
100

TIPP stands for

Temperature

Intense Exercise

Paced Breathing 

Progressive (or paired) Muscle Relaxation

100

The three components of the CBT triangle are

Thoughts, Emotions, Behaviors

100

DEARMAN stands for 

Describe, Express, Assert, Reinforce

Mindful, Appear Confident, Negotiate

100

Physical symptoms of anxiety can include

Racing heart, shaking, sweating, rapid breathing, stomachaches, headaches

200

People use TIPP when

they need to calm their nervous system down during a "crisis" or moment of intense emotion

200

Situations don't create emotions, what does?

Our interpretations/thoughts

200

DEARMAN is a skill used for 

Assertive communication, saying no, and expressing boundaries/needs

200

What are common examples of avoidance

Procrastination

Not going to school

Ignoring/putting off problems

Withdrawing from friends/family

300

Intense exercise works by

burning off extra adrenaline, anxiety, and emotional energy during a crisis which helps us calm down

300

You can interrupt the cycle by changing any corner of the triangle. Instead of isolating what could you do?

Spend time with friends/family

Call/text someone

Go for a walk and say hi to people walking by

300

What is an example of a time to use DEARMAN

Asking for someone to change their behavior

Asking for a favor

Saying no to a request

300

What is the correct order of the anxiety/avoidance cycle

Anxiety>Avoidance>Relief>Intensification

400

Progressive (or paired) Muscle Relaxation is 

intentionally tensing and relaxing muscle groups to reduce stress and physical tension

400

We often can't immediately change our emotions but we can learn to notice and challenge our _____ and choose more effective ______

thoughts and behaviors

400

What is an effective way to express our feelings

I statements to avoid blaming or "attacking" the other person

400

How can we break the cycle?

use coping skills to manage anxiety

face the anxiety/feared situation

500

Temperature works by

tricking the body into thinking it's underwater which slows our heart rate and breathing

500

You wave to a friend, they don't wave back. What are thoughts, emotions, and behaviors that could follow?

Thoughts: "they hate me, they're made at me"

Emotions: Hurt, anxious, mad

Behaviors: ignore/avoid them

500

DEARMAN can be spilt up into 2 components... DEAR and MAN, what does each component tell us

DEAR tells us what to say

MAN tells us how to say it 

500

Why does avoidance lead to more intense anxiety

Avoidance becomes associated with feeling better and it becomes more tempting to use. 

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