DISTRESS INTOLERANCE & ACCEPTING DISTRESS
IMPROVING DISTRESS
CBT: THOUGHTS, FEELINGS, ACTIONS
SHAME & VULNERABILITY (BRENÉ BROWN)
EMOTIONAL COURAGE & UNDERSTANDING (SUSAN DAVID + SUPPORT ZONES)
100

This happens when someone feels like they “can’t handle” emotional discomfort.

What is distress intolerance?

100

Changing your environment or sensory input to reduce distress is part of this DBT-style skill.

What is distraction or self-soothing?

100

CBT says these three things influence each other in a cycle.

What are thoughts, feelings, and behaviors?

100

Brené Brown defines this emotion as “the fear of disconnection.”

What is shame?

100

Susan David says avoiding emotions leads to this type of “fragility.”

What is emotional fragility?

200

The first step in tolerating distress is doing this instead of reacting or avoiding.

What is observing the distress?

200

Humor, perspective shifts, and reframing are all examples of this form of coping.

What is cognitive reframing?

200

An automatic “worst case scenario” thought is an example of this distortion.

What is catastrophizing?

200

Shame grows in secrecy but decreases when you do this with trusted people.

What is sharing or speaking it?

200

Emotional courage means choosing ___ over comfort.

What is values?

300

This practice means letting emotions be present without trying to push them away.

What is acceptance?

300

This acronym skill includes imagery, meaning, relaxation, and encouragement.

What is “IMPROVE the moment”?

300

Identifying and challenging an unhelpful thought is called this CBT skill.

What is cognitive restructuring?

300

According to Brené, the antidote to shame is this courageous act.

What is vulnerability?

300

Susan David says rigidly avoiding hard emotions is a sign of this psychological pattern.

What is emotional rigidity?

400

A skill where you get curious about what you’re feeling rather than judging it.

What is practicing curiosity?

400

When distress is high, this skill helps you notice what is still within your control.

What is focusing on controllables?

400

Changing your behavior first to shift how you feel is called this.

What is behavioral activation?

400

The three things shame needs to survive are secrecy, silence, and ___.

What is judgment?

400

Understanding others requires this skill: stepping into their world without losing your own.

What is empathy?

500

A core truth taught in the worksheet: discomfort is ___, but not ___ (two words).

What are uncomfortable but not dangerous?

500

A long-term distress-reducer that involves aligning behaviors with your personal values.

What is values-based action?

500

A common CBT strategy: “If this were a friend’s situation, what would I say?”

What is distancing or the “friend test”?

500

Brené Brown says this skill is essential for connecting with others while staying grounded in who you are.

What is authenticity?

500

Susan David calls emotions “data, not ___.”

What are directives?