Distress Tolerance Handout 7

(Distress Tolerance Worksheets 5–5b ) 183–973 . pp ;


Distracting
A way to remember these skills is the phrase “Wise Mind ACCEPTS.”
With Activities:
Focus attention on a task you need to get
‰‰ ‰‰ Go out for a meal or eat a favorite food.
done. ‰‰ Call or go out with a friend.
Rent movies; watch TV.
‰‰ ‰‰ Listen to your iPod; download music.
Clean a room in your house.
‰‰ ‰‰ Build something.
Find an event to go to.
‰‰ ‰‰ Spend time with your children.
Play computer games.
‰‰ ‰‰ Play cards.
Go walking. Exercise.
‰‰ ‰‰ Read magazines, books, comics.
Surf the Internet. Write e-mails.
‰‰ ‰‰ Do crossword puzzles or Sudoku.
Play sports.
‰‰ ‰‰ Other:

With Contributing:
Find volunteer work to do.
‰‰ ‰‰ Call or send an instant message encouraging
Help a friend or family member.
‰‰ someone or just saying hi.
Surprise someone with something nice (a
‰‰ ‰‰ Make something nice for someone else.
card, a favor, a hug). ‰‰ Do something thoughtful.
Give away things you don’t need.
‰‰ ‰‰ Other:

With Comparisons:
Compare how you are feeling now to a time
‰‰ ‰‰Compare yourself to those less fortunate.
when you felt different. ‰‰Watch reality shows about others’ troubles;
Think about people coping the same as you or
‰‰ read about disasters, others’ suffering.
less well than you. ‰‰Other:

With different Emotions:

‰‰Read emotional books or stories, old letters. Ideas: Scary movies, joke books, comedies,
‰‰Watch emotional TV shows; go to emotional funny records, religious music, soothing music
movies. or music that fires you up, going to a store and
‰‰Listen to emotional music. reading funny greeting cards.
(Be sure the event creates different emotions.) ‰‰ Other:

With Pushing away:

Push the situation away by leaving it for a
‰‰ ‰‰ Notice ruminating: Yell “No!”
while. ‰‰ Refuse to think about the painful situations.
Leave the situation mentally.
‰‰ ‰‰ Put the pain on a shelf. Box it up and put it
Build an imaginary wall between yourself and
‰‰ away for a while.
the situation. ‰‰ Deny the problem for the moment.
Block thoughts and images from your mind.
‰‰ ‰‰ Other:

With other Thoughts:

Count to 10; count colors in a painting or
‰‰ ‰‰Work puzzles.
poster or out the window; count anything. ‰‰Watch TV or read.
Repeat words to a song in your mind.
‰‰ ‰‰Other:

With other Sensations:

Squeeze a rubber ball very hard.
‰‰ ‰‰Go out in the rain or snow.
Listen to very loud music.
‰‰ ‰‰Take a hot or cold shower.
Hold ice in your hand or mouth.
‰‰ ‰‰Other:
From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permis-
sion to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT Skills
Training Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
 Distress Tolerance Handout 8
(Distress Tolerance Worksheet 6–6b ) 483–283 . pp ;

Self-­Soothing
A way to remember these skills is to think of soothing each of your five senses.
With Vision:
Look at the stars at night.
‰‰ ‰‰ Sit in the lobby of a beautiful old hotel.
Look at pictures you like in a book.
‰‰ ‰‰ Look at nature around you.
Buy one beautiful flower.
‰‰ ‰‰ Walk in a pretty part of town.
Make one space in a room pleasing to look at.
‰‰ ‰‰ Watch a sunrise or a sunset.
Light a candle and watch the flame.
‰‰ ‰‰ Go to a dance performance, or watch it on TV.
Set a pretty place at the table using your best
‰‰ ‰‰ Be mindful of each sight that passes in front of
things. you.
Go people-­watching or window-­shopping.
‰‰ ‰‰ Take a walk in a park or a scenic hike.
Go to a museum or poster shop with beautiful
‰‰ ‰‰ Browse through stores looking at things.
art. ‰‰ Other:
With Hearing:
Listen to soothing or invigorating music.
‰‰ ‰‰ Burn a CD or make an iPod mix with music
Pay attention to sounds of nature (waves,
‰‰ that will get you through tough times. Turn it
birds, rainfall, leaves rustling). on.
Pay attention to the sounds of the city (traffic,
‰‰ ‰‰ Be mindful of any sounds that come your way,
horns, city music). letting them go in one ear and out the other.
Sing to your favorite songs.
‰‰ ‰‰ Turn on the radio.
Hum a soothing tune.
‰‰ ‰‰ Other:
Learn to play an instrument.
‰‰
With Smell:
Use your favorite soap, shampoo, aftershave,
‰‰ ‰‰Sit in a new car and breathe the aroma.
cologne, or lotions, or try them on in the store. ‰‰Boil cinnamon. Make cookies, bread, or
Burn incense or light a scented candle.
‰‰ popcorn.
Open a package of coffee and inhale the
‰‰ ‰‰Smell the roses.
aroma. ‰‰Walk in a wooded area and mindfully breathe
Put lemon oil on your furniture.
‰‰ in the fresh smells of nature.
Put potpourri or eucalyptus oil in a bowl in your ‰‰
‰‰ Open the window and smell the air.
room. ‰‰Other:
With Taste:
Eat some of your favorite foods.
‰‰ ‰‰Suck on a piece of peppermint candy.
Drink your favorite soothing drink, such
‰‰ ‰‰Chew your favorite gum.
as herbal tea, hot chocolate, a latté, or a ‰‰Get a little bit of a special food you don’t
smoothie. usually spend the money on, such as fresh-­
Treat yourself to a dessert.
‰‰ squeezed orange juice or your favorite candy.
Eat macaroni and cheese or another favorite
‰‰ ‰‰Really taste the food you eat. Eat one thing
childhood food. mindfully.
Sample flavors in an ice cream store.
‰‰ ‰‰Other:
With Touch:
Take a long hot bath or shower.
‰‰ ‰‰Take a drive with the car windows rolled down.
Pet your dog or cat.
‰‰ ‰‰Run your hand along smooth wood or leather.
Have a massage. Soak your feet.
‰‰ ‰‰Hug someone.
Put creamy lotion on your whole body.
‰‰ ‰‰Put clean sheets on the bed.
Put a cold compress on your forehead.
‰‰ ‰‰Wrap up in a blanket.
Sink into a comfortable chair in your home.
‰‰ ‰‰Notice touch that is soothing.
Put on a blouse or shirt that has a pleasant
‰‰ ‰‰Other:
feel.
From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permis-
sion to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT Skills
Training Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)