Cognitive Distortions
This distortion selectively focuses on one negative detail while ignoring multiple positives
Mental Filtering
In CBT, repeated shame experiences often solidify into these deeply held schemas
Core beliefs
In ACT, we don't try to eliminate thoughts; we practice this skill instead
Acceptance (or defusion)
This DBT module focuses on surviving crisis without making things worse
Distress Tolerance
Mindfulness helps regulate cravings by strengthening this brain region responsible for impulse control
Prefrontal Cortex
"Because I disappointed my boss, I must be a burden." This distortion involves extending one event into a global identity conclusion
Shame differs from guilt because shame targets the ______, while guilt targets the ______.
Self/identity and behavior
Saying "I'm having the thought that I'm worthless" is an example of this ACT skill
Cognitive Defusion
If an emotion fits the facts but acting on it would be harmful to recovery, DBT suggests using this skill
Opposite Action
Convincing oneself that substance use is "not as bad as others" reflects this mechanism
Believing "I relapsed once, so I'll never get better" is an example of this distortion
Overgeneralization or All-or-Nothing Thinking
Self-compassion interrupts relapse risk primarily by reducing this nervous system response linked to threat and self-attack
Threat Response (Fight/flight/freeze response)
A person trying to act according to their values even while experiencing difficult thoughts and emotions instead of trying to avoid them is an example of what ACT skill
Psychological Flexibility
What does TIPP stand for
Temperature, Intense Exercise, Paced Breathing, and Progressive Muscle Relaxation
Withdrawing from support due to shame reinforces this relapse risk factor
Isolation
Saying "I feel ashamed, so I must be a terrible person" is an example of what distortion?
Emotional Reasoning
Research shows shame is more likely than guilt to lead to this maladaptive coping strategy
Avoidance (numbing, substance use)
Taking action aligned with values, even when uncomfortable, is called this
Committed Action
This distress tolerance skill involves riding out cravings without acting on them
Urge Surfing
Repairing relationships in recovery often requires vulnerability, accountability, and this DBT skill set
Interpersonal Effectiveness
This distortion involves predicting a negative outcome and treating it as fact
Fortune Telling
This is the CBT skill of examining evidence for and against a shame-based thought
Cognitive Restructuring or Challenging a Thought
Trying to numb, suppress, or avoid painful emotions is called this
Experiential avoidance
This DBT state of mind balances emotion mind and reasonable mind
Wise Mind
Early in recovery, a person feels unusually optimistic, highly motivated, and confident that staying sober will be easy, sometimes underestimating relapse risk. This experience is known as what
The Pink Cloud