DBT Distress Tolerance
What is the STOP Skill?
Stop
Take a Step Back/Break
Observe
Proceed Mindfully
Describe Opposite Action
Engaging in the opposite action to a behavioral or emotional urge
We use opposite action when the emotions and/or it's intensity does not fit the facts
Demonstrate butterfly tapping
Crossed hands on chest or arms tapping back and forth syncing with breath
Why do we use a diary card?
To track behaviors, emotions and skills (for data)
What is TIPP?
Temperature
Intense Exercise
Paced Breathing
Progressive Muscle Relaxation
What is Check the Facts
Checking to see if there are facts or logic to support an emotion or belief
What is 54321
5 things you can see
4 things you can touch
3 things you can hear
2 things you can smell
1 thing you can taste
Client Answer
When do we use distress tolerance skills (multiple answers)
When you are in crisis
To access higher level thinking/wise mind
To take the "edge" off an emotional experience
When would we use problem solving
When the emotions and or it's intensity do fit the facts
Demonstrate Hand to Heart
Hand on heart/center of chest
What is your LWLG (life worth living goal) or Why are you in therapy? What are you hoping to improve or work on?
Client Answer
What is the difference between DBT pros/cons versus typical pros/cons
DBT pros/cons has 4 boxes that allow you to weigh the pros and cons of both acting on and resisting crisis urges
What is the PLEASE skill
Take care of physical health
Eat Regular/Health Meals
Avoid Mood Altering Substances
Sleep
Exercise
Practice Rainbow Grounding!
ROYGBIV
Why is medication compliance so important?
Reduce vulnerability factors
Stabilize Symptoms
Aid in skills being more effective
Greater sense of control over your mental health
What does the acronym ACCEPTS stand for (DOUBLE JEOPARDY if you can also name IMPROVE)
Activities, Contribution, Comparison, Emotions, Pushing Away, Thoughts, Sensations
Imagery, Meaning, Prayer, Relaxation, One Thing in the Moment, Vacation, Encouragement
Name the components that make up the Model of Emotions (hint there are 5 core parts)
Prompting Event
Vulnerability Factors
Interpretations/Beliefs/Thoughts
Biological/Internal Changes
External Changes
Emotion
Aftermath/Secondary
Brain Game- Name 5 Taylor Swift Songs
Any Taylor Swift Song
What is the difference between hyperarousal and hypo arousal?
Hyperarousal = high stress, anxiety, panic
Hypo arousal = shutdown, dissociation, numbness, freeze