Crisis Survival Skills
When to Use the Crisis Survival Skills
Reality Acceptance
When to Use Distress Tolerance
DBT Foundations
100

This skill uses cold water, exercise, breathing, and muscle relaxation to quickly lower emotional intensity.

What is the TIPP skill?

100

You’re stuck in a stressful situation you can’t leave, and your goal is to avoid making things worse in the short term.  

What are Crisis Survival Skills?

100

Accepting reality fully, even when it’s painful, is called this.

What is Radical Acceptance?

100

These skills are most useful when emotions are too intense to problem-solve effectively.

What is high emotional distress?

100

This treatment model was originally developed to help individuals with chronic emotion dysregulation and high-risk behaviors.

What is Dialectical Behavior Therapy?

200

This strategy involves temporarily setting aside distressing thoughts by mentally “putting them on a shelf.”

What is Pushing Away?

200

You feel overwhelmed but not in crisis and want to comfort yourself using your senses.

What is Self-Soothe with the Five Senses?

200

This concept refers to the extra pain we create by resisting reality.

What is Suffering?

200

The purpose of these skills is not to fix the issue, but to do this.

What is get through the moment without making it worse?

200

The approach behind this therapy emphasizes balancing two seeming opposites rather than choosing one.

What is Dialectics?

300

This distraction-based skill includes activities, contributing, comparisons, and sensations.

 What is ACCEPTS?

300

Your emotions spike to a 9/10 and your heart is racing—this skill is most effective to quickly calm your body.

What are TIP skills?

300

Turning your mind again and again toward acceptance is known as this.

What is Turning the Mind?

300

Choosing these skills instead of reacting impulsively helps prevent this type of behavior.

What are self-destructive or impulsive behaviors?

300

One of the four major skill areas focuses on building and maintaining healthy relationships.

What is Interpersonal Effectiveness?

400

This skill helps you get through painful moments using imagery, prayer, relaxation, and encouragement.

What is IMPROVE the Moment?

400

You keep replaying a stressful situation and need a temporary mental break to focus on a task.

Pushing Away?

400

Blank stance replaces willfulness and allows you to do what works. 

What is Willingness?

400

These skills are especially important during crises to help you avoid acting on this.

What are harmful urges?

400

Another core skill area focuses on understanding and changing emotional responses.

What is Emotion Regulation?

500

This skill asks you to weigh short- and long-term benefits before acting on urges.

What are Pros and Cons?

500

You’re about to say something you’ll regret in an argument—this skill helps you pause before reacting.

What is STOP skill?

500

Insisting that reality should be different, refusing help, or saying “this isn’t fair” while resisting what is happening.

What is Willfulness?

500

You’re facing a situation that cannot be immediately changed, but strong emotions are pushing you to act impulsively; these strategies help you endure the moment safely until clarity returns.

What is IMPROVE the Moment?

500

This core DBT skill involves paying attention, on purpose and without judgment, to the present moment.

What is Mindfulness?