DBT Coping Skill Card
DBT Coping Skill Card
FLASH
behavior theraphy
CARDS MINDFULNESS
regulation.
Figure out if there is a way to change the Fair, apologies, sticking to your values, and
situation truthful.
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MINDFULNESS
MINDFULNESS
wise mind ‘WHAT’ SKILL
The balance between reason and emotion
knowledgeable stressed
you observe. Use descriptive words
to explain your internal experience.
MINDFULNESS
MINDFULNESS
‘how’ SKILL
Mindfulness simply means
Non-Judgmental - Take a non-
focusing your mind to the present
judgmental stance. Observing your
moment and recognizing when it
thoughts and emotions objectively.
is wondering off or being caught
up in another thought and
One-Mindful - Focus on one thing at
bringing it back to your present
a time. By engaging in a task
experience.
mindfully, you strengthen your ability
to engage in one practice at a time.
Applying mindfulness in DBT can
help with emotional dysregulation
Effective - applying your mindful
by helping to relinquish the
concepts, learning, and sharpening
struggle with painful emotions.
your practice.
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Close your eyes and imagine you Imagine you are about to blow
are a turtle swimming through a whistle.
the ocean.
Breathe in slowly through your
Breathe in slowly and fill your nose as you fill up your belly with air.
belly with as much air as you can.
Breathe out slowly through your
Blow out slowly through your mouth and imagine the sound
mouth and watch the bubbles coming out of the whistle.
float through the water.
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ACCEPT dbt skill senses
Work through your distress with Shift the focus from your mind onto
this activity something entirely different
a ctivities
Participate in hobbies that you enjoy,
for example watch a movie or play
cards.
vision
Stimulate your eyes. Go for a walk through
the park. Cut out some interesting pictures
from a magazine. Look at some art.
c ontributing
Contribute to society, do volunteer
work or offer to do something nice
for a friend. HEARING
Go outside and listen to the birds, the wind or
even the waves at the beach. Listen to your
favourite music or play an instrument.
c omparisons
Compare yourself to others less
fortunate than you, or to others who
are coping the same or less well than you.
SMELL
Light some candles or smell some essential
oils. Cook your favourite meal. Go outside
e
and smell the flowers or the fresh air.
Watch an inspirational movie, book or
motions music that create a better emotion or
feeling.
Eat something yummy. Take your time and
try to focus on tasting every little bit of
taste
p Ask yourself these questions. Can I do flavour. Feel the different textures in your
ushing away anything about this right now? mouth.
Is it a good time to work on this?
t touch
Distract your thoughts by fabric. Pat your cat or dog, go outside and
houghts engaging in some mindfulness pick up different objects from the tree and
activities. feel all the different textures.
INTENSE EXERCISE
Focus on long term goals. Work up a sweat. Use your energy by doing
PROS cons
I a cardio workout, such as running, lifting
weights, or playing a physically demanding
sport.
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DISTRESS TOLERANCE SKILL DISTRESS TOLERANCE
p
TO HANDLE ALREADY HAPPENED
Prayer can mean different things to everybody. It may be to
pray to the higher god, or maybe it means praying to find
strength within yourself in that moment. I WISH I COULD
THE PRESENT IS THE
ONLY MOMENT
CHANGE WHAT HAS
RELAXING ACTIONS I HAVE CONTROL
HAPPENED
r
OVER
Do something relaxing for yourself to try and find peace and
calm. Read a book, have a bath, listen to music or go for a
walk.
MY PAST I CAN SURVIVE
HAUNTS ME THE PRESENT
ONE THING IN THE MOMENT
o Mindfully focus on the moment, try and keep your attention
on the task you are doing.
MOVING I DON’T HAVE
FORWARD IS TOO CONTROL OVER
HARD THE PAST
VACATION
v Give yourself a short vacation. switch off your phone, give
yourself a mini break that you know you deserve.
I ALWAYS MAKE
THIS MOMENT IS
THE RESULT OF
MISTAKES OVER A MILLION
OVER DECISIONS
SELF ENCOURAGEMENT AND RETHINKING
e Practice positive self talk. Say things such as “ I am braver
than I think”, or “I can do this”.
RADICAL ACCEPTANCE
DISTRESS TOLERANCE
COPING statements DBT PROBLEM SOLVING WORKSHEET
DEFINE THE PROBLEM IN DETAIL. WHO, WHAT, WHERE, WHEN, WHY AND HOW.
ALREADY HAPPENED
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RADICAL ACCEPTANCE RADICAL ACCEPTANCE
COPING STATEMENTS WORKSHEET
FIGHTING THE PAST ONLY BLINDS MY PRESENT What happened? What led up to the situation?
What’s the situation?
I CAN HANDLE WHAT IS IN FRONT OF ME AS IT IS
LIFE IS WORTH LIVING, EVEN IF I AM IN PAIN
EVERYTHING THAT HAS HAPPENED IN THE PAST,
HAS LEDUP TO THIS POINT NOW
I CAN LIVE IN THE PRESENT, DESPITE THE PAIN
I AM EXPERIENCING
I CAN HAVE PAIN WITHOUT IT TURNING INTO SUFFERING. What was your role, and what role What do you and don’t you have
did other people play? control over?
1 CAN SURVIVE THE PRESENT, EVEN IF I AM UNHAPPY
WITH WHAT IS HAPPENING
THE PRESENT IS THE RESULT OF SO MANY THINGS
THAT HAS ALREADY HAPPENED
1 CAN’T CHANGE WHAT HAS HAPPENED IN THE PAST
I CAN LEARN FROM THE PAST TO SOLVE MY PRESENT
What was your response to the How can you use radical acceptance
AND FUTURE PROBLEMS
situation and how did it make you to respond differently in the future?
ACCEPTANCE ALLOWS ME TO BE FREE FROM THE feel?
SHACKLES OF DENIAL
MY PAST DOES NOT DEFINE MY FUTURE
HOW I REACT IN THIS MOMENT IS ALL I HAVE CONTROL OVER
I SEE THE PRESENT MOMENT FOR WHAT IT IS
HYPERAROUSAL
- Feelings of extreme anxiousness with
Sounds People Thoughts possible panic attacks.
- Feel overwhelmed and out of control.
- Want to fight or run away.
DYSREGULATION
Hearing certain music or Being around people Certain memories or - Feelings of frustration and agitation
sounds that remind you that are linked to or thoughts can bring back increase.
of past trauma have similarities related old trauma - Uncomfortable feelings start to increase
to your trauma but still in control.
WINDOW OF TOLERANCE
- Feel present, calm and safe.
Situations Feelings Smells -Stress
- In total control. -Mindfulness
THINGS THINGS - Grounding
- Things that
THAT THAT exercises
trigger trauma
SHRINK CAN EXPAND -Gratitude
- Anxiety
YOUR YOUR - Positive self
-Rejection
WINDOW
-Abandonment WINDOW talk
Being in a situation Just feeling pain Certain smells are -Deep breathing
that makes you feel unrelated to your trau- strongly linked to
unsafe ma can be enough to re our memories
trigger your trauma
DYSREGULATION
- Getting close to the stage of shutting down.
Places Death Media - Uncomfortable feelings start to increase
butstill in control.
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DISTRESS TOLERANCE SKILL
OPPOSITE REACTION
S.T.O.P DO EXACTLY THE OPPOSITE OF WHAT YOUR
EMOTIONS TELL YOU TO DO
WHAT HAPPENED? IDENTIFY YOUR IDENTIFY YOUR
STOP EMOTIONS NATURAL URGE
TAKE A BREATH
t Practice some deep breathing techniques to
slow your heart rate down.
SHOULD I FOLLOW
MY URGE?
OBSERVE
o
Observe your thoughts, feelings and behav-
ior. How does your body feel?
OUTCOME
PROCEED
p Purposefully and mindfully proceed with
your next activity, one step at a time. Would i act the same way next time? Would i act the same way next time?
a v
VALIDATE YOUR FEELINGS
“ I feel sad and angry”
ACCUMULATE What changes can you make in your life so that positive events will happen
POSITIVE more often in the future.
EMOTIONS
IMAGINE
i Imagine yourself doing it peacefully and
productively.
What things can you do to feel competent and effective
to combat helplessness and hopelessness.
a APPLAUD YOURSELF
Give yourself a pat on the back for your efforts
COPE AHEAD OF
TIME WITH
EMOTIONAL
SITUATIONS s SWEETEN THE POT
Reward your efforts
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INTERPERSONAL EFFECTIVENESS SKILL INTERPERSONAL EFFECTIVENESS SKILL
D.E.A.R M.A.N
DECRIBE
G.I.V.E
d Describe the situation simply. stick to the facts by avoiding
opinion and interpretation.
GENTLE
Be more gentle and treat the other person
EXPRESS
G with respect. Don’t threaten, attack or
express judgment during your interactions
e Express how you are feeling by using an “I” statement.
Don’t assume that the other person knows how you feel.
with other people.
ASSERT
a INTERESTED
I
Say what you need. don’t beat around the bush. be firm
Listen and look interested in the other
and clear.
person. Show interest in other people’s point
of view by listening without interrupting.
REINFORCE
r Reward people who respond well, and explain the positive
effects of getting what you want or need.
VALIDATE
Show other people that you understand by
m
MINDFUL
Maintain your position and keep your mind on your goals.
Don’t steer off from the objective of the interaction.
V validating their thoughts and feelings. Try
to recognise when you are demanding, and
respect their opinions.
APPEAR
a Use a confident voice, body language and make good eye
contact, this will help you appear confident. EASY MANNER
NEGOTIATE
E Be light hearted, smile and show an easy
manner by using a little humour. leave your
TEA
CHE
FRIENDS R
ICE
POL
TRUTH
t
AUNTIE
S SIBLINGS
NEIGHBOUR
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DIALECTICAL THINKING UNHELPFUL
- WHERE TWO OPPOSITES CAN CO-EXIST THINKING STYLES
I AM TRYING I STILL WANT
MY BEST TO DO BETTER MENTAL FILTER JUMPING TO CONCLUSIONS EMOTIONAL REASONING
Focusing on your failures while Assuming that you know what other Believing that just because you feel
avoiding to see your success, or people are thinking. Making negative a certain way then justifying that
focusing only on the negatives of a predictions about the future your thoughts must then be true.
situation whilst filtering out the or what others think about you. Thus, you base your view of situa-
positives. tions, yourself, or others, on the way
I MISS SEEING I NEED MY you are feeling.
YOU SPACE
I AM FEELING
OVERCOME
ANXIOUS
THESE FEELINGS
+ =
actions
What
Things I can The
control
er
other’s weath
post
online
DIALECTICAL THINKING
tions What I post My
My ac
online age
What I say
How people about
react to my other people How i spend my
boundaries What I spare time
say Other
people’s
opinions
The
+ =
future
The results
Predicting of a
what sports
will happen match
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PROS AND CONS BOUNDARY RESPONSES
DISTRESS TOLERANCE SKILL THAT YOU CAN USE
The Pros and Cons skill can help individuals respond to difficult situa-
tions and feelings in a more effective way. Naturally, many people use
pros and cons to assess situations and behavior, such as whether or not “LET ME CHECK MY DIARY AND GET BACK TO YOU.”
they should choose to proceed with something. However, the DBT pros “I DON’T LIKE THAT, CAN WE TRY SOMETHING DIFFERENT.”
and cons is a little different as this skill also assess the pros and cons of
tolerating vs not tolerating distress (coping vs not coping). For example, “I WOULD REALLY LIKE TO COME, BUT I HAVE ALREADY
imagine that your natural urge or behavior was to verbally speak up COMMITTED MYSELF TO SOMETHING ELSE AT THAT TIME.”
and give your friend a piece of your mind because they said something
“I CAN ONLY STAY FOR A LITTLE BIT.”
that was very upsetting to you. The comment said, made you upset
and hurtful experiences and feelings from your past were re triggered. “I REALLY CAN’T TALK ABOUT THAT RIGHT NOW. IT ISN’T
Of course, you could yell and scream as you normally would, or you
THE RIGHT TIME”.
could sit with the uncomfortable feeling, ride the feeling wave and talk
yourself through some effective coping skills. Thinking about the con- “I AM SORRY YOU ARE HAVING SUCH A TOUGH TIME.
sequences of tolerating versus not tolerating this distress can help you HOWEVER, RIGHT NOW I AM NOT IN A PLACE TO TAKE IN
make more positive choices that align with your long term goals.
ALL OF THIS INFORMATION.”
“I’M HAPPY TO LEND YOU MY DRESS, BUT I’LL NEED IT
BOUNDARY AFFIRMATIONS
SETTING BOUNDARIES IS ABOUT LOVING MYSELF
IT IS NOT UP TO ME TO FIX OTHERS
IT IS OK TO SAY NO
I DO NOT NEED TO TAKE RESPONSIBILITY FOR OTHERS
Setting
OTHERS DON’T HAVE TO AGREE WITH ME, AND THAT IS OK
I HAVE THE RIGHT TO FEEL MY OWN FEELINGS
I DO NOT NEED TO APOLOGIZE FOR BEING ME
HEALTHY BOUNDARIES ARE NOT WALLS
BOUNDARIES ARE MY GATES THAT I GET TO OPEN AND
boundaries is
CLOSE WHEN I CHOOSE TO
IT’S OK TO MAKE PEOPLE ACCOUNTABLE FOR THEIR about loving
myself
ACTIONS
SETTING BOUNDARIES WILL HELP ME NOT BECOME,
ANGRY, BITTER OR RESENTFUL
I DO NOT NEED TO JUSTIFY MY BOUNDARIES TO ANYONE
BOUNDARIES ALLOW ME TO PARTICIPATE, BUT TO ALSO
LEAVE
I NEED TO HAVE BOUNDARIES SO THAT I DON’T FEEL
MISTREATED OR USED
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FINDING THE SWEET SPOT
By now, you are familiar with the concept of boundaries, the imaginary line that
separates you from others. However, finding the right balance with personal
boundaries can be difficult and a work in progress for many people.
Personal limits of boundaries can be divided into three different categories, rigid
(hard), porous (soft) and healthy (the right balance between the other 2).
Individuals with porous boundaries find it hard to say no to people and often
feel mistreated and taken advantage of. On the other hand, individuals that
constantly have a wall up and don’t allow people to get close to them have hard,
rigid boundaries.
It’s ok to put
protects you from being mistreated and helps you develop meaningful relation-
ships. If you are able to recognize your boundaries as either soft or rigid, you can
adjust them and move them in the right direction to find the right balance that
works for you.
SEVERE
DESTRUCTIVE STAGE 1: GETTING IN CONTROL GAIN
CONTROL
BEHAVIORS
TARGETS OVER
BEHAVIORS
- Identify the behaviors that you are trying
to gain control over
LET’S TALK ABOUT I KNOW I’M PUTTING CAN WE PLEASE
THIS WHEN WE ARE MYSELF FIRST, BUT DISCUSS THIS IN - Reduce life threatening behaviours such as
FEELING CALM. THAT’S WHAT I NEED. PRIVATE RATHER THAN self harm, addiction, suicide
IN FRONT OF OTHER
PROBLEMS GOALS
PEOPLE.
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