Mindfulness & Distress Tolerance
Coping Acronyms
CBT & DBT Basics
Relapse Prevention
Group Process & Support
100

Name one everyday activity you can do mindfully.

What is meditation, mindful eating, or mindful walking?

100

What does the “A” in ACCEPTS stand for?

What is Activities?

100

What does DBT stand for?

What is Dialectical Behavioral Therapy?

100

What’s one personal trigger for cravings or urges?

Client answer

100

Name one benefit of opening up in group sessions.

Client choice

200

**DAILY DOUBLE**

What does the “O” in STORM stand for?

What is observe?

200

If I watch a comedy movie while I am sad, which letter in the ACCEPTS acronym am I using?

What is E for changing the emotion?

200

**DAILY DOUBLE**

What’s one example of a “doubt label” you might challenge?

What is (insert doubt label)?

200

Which distress tolerance skill are you most likely to use?

TIPP, IMPROVE, ACCEPTS, STOP, STORM

200

How does group support help with recovery?

Provides different perspectives, receiving feedback, questioning your choices, accountability, etc.

300

Name the type of situation in which distress tolerance skills are helpful.

What is crisis?

300

Why do we make personal coping acronyms?

What is remembering how to cope?

300

How does “Wise Mind” differ from “Emotion Mind”?

Wise mind incorporates rational mind

300

How can intrusive thoughts lead to relapse?

Increased cravings, negative thinking, etc.

300

What’s one thing you can do to make others feel supported?

Listen, feedback

400

Explain how “Touch Something Solid” helps calm emotions.

What is grounding?

400

Explain how acronyms help with emotion regulation.

Acronyms can help you remember the skills to use in the moment.

400

Name one DBT skill that helps with intense emotions.

STOP, IMPROVE, ACCEPTS, TIPP

400

Name a time you made a wise mind decision instead of a rational or emotion mind decision.

Client example

400

Share an example of when group trust helped you use a skill.

Client example
500

Compare mindfulness and distraction—when is each most helpful?

Mindfulness is helpful when you need to stay in the moment, distraction is helpful when you need to get out of the moment

500

What pillar of DBT is the skill IMPROVE in?

What is distress tolerance?

500

Name an automatic negative thought you have and reframe it by using evidence.

Client choice

500

Explain how ACCEPTS can help prevent relapse.

Distraction

500

Share an example of the time where a different perspective from a group member helped you to change your own perspective.

Client answer

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