Cognitive Distortions
Defense Mechanisms
Treatment Readiness
Relationships and Support
Distress Tolerance
100

This distortion focuses only on the negative parts of a situation while ignoring anything neutral or positive.

Disqualifying the positive

100

This defense mechanism involves refusing to accept reality even when there is evidence that something is true.

Denial

100

This stage of change describes not yet seeing a behavior as a problem.

Precontemplation

100

This type of relationship pattern involves depending too much on another person for approval, identity, or emotional stability.

Codependency

100

This skill involves doing something healthy and absorbing for a short time to get through intense distress safely.

Distraction

200

This cognitive distortion unfairly blames yourself for something that was not fully your responsibility.

Personalization

200

This defense mechanism involves pushing painful thoughts or feelings out of awareness without realizing it.

Repression

200

This stage of change involves planning specific steps and getting ready to make a change soon.

Preparation

200

This support role offers guidance, experience, and encouragement from someone further along in recovery.

Sponsor/mentor

200

This DBT skill uses temperature, intense exercise, paced breathing, and muscle relaxation to quickly reduce emotional intensity.

TIPP

300

This cognitive distortion uses words like “should,” “must,” or “have to” in a way that creates guilt, pressure, or resentment.

"Should" statements

300

This defense mechanism involves blaming another person for feelings, motives, or traits that are actually your own.

Projection

300

This stage of change involves continuing healthy behaviors after change has already started.

Maintenance

300

This unhealthy support pattern protects someone from consequences and can unintentionally keep the problem going.

Enabling

300

This skill uses comforting sensory experiences, such as music, a warm shower, or calming smells, to reduce distress.

Self-soothing

400

This cognitive distortion exaggerates the importance of a problem or mistake, or shrinks the importance of strengths, progress, or successes.

Magnification/minimization

400

This defense mechanism involves returning to a younger or less mature way of coping when under stress.

Regression

400

This experience can happen when a person returns to an old behavior but uses it as information rather than proof of failure.

Relapse

400

This relationship skill involves making a genuine effort to repair harm after taking responsibility for behavior.

Making amends
400

This skill means mentally weighing the short-term and long-term outcomes before acting on an impulse.

Pros and cons

500

This cognitive distortion involves believing that your thoughts, feelings, or actions caused something unrelated to happen.

Magical thinking

500

This defense mechanism involves turning painful emotions into humor, logic, or intellectual explanations to avoid feeling them directly.

Intellectualization
500

This term describes confidence in your ability to handle challenges and follow through with change.

Self-efficacy

500

This term refers to relationships, routines, and environments that help protect a person from returning to old patterns.

Protective factors

500

This DBT skill involves accepting the facts of reality as they are, without approving of them or giving up.

Radical acceptance

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