D

Important Disclaimer

This website is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, please contact a licensed mental health professional or call the 988 Suicide & Crisis Lifeline immediately.

Learn the Skills

Four evidence-based skill areas, organized from basic to advanced. Each builds on the last.

🛡️

Distress Tolerance

Survive crisis without making it worse

📚 Basic Skills

  • Distraction: Do something else (ice cube, red marker, rubber band snap), pleasurable activities, pay attention to others, leave the situation, tasks/chores, counting methods
  • Self-Soothe: Engage all five senses—sight, sound, smell, taste, touch—to calm the nervous system
  • Improve the Moment: Imagery, meaning, prayer, relaxation, one thing in the moment, vacation (brief), encouragement

🎯 Advanced Skills

  • Radical Acceptance: Accept what is without judgment; release the fight with reality
  • Safe-Place Visualization: Build and rehearse a mental sanctuary you can return to
  • Cue-Controlled Relaxation: Pair a cue word ("relax") with deep breathing until instant association

Key principle: These buy time. You’ll still address the problem—but once you’re regulated.

🧘

Mindfulness

Attention as a trainable skill

📚 Basic Skills

  • Observe: Notice without words; watch sensations, emotions, thoughts arise and pass
  • Describe: Put words to experience without evaluation ("I feel tightness in my chest" not "This is awful")
  • Participate: Fully engage in the present activity; become one with what you're doing
  • Non-Judgment: Drop "good/bad" labels; stick to facts

🎯 Advanced Skills

  • Wise Mind: The overlap of emotion mind and reasonable mind—intuition + logic
  • One-Mindfully: Do one thing at a time with full attention
  • Effectiveness: Focus on what works, not on being "right"

✨ Deepening Practice

  • Thoughts as Passing Events: Notice thoughts arise, peak, and dissolve—you are not your thoughts
  • Three-Cue Habit: Pick three daily triggers (door handle, kettle, phone) and pause mindfully

Key principle: You can’t stop thoughts or emotions, but you can change your relationship to them.

💚

Emotion Regulation

Work with emotions, not against them

📚 Basic Skills

  • Identify & Label: Name the emotion precisely ("disappointed," not just "bad")
  • Check the Facts: Does the emotion fit the facts? What’s the evidence?
  • Opposite Action: If emotion doesn’t fit facts (or makes things worse), act opposite to the urge

🎯 Advanced Skills

  • ABC PLEASE: Accumulate positive emotions, Build mastery, Cope ahead; Physical health (sleep, eating, exercise), treat iLlness, avoid mood-altering drugs, balancE eating, Sleep hygiene
  • Build Your "Signals → Skills" Map: Pre-plan which skills to deploy when you notice specific emotion patterns

Key principle: Emotions aren’t the enemy. They provide data. The skill is responding wisely.

🤝

Interpersonal Effectiveness

Get what you need while keeping relationships and self-respect

📚 Basic Skills

  • DEAR MAN: Describe, Express, Assert, Reinforce — then stay Mindful, Appear confident, Negotiate
  • Practice Scripts: Rehearse one small ask with warm-but-firm tone

🎯 Advanced Skills

  • GIVE: Be Gentle, Interested, Validate, Easy manner — keep the relationship
  • FAST: Be Fair, no Apologies, Stick to values, Truthful — keep self-respect
  • Low-Stakes Reps: Try GIVE/FAST in casual conversations before high-stakes ones

Key principle: You can ask for what you want and honor the other person’s response.

Ready to Practice?

Knowledge is the first step. Practice is where transformation happens.

Go to Practice Page →