Mindfulness & Distress Tolerance
Name one everyday activity you can do mindfully.
What is meditation, mindful eating, or mindful walking?
What does the “A” in ACCEPTS stand for?
What is Activities?
What does DBT stand for?
What is Dialectical Behavioral Therapy?
What’s one personal trigger for cravings or urges?
Client answer
Name one benefit of opening up in group sessions.
Client choice
**DAILY DOUBLE**
What does the “O” in STORM stand for?
What is observe?
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?
**DAILY DOUBLE**
What’s one example of a “doubt label” you might challenge?
What is (insert doubt label)?
Which distress tolerance skill are you most likely to use?
TIPP, IMPROVE, ACCEPTS, STOP, STORM
How does group support help with recovery?
Provides different perspectives, receiving feedback, questioning your choices, accountability, etc.
Name the type of situation in which distress tolerance skills are helpful.
What is crisis?
Why do we make personal coping acronyms?
What is remembering how to cope?
How does “Wise Mind” differ from “Emotion Mind”?
Wise mind incorporates rational mind
How can intrusive thoughts lead to relapse?
Increased cravings, negative thinking, etc.
What’s one thing you can do to make others feel supported?
Listen, feedback
Explain how “Touch Something Solid” helps calm emotions.
What is grounding?
Explain how acronyms help with emotion regulation.
Acronyms can help you remember the skills to use in the moment.
Name one DBT skill that helps with intense emotions.
STOP, IMPROVE, ACCEPTS, TIPP
Name a time you made a wise mind decision instead of a rational or emotion mind decision.
Client example
Share an example of when group trust helped you use a skill.
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
What pillar of DBT is the skill IMPROVE in?
What is distress tolerance?
Name an automatic negative thought you have and reframe it by using evidence.
Client choice
Explain how ACCEPTS can help prevent relapse.
Distraction
Share an example of the time where a different perspective from a group member helped you to change your own perspective.
Client answer