What is DBT?

Dialectical Behavior Therapy (DBT) was developed by Dr. Marsha Linehan and is one of the most effective treatments for emotional dysregulation, borderline personality disorder, and chronic suicidal thoughts. But you don't need a diagnosis to benefit from DBT skills — they work for anyone who struggles with intense emotions.

DBT has four main modules:

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Distress Tolerance

Survive crisis moments without making things worse

🎭

Emotional Regulation

Understand and manage intense emotions

💬

Interpersonal Effectiveness

Navigate relationships while respecting yourself

🧘

Mindfulness

Stay present and observe without judgment

🔥 Distress Tolerance Skills

For when emotions are overwhelming and you need to get through a crisis without making things worse.

🧊

TIPP Skills

Temperature, Intense exercise, Paced breathing, Paired muscle relaxation — change your body chemistry fast.

⏱️ 1-5 min 🎯 Crisis, Intense Emotions
🎯

ACCEPTS (Distraction)

Activities, Contributing, Comparisons, Emotions, Pushing away, Thoughts, Sensations — healthy distraction.

⏱️ varies 🎯 Urges, Cravings
🕯️

Self-Soothe with Five Senses

Use each of your five senses to comfort yourself during difficult moments.

⏱️ 5-15 min 🎯 Comfort, Self-Care

🧊 TIPP — Change Your Body Chemistry

T
Temperature: Cold water on face triggers dive reflex, slows heart rate
I
Intense Exercise: 10-20 min of cardio burns off adrenaline
P
Paced Breathing: Slow exhales activate parasympathetic system
P
Paired Muscle Relaxation: Tense then release muscle groups

🎭 Emotional Regulation Skills

For understanding, reducing vulnerability to, and changing unwanted emotions.

🔄

Opposite Action

When your emotion doesn't fit the facts or acting on it is harmful, do the opposite of what the emotion urges.

⏱️ varies 🎯 All Emotions
🔍

Check the Facts

Challenge your interpretation of events. Is your emotional response based on facts or assumptions?

⏱️ 5-10 min 🎯 Anxiety, Anger, Shame
💪

PLEASE Skills

Reduce emotional vulnerability by treating Physical illness, balanced Eating, avoiding Altering substances, Sleep, and Exercise.

⏱️ ongoing 🎯 Prevention

💬 Interpersonal Effectiveness

For asking for what you need, saying no, and maintaining relationships while keeping self-respect.

🗣️

DEAR MAN

Describe, Express, Assert, Reinforce, stay Mindful, Appear confident, Negotiate — get what you want effectively.

⏱️ varies 🎯 Asking, Boundaries
🤝

GIVE Skills

Gentle, Interested, Validate, Easy manner — maintain the relationship while making requests.

⏱️ varies 🎯 Relationships