Distress Tolerance Skills Training Module

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Instructions:

In each of the sections below, there are lessons, exercises, pdf handouts, pdf worksheets, and video content. Depending on how you learn best, you may decide which material to use first, or use at all. It is best to complete each section in order from top to bottom, and in the following order within each section:

1. watch the video
2. read the lesson
3. complete the exercise
4. use the pdf handout (view, download, print)
5. use the pdf worksheet (view, download, print, fill out)

Introduction & Overview Videos

Goals of Distress Tolerance Skills Training

Crisis Survival Skills

Mindfulness of Thoughts & Self Leadership

[Course Lesson] [Lesson: Mindfulness of Current Thoughts] [Lesson: Practicing Mindfulness of Thoughts] [Exercise: Mindfulness of Current Thoughts] [Exercise: Practicing Mindfulness of Thoughts]
[Handout 15: Mindfulness of Current Thoughts] [Handout 15A: Practicing Mindfulness of Thoughts] [Worksheet 12: Mindfulness of Current Thoughts] [Worksheet 12A: Practicing Mindfulness of Thoughts]
[YouTube Video] Self Help Toons

Problem Solving Skill

STOP in the Moment

Cost Benefit Analysis

TIP Skill: Change Your Chemistry

Distraction with Wise Mind ACCEPTS

[Course Lesson]
[Handout 7: Distracting] [Worksheet 5: Distract with Wise Mind ACCEPTS] [Worksheet 5A: Distract with Wise Mind ACCEPTS] [Worksheet 5B: Distract with Wise Mind ACCEPTS]
[YouTube Video] Dr. Jennifer May, PhD

Self Soothe

Recognize Emotional Crisis

Radical Acceptance

[Course Lesson] [Exercise]
[Handout 10: Overview – Reality Acceptance] [Worksheet 8: Reality Acceptance Skills] [Worksheet 8A: Reality Acceptance Skills] [Worksheet 8B: Reality Acceptance Skills] [Handout 11: Radical Acceptance] [Handout 11A: Factors That Interfere] [Handout 11B: Practicing Radical Acceptance] [Worksheet 9: Radical Acceptance] [Worksheet 9A: Practicing Radical Acceptance]
[YouTube Video] Dr. Jennifer May, PhD

Thinking About Consequences

IMPROVE the Moment

Turning the Mind

[Course Lesson] [Exercise]
[Handout 12: Turning the Mind] [Worksheet 10: Turning the Mind – Willingness, Willfulness]
[YouTube Video] Jennifer Torres, LMHC

RESISTT Technique

When the Crisis is Addiction

[Course Lesson] [Exercise]
[Handout 16: When the Crisis is Addiction] [Handout 16A: Common Addictions] [Worksheet 13: Skills when the Crisis is Addiction]
[YouTube Video]

Dialectical Abstinence

Clear Mind (Addict – Clean)

[Course Lesson] [Exercise]
[Handout 18: Clear Mind] [Handout 18A: Behavior Patterns] [Handout 19: Community Reinforcement] [Worksheet 15: From Clean Mind to Clear Mind] [Worksheet 16: Reinforcing Nonaddictive Behaviors]
[YouTube Video] Wish Recovery Rehabilitation

Bridge Burning

Alternate Rebellion Impulse Control

Half Smile and Willing Hands

Soothing Activated Firefighters

Soothing Triggered Exiles

[Course Lesson] [Exercise]
[Handout] [Worksheet]
[YouTube Video]

Anchoring with Associations

Grounding Technique

Willingness vs Willfulness

Actions Based on Values

[Course Lesson]
[Exercise]

Urge Surfing

Using SOLVED

[Course Lesson]
[Exercise]

Everyday Acceptance