Dialectical Behavior
Therapy Toolkit
Your DBT
Skills Toolkit

Evidence-based tools for building a life worth living. Tap any module to explore skills, or use the interactive tools inside each section.

🔥
Module 1
Distress Tolerance
8 skills + tools
🤝
Module 2
Interpersonal Effectiveness
6 skills + DEAR MAN
💜
Module 3
Emotional Regulation
7 skills + mood check
🍃
Module 4
Mindfulness
6 skills + breathing
"You can't stop the waves, but you can learn to surf."
— Jon Kabat-Zinn
"Radical acceptance is the willingness to accept facts of reality as they are."
— Marsha M. Linehan
🔥 Module 1
Distress Tolerance
Skills for surviving crisis moments without making things worse. These are meant for high-intensity situations when you need to get through — not fix — a problem.
🌡️ TIPP — Body-Based Crisis Skills
When emotions are at peak intensity, use your body's biology to quickly reduce arousal.
❄️
Temperature
Cold water/ice
🏃
Intense Exercise
Burn the energy
🌬️
Paced Breathing
Slow exhales
🛁
Relaxation
Muscle release
🏄 Urge Surfing
Rate your urge intensity right now. Watch how it naturally rises and falls without acting on it.
Tap a number to begin surfing your urge.
ACCEPTS Skills — Distract with ACCEPTS

ACCEPTS is an acronym for ways to distract yourself during a crisis. These aren't avoidance — they're short-term survival tools to get through intense moments.

The 7 ACCEPTS strategies
  • AActivities — Do something engaging: clean, cook, play a game, work out, or any hobby
  • CContributing — Help someone else; volunteer, text a friend, do something kind
  • CComparisons — Compare to a harder time you survived, or to others in more difficult situations
  • EEmotions — Create a different emotion with a movie, music, or reading
  • PPushing Away — Mentally set the problem aside temporarily; you can return to it later
  • TThoughts — Replace with counting, puzzles, or reciting something
  • SSensations — Use intense but safe sensation: cold, heat, strong flavor, texture
💡 TipACCEPTS is not about denying your feelings — it's about buying time so you don't act impulsively during a crisis.

TIPP works by directly targeting your nervous system's physiological state — particularly useful when emotion mind has completely taken over.

  • TTemperature: Hold ice, splash cold water on your face, run cold water over your wrists, or fill a bowl with cold water and ice and dunk your face for up to 30 seconds. Activates the dive reflex, rapidly slowing heart rate. (Avoid if you have a heart condition.)
  • IIntense Exercise: Run, jump, do burpees — match the intensity of your emotion with your body. Burn it off.
  • PPaced Breathing: Exhale longer than your inhale. Try 4-count in, 6-count out.
  • PProgressive Relaxation: Tense each muscle group for 5 seconds, then release. Work from feet to face.

Radical acceptance doesn't mean you approve of what happened — it means you stop fighting against reality. Fighting reality causes suffering on top of pain.

How to practice
  • 1Observe that you are fighting reality ("I'm telling myself this shouldn't be happening")
  • 2Remind yourself: this is what happened. It is already real, regardless of your wishes.
  • 3Notice what refusing to accept is costing you emotionally.
  • 4Practice acceptance in your body: relax clenched fists, unclench your jaw, breathe.
  • 5Use a coping statement: "This is what is. I can tolerate this moment."
⚠️ RememberAcceptance is not the same as approval. You can accept a reality while still working to change it.

Self-soothing uses sensory experience to calm your nervous system. Have a personal "self-soothe kit" ready for crisis moments.

  • 👁️Vision: Candles, nature, art, photos of people/places you love
  • 👂Hearing: Calming music, nature sounds, rain, a favorite podcast
  • 👃Smell: Lotion, essential oils, baking, fresh air
  • 👅Taste: Herbal tea, a favorite food eaten mindfully, something sour or sweet
  • 🤚Touch: Soft blanket, warm bath, petting an animal, massage

In crisis, list the short and long-term pros and cons of tolerating the distress vs. giving in to the crisis behavior. This engages your rational mind even during emotional flooding.

  • 1Pros of tolerating distress: what happens if I resist acting on the urge?
  • 2Cons of tolerating distress: what am I giving up by not acting?
  • 3Pros of acting on crisis behavior: short-term relief, etc.
  • 4Cons of acting: long-term costs to relationships, goals, self-respect
💡 TipMake your list in advance, while calm. In a crisis, read what past-you wrote.
🤝 Module 2
Interpersonal Effectiveness
Skills for maintaining relationships, asking for what you need, saying no, and keeping your self-respect — all at the same time.
📝 Interpersonal Script Builder
Build a script for your conversation using DEAR MAN, GIVE, or FAST. Each generates a ready-to-use script you can export.
D
Describe the situation objectively (just the facts)
E
Express your feelings with "I" statements
A
Assert your request or say no clearly
R
Reinforce — explain the benefit to them too
M
Mindful — what's your core goal here?
N
Negotiate — what could you offer or compromise on?
Use GIVE when keeping the relationship matters as much as your goal. Fill in how you plan to use each element.
G
Gentle — how will you stay non-threatening?
I
Interested — how will you show you're listening?
V
Validate — what's understandable about their position?
E
Easy Manner — how will you keep it light?
Use FAST when keeping your self-respect matters most. Describe how you'll protect your integrity in this situation.
F
Fair — how will you be fair to both of you?
A
No Apologies — what will you NOT apologize for?
S
Stick to Values — what value won't you compromise?
T
Truthful — what will you be honest about?
Core Interpersonal Skills

DEAR MAN is the core skill for making requests or saying no. The first four letters help you communicate clearly; the last three help you stay effective even when pushed back on.

  • DDescribe the situation with just the facts
  • EExpress your feelings with "I" statements
  • AAssert what you want or don't want, clearly
  • RReinforce — explain why it benefits them too
  • MMindful — stay focused on your goal; ignore attacks/distractions
  • AAppear confident — tone, posture, eye contact
  • NNegotiate — offer alternatives, be willing to give a little

Use GIVE when maintaining the relationship matters as much as getting what you want. It keeps the interaction warm and non-threatening.

  • GGentle: No attacks, no judgments, no sneering, no threats
  • IInterested: Listen and appear interested in the other person's perspective
  • VValidate: Acknowledge their feelings and point of view as understandable
  • EEasy manner: Use a little humor and lightness; don't be overly intense
💡 CombineUse DEAR MAN + GIVE together when you need to both get what you want AND preserve the relationship.

FAST is for situations where your self-respect matters most — where you don't want to compromise your values just to please someone or avoid conflict.

  • FFair: Be fair to yourself AND the other person
  • AApologies (no excessive): Don't apologize for existing or making a request
  • SStick to values: Don't compromise what matters to you to keep the peace
  • TTruthful: Don't lie, exaggerate, or act helpless to manipulate

Validating someone doesn't mean agreeing with them — it means showing that their feelings make sense given their history and situation.

6 Levels of Validation
  • 1Pay attention — put down the phone, make eye contact
  • 2Accurately reflect back what you heard
  • 3Read and name unspoken feelings or thoughts
  • 4Validate based on history ("Of course you feel this way given what happened")
  • 5Normalize ("Anyone would feel that way")
  • 6Radical genuineness — treat them as capable and equal
💜 Module 3
Emotional Regulation
Skills for understanding, reducing vulnerability to, and changing unwanted emotions. These work best when you're not already in crisis.
💜 Emotion Check-In
Use the feelings wheel to find exactly what you're feeling, then reflect and acknowledge it.
Step 1 — What are you feeling?
← All emotions
← All emotions
Tap the word that fits best, then continue below
Step 2 — Reflect
I'm feeling
What triggered this feeling?
Where do you feel it in your body?
What do you need right now?
Understanding & Changing Emotions

Emotions are often triggered by interpretations, not just facts. Work through each question to see if your emotional response matches reality — or if it's being amplified by assumptions.

1
What emotion do you want to check?
2
What event or situation triggered it?
3
What are your interpretations or assumptions?
4
What are the actual observable facts?
5
Are there other possible interpretations?
6
Does your emotion fit the facts?

When your emotion doesn't fit the facts (or when acting on it would make things worse), act opposite to what the emotion is telling you to do — all the way.

  • 😢Depression/sadness: Act active. Get up, reach out, do something — even if it feels pointless
  • 😡Anger: Gently avoid, do something kind, take a break
  • 😰Fear: Approach what you fear (safely). Do what you're afraid of doing
  • 😳Shame: Share with a safe person; don't hide
  • 😒Disgust: Get close to what disgusts you (when appropriate)
⚠️ ImportantOpposite action only works if done fully — half-hearted attempts often backfire.

Your physical health is the foundation of emotional resilience. Answer yes or no for each area to see your wellbeing score and get suggestions for anything that needs attention.

PL — Physical Illness
Are you managing your physical health?
Taking medications, treating illness, keeping appointments
💊 Suggestions Schedule any overdue appointments. If you've missed medications today, take them as soon as you remember (or follow your prescription guidance). Even small health neglect compounds emotional dysregulation.
E — Eating
Have you eaten balanced meals today?
Not skipping meals, not restricting, not binging
🍽️ Suggestions If you haven't eaten, have something — even a small snack. Blood sugar swings directly destabilize emotion. Aim for regular, balanced meals and avoid going more than 4–5 hours without eating.
A — Avoid Substances
Have you avoided mood-altering substances?
Alcohol, recreational drugs, excessive caffeine
⚠️ Suggestions Substances directly impair your ability to use DBT skills. Alcohol is a depressant — even one drink can lower emotional baseline. Notice what's driving the urge and consider using a distress tolerance skill instead.
S — Sleep
Did you sleep enough last night?
Roughly 7–9 hours; not drastically over or under
😴 Suggestions Sleep deprivation amplifies all negative emotions. If you're running low: limit caffeine after noon, protect a wind-down window, avoid screens 30 min before bed. Even a 20-min nap can help. Be gentler with yourself today — your emotional baseline is lower.
E — Exercise
Have you moved your body today?
Any movement counts — a walk, stretching, 10 minutes
🏃 Suggestions Even a 10-minute walk changes brain chemistry. Movement releases mood-regulating neurotransmitters, burns off stress hormones, and helps with sleep. It doesn't need to be intense — gentle movement still counts.
Wellbeing Score

Positive emotions are not a luxury — they build resilience. This skill is about intentionally increasing positive emotion in your life, not just waiting for it to happen.

  • 1Short-term: Do at least one pleasant thing each day. Don't wait until you "deserve" it.
  • 2Be mindful of positive moments: When something good happens, pay attention to it. Let it in.
  • 3Long-term: Work toward goals and changes that create a life worth living
  • 4Attend to relationships: Repair and maintain relationships that bring you joy

Depression and emotional dysregulation erode your sense of competence. Deliberately doing things you're good at — or learning new skills — builds the emotional foundation of self-respect.

  • 1Identify activities that make you feel capable, successful, or skilled
  • 2Plan to do at least one mastery activity daily
  • 3Make it challenging enough to feel meaningful, but achievable
💡 TipMastery doesn't require being the best at something. It's the feeling of doing, learning, and growing.
🍃 Module 4
Mindfulness
The foundation of all DBT skills. Mindfulness is about being fully present — observing your experience without judgment. The goal is to participate in your life, not just watch it.
🌬️ Guided Breathing
Slow, paced breathing activates the parasympathetic nervous system. Exhale longer than you inhale.
Tap Start
4-6 breathing
🧭 Wise Mind Check
Wise mind is the intersection of emotion mind and reason mind. Tap a prompt to reflect.
Emotion
Mind
Reason
Mind
Wise
Mind
What does my gut tell me, underneath the emotion?
What would I advise a friend I love in this same situation?
Am I reacting from fear or from values?
What will I think of this decision in a year?
What Skills — How to Be Mindful

Observe means noticing your experience without immediately trying to change it, analyze it, or put it into words. Just witness what is happening right now.

  • 1Notice sensations in your body — temperature, pressure, tingling
  • 2Watch your thoughts pass like clouds, without grabbing onto them
  • 3Notice emotions as waves of sensation — where do you feel them in your body?
  • 4Observe what's happening in the room: sounds, light, space
💡 TipIf you notice yourself judging or analyzing, that's okay — just observe that you're judging, and return.

Describe means applying words to what you observe — but only observable facts, not interpretations. This separates experience from the story we tell about it.

  • "I notice tightness in my chest" (not "I'm anxious and something bad will happen")
  • "I noticed the thought 'I'm a failure'" (not "I am a failure")
  • "My face is hot" (not "I'm embarrassed and everyone is judging me")

Participate is the opposite of being a spectator of your own life. It means becoming one with your experience — fully immersed, without self-consciousness.

  • 1Stop observing yourself and just do the activity fully
  • 2Dance, sing, talk, or work without stepping outside to judge yourself
  • 3Respond skillfully to each moment as it comes, without holding back
How Skills — The Manner of Mindfulness

Judgments are not facts. Practicing non-judgment doesn't mean having no preferences — it means noticing when you add evaluative labels and choosing to let them go.

  • 1When you catch a judgment, acknowledge it: "I'm judging myself"
  • 2Replace with a description of facts: "I made a mistake" instead of "I'm so stupid"
  • 3Don't judge your judging — this just adds layers. Simply notice and return.

One-mindfully is the antidote to rumination and distraction. Focus completely on what you're doing right now, and when your mind wanders, gently bring it back without judgment.

  • 1When eating, just eat. When walking, just walk.
  • 2When your mind wanders (it will), just notice and return
  • 3Each return of attention is the practice — not a failure