ACCEPTS
IMPROVE
STOP
Urge Surfing
Thoughts/Cognitive Distortions
100

Playing basketball, drawing, or gaming are examples of this ACCEPTS skill.

What is Activities?

100

Imagining yourself successfully handling a difficult situation uses this IMPROVE skill.

What is Imagery?

100

The "S" in STOP stands for this action.

What is Stop?

100

What is urge surfing?

Riding out an urge without acting on it until it passes.

100

A coach gives you constructive feedback and your first thought is, "I'm the worst player on the team." A more balanced thought would be:

What is "My coach is helping me improve, not saying I'm terrible"?

200

This ACCEPTS skill involves helping a friend or doing something nice for someone else.

What is Contributing?

200

Finding purpose or meaning in a stressful situation uses this IMPROVE skill.

What is Meaning?

200

The "T" reminds us to do this before reacting.

What is Take a step back?

200

In urge surfing, urges are often compared to these because they rise, peak, and eventually fall.

What are waves?

200

You get left on read by one friend and think, "Nobody likes me." This is an example of what cognitive distortion?

Overgeneralization

300

Thinking about a time you overcame a challenge is an example of this ACCEPTS skill.

What is Comparisons?

300

Saying "I can get through this" instead of "This is awful" uses this IMPROVE skill.

What is Encouragement?

300

The "O" in STOP asks us to do this with our thoughts, feelings, and surroundings. 

What is Observe?

300

This is the first thing you should do when practicing urge surfing. 

What is notice and acknowledge the urge without judging it?

300

You score 85% on a test and think, "I didn't get an A, so I completely failed." What cognitive distortion is this?

All-or-nothing/polarized thinking

400

Watching a funny show when you're sad is an example of changing your emotional state through this ACCEPTS skill.

What is Emotions?

400

Focusing completely on just this moment rather than worrying about the future uses this IMPROVE skill.

What is One Thing in the Moment?

400

The "P" means choosing a response based on goals rather than emotions.

What is Proceed mindfully?

400

During urge surfing, instead of trying to get rid of an urge, you do this.

What is observe it or distract yourself if need be and let it pass naturally?

400

You don't get invited to one hangout and think, "Nobody likes me." Name one question you could ask yourself to challenge that thought.

  • "What evidence do I have that nobody likes me?"
  • "Who are people that do spend time with me?"
  • "Am I focusing on one event?"
500

Listening to music loudly enough to focus on it instead of upsetting thoughts uses this ACCEPTS skill. 

What is Sensations?

500

Taking a brief break from a stressful situation and returning later uses this IMPROVE skill.

What is Vacation?

500

You're furious after getting a bad grade and want to send an angry email to your teacher immediately. How can you apply the STOP skill?

Pause. Take a deep breath. Name your emotion: "I am feeling ____ (angry, disappointed, embarrassed)." Consider your goal, options. and potential consequences. Choose to use coping skills to calm down and then respond to the email later.

500

A teen has a strong urge to text their ex after a breakup. How can they apply urge surfing?

They can notice the urge, rate its intensity, focus on their breathing, distract themself with a new activity, and wait 20 minutes without acting on it. The urge becomes weaker.

500

A teacher gives you constructive feedback, and your first thought is, "I can't do anything right." Reframe the thought.

  • "My teacher is helping me improve."
  • "I did some things well and have room to grow."
  • "Feedback doesn't mean failure."