Triggers and Warning Signs
DBT Skills
Communication
Cognitive Distortions
Impulses and Coping
100

What is a trigger?

Something that activates an emotional, physical, or behavioral response.

100

What does STOP stand for?

Stop, Take a step back, Observe, Proceed mindfully.

100

What is active listening?

Fully paying attention and attempting to understand what someone is communicating.

100

“I failed this one test, so I’m stupid.”

All-or-nothing thinking

100

What is an urge?

 A strong desire or impulse to do something.

200

Name two possible warning signs that your mental health is declining.

 Isolation, sleep changes, increased irritability, hopelessness, loss of motivation, etc.

200

What DBT skill involves accepting reality as it is without approving of it?

Radical acceptance.

200

What is one example of passive communication?

Not expressing your needs or feelings even when something is bothering you.

200

“They didn’t say hello, so they must be angry with me.”

Mind reading

200

True or False: Having an urge means you have to act on it.

False.

300

True or False: Everyone has the same triggers.

False.

300

What is Wise Mind?

The balance between reasonable mind and emotional mind.

300

What is one example of aggressive communication?

Expressing needs through threats, insults, intimidation, or hostility.

300

“Something bad happened today, so tomorrow will probably be terrible too.”

Fortune telling 

300

Name three things you can do when experiencing a strong urge.

Distract yourself, delay acting, use grounding, contact support, leave the situation, etc.

400

You notice you’re becoming more irritable, sleeping poorly, and avoiding people. What might these be?

Warning signs.

400

You’re extremely angry and want to send an insulting text. Which STOP step should happen first?

Stop.

400

What communication style attempts to express needs while respecting both people?

Assertive communication.

400

“I knew this would happen!” despite having little evidence beforehand.

Hindsight bias

400

What does “urge surfing” mean?

Observing an urge as it rises, peaks, and eventually decreases without acting on it.

500

What is one benefit of identifying your warning signs early?

You can intervene before symptoms or behaviors become more severe.

500

You’re overwhelmed and need to tolerate a painful moment without making it worse. Which DBT skill area can help?

Distress tolerance.

500

Someone says something hurtful during an argument. Give one healthy response.

“I’m willing to talk about this, but I need a few minutes to calm down first.”

500

“My partner is upset, so everything must be my fault.”

 Personalization

500

 You want to send an angry message immediately. Give three reasons to delay responding.

Emotions may settle, you can think more clearly, and you reduce the chance of saying something you’ll regret.