Distress Tolerance Basics
STOP Skill
TIPP
ACCEPTS
Recovery & Urges
100

Distress tolerance is the ability to get through difficult emotions and stressful situations without doing this.

What is making things worse?

100

The "S" in STOP stands for this.

What is Stop?

100

The "T" in TIPP stands for changing this.

What is Temperature?

100

The "A" in ACCEPTS stands for this.

What are Activities?

100

Radical Acceptance means acknowledging this.

What is reality as it is?

200

The goal of distress tolerance is not to eliminate pain, but to do this until it passes.

What is tolerate it safely?

200

This step encourages you to pause and breathe before reacting.

What is Take a Step Back?

200

Splashing cold water on your face is an example of this TIPP skill.

What is Temperature?

200

Helping another person is an example of this ACCEPTS skill.

What is Contributing?

200

Radical Acceptance does NOT mean approval, agreement, or this.

What is giving up?

300

Distress tolerance skills are especially helpful during this type of situation when emotions are overwhelming.

What is a crisis?

300

During the "O" step, you notice thoughts, feelings, urges, and these bodily experiences.

What are physical sensations?

300

Fast walking, jogging, and jumping jacks fall under this TIPP skill.

What is Intense Exercise?

300

Remembering difficult situations you survived in the past is called this.

What are Comparisons?

300

In Urge Surfing, urges are compared to these.

What are waves?

400

One reason people often use substances is to do this with painful emotions.

What is escape or numb them?

400

The final step of STOP involves choosing what helps rather than hurts.

What is Proceed Mindfully?

400

Inhaling for 4 seconds and exhaling for 6 seconds is an example of this.

What is Paced Breathing?

400

Watching a comedy to create a different emotional state uses this ACCEPTS skill.

What are Emotions?

400

According to Urge Surfing, urges typically do three things.

What are rise, peak, and fall?

500

Name two benefits of distress tolerance in recovery.

What are staying sober, reducing impulsive behaviors, building confidence in handling stress, learning feelings are temporary, or making recovery-focused choices?

500

You receive upsetting news and immediately want to use substances. Which DBT skill should you use first?

What is the STOP Skill?

500

Tensing and relaxing muscle groups one at a time is called this.

What is Progressive Muscle Relaxation?

500

Holding ice or taking a cool shower falls under this ACCEPTS category.

What are Sensations?  

500

Complete this recovery statement: "You do not have to act on every _____, _____, or _____."

What are thought, feeling, and urge?