Life can present moments of intense emotional distress where coping feels nearly impossible. During these times, having tools to navigate the storm can make all the difference. Dialectical Behavior Therapy (DBT) offers crisis survival skills that are designed to help you endure and reduce emotional pain in the short term, ensuring safety and stability. In this post, we will explore three essential DBT skills for crisis survival: TIPP, Distraction, and Radical Acceptance. These skills are practical, compassionate, and provide a lifeline during moments of overwhelming distress.

TIPP: Regaining Control Through Your Body
When emotions feel out of control, the TIPP skill can help you regulate your body to calm your mind. TIPP stands for Temperature, Intense exercise, Paced breathing, and Progressive muscle relaxation. For instance, placing an ice pack on your forehead or submerging your face in cold water (Temperature) can activate your body’s dive reflex, reducing emotional intensity. Similarly, engaging in a brief but vigorous workout (Intense exercise) can burn off excess energy. Paced breathing and progressive muscle relaxation further help by slowing your heart rate and easing physical tension. TIPP is especially helpful in bringing immediate relief when emotions feel unmanageable.

Distraction: Creating Space from the Pain
Sometimes, the best way to survive a crisis is to temporarily shift your focus. The Distraction skill encourages you to engage in activities that divert your attention from the distressing situation. This might involve calling a friend, watching a favorite show, organizing your space, or immersing yourself in a creative hobby. The key is to choose something that occupies your mind and prevents you from dwelling on the pain. While distraction doesn’t solve the root problem, it provides the mental space needed to return to the situation with a calmer perspective.

Radical Acceptance: Finding Peace in What Is
In moments of crisis, fighting against reality can amplify suffering. Radical Acceptance is the practice of fully acknowledging the situation as it is, without judgment or resistance. This doesn’t mean you approve of or like the situation; rather, it’s about recognizing that reality exists, whether or not we agree with it. For example, if you’re dealing with a sudden loss, Radical Acceptance involves saying, “This is painful, and it’s happening.” By letting go of the internal struggle, you can reduce additional layers of emotional pain and begin to focus on what you can control.

A Lifeline in the Storm
Crisis survival skills like TIPP, Distraction, and Radical Acceptance are not about fixing everything at once—they are about enduring the moment and creating a bridge to stability. These tools remind us that no matter how intense the emotional storm, there are ways to navigate through it. With practice, these skills can become a reliable part of your mental health toolkit, empowering you to face challenges with resilience and hope. Remember, you are not alone, and seeking support from a trusted professional or loved one can further strengthen your path to healing.

Building and maintaining healthy relationships is a vital part of a fulfilling life, but it’s not always easy. Dialectical Behavior Therapy (DBT) offers a set of skills specifically designed to improve interpersonal effectiveness, making it easier to navigate conflicts, set boundaries, and nurture meaningful connections. In this post, we will explore three essential DBT skills—DEAR MAN, GIVE, and FAST—that can transform the way you relate to others. These skills are practical, empowering, and rooted in empathy, offering hope for creating stronger, more satisfying relationships.

DEAR MAN: Asking for What You Need
One of the most common challenges in relationships is effectively expressing our needs without damaging the relationship. DEAR MAN is a structured DBT skill designed to help you assert yourself while maintaining respect for the other person. The acronym stands for Describe, Express, Assert, Reinforce, stay Mindful, Appear confident, and Negotiate. For example, if you need a partner to help more with household chores, you might say, “I’ve been feeling overwhelmed (Express) because the chores are piling up (Describe). Could we create a schedule to divide them more evenly? (Assert)” This approach fosters clarity and collaboration, ensuring your needs are heard while respecting the other person’s perspective.

GIVE: Strengthening Relationships with Empathy
While it’s important to express your own needs, nurturing relationships also requires showing care and understanding. The GIVE skill focuses on creating and maintaining positive interactions. GIVE stands for Gentle, Interested, Validate, and Easy manner. For instance, when a friend shares a problem, you might respond gently (“I’m here for you”), show interest (“Tell me more about how you’re feeling”), validate their emotions (“It makes sense you’d feel that way”), and use an easy manner, such as smiling or offering humor when appropriate. GIVE helps create an atmosphere of trust and support, strengthening the bond between you and others.

FAST: Maintaining Self-Respect in Relationships
Healthy relationships require balance—not only considering the needs of others but also preserving your own self-respect. The FAST skill emphasizes staying true to your values while interacting with others. FAST stands for Fair, Apologies (limited to when necessary), Stick to your values, and Truthful. For example, if a colleague pressures you to take on extra work that you cannot manage, you might say, “I want to help, but I need to stick to my current commitments (Stick to your values). Thank you for understanding.” By using FAST, you ensure that your self-respect remains intact while navigating relational challenges.

A Path Toward Stronger Connections
Improving relationships takes effort, patience, and the right tools. DBT skills like DEAR MAN, GIVE, and FAST provide actionable strategies to enhance communication, build trust, and maintain self-respect. These skills remind us that relationships thrive on mutual understanding, empathy, and healthy boundaries. Whether you’re resolving a conflict, deepening a friendship, or setting limits, these DBT skills offer a compassionate and hopeful framework for success. With practice, you can create the meaningful and fulfilling connections you deserve.

Navigating trauma triggers can be an overwhelming and disorienting experience, but Dialectical Behavior Therapy (DBT) offers effective tools to help individuals regain a sense of safety and control. DBT, developed by psychologist Dr. Marsha Linehan, is a therapy designed to balance acceptance and change, making it particularly helpful for those managing intense emotional responses. In this post, we will explore three DBT skills—Grounding, Opposite Action, and Self-Soothe—that can be transformative in navigating trauma triggers. These skills are practical, adaptable, and offer a pathway to resilience and healing.

Grounding: Anchoring Yourself in the Present Moment
Trauma triggers often pull us into the past, making it difficult to stay connected to the present. Grounding techniques serve as anchors to the "now," helping you to focus on what is real and immediate. A simple yet powerful grounding exercise is the "5-4-3-2-1" method: identify five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. This exercise gently redirects your attention to your current surroundings, reducing the intensity of the emotional response. Grounding not only interrupts the cycle of reactivity but also reinforces your sense of safety and presence. Remember, you are not in the past—you are here, and you are safe.

Opposite Action: Choosing Empowerment Over Avoidance
When faced with a trauma trigger, the natural response might be to avoid or withdraw. While this instinct is understandable, it can sometimes reinforce feelings of fear and helplessness. Opposite Action, a DBT skill, involves intentionally engaging in behaviors that counteract these urges. For example, if a trigger makes you want to isolate, you might choose to call a supportive friend or take a walk in a safe, public place. This skill requires practice and courage, but it can gradually weaken the power of the trigger and strengthen your sense of agency. By challenging avoidance, you’re affirming that you are stronger than your fears and capable of reclaiming your life.

Self-Soothe: Nurturing Yourself with Compassion
Triggers can leave you feeling raw and vulnerable, which is why the Self-Soothe skill is so vital. This DBT skill encourages you to engage your senses in comforting, nurturing activities. Consider lighting a scented candle, wrapping yourself in a soft blanket, or listening to calming music. The goal is to create an environment that fosters relaxation and safety. By treating yourself with kindness and care, you’re sending a powerful message to your nervous system: it’s okay to relax, and you deserve comfort. Self-soothing not only eases the immediate distress but also builds a foundation of self-compassion that supports long-term healing.

A Path Toward Healing
The journey through trauma is not linear, and it’s natural to encounter moments of struggle along the way. However, integrating DBT skills like Grounding, Opposite Action, and Self-Soothe can equip you with tools to navigate even the most challenging triggers. Each skill is a step toward reclaiming your power, rebuilding your resilience, and reconnecting with your sense of self. Healing is not about erasing the past but learning to live fully in the present, and these skills provide a hopeful and actionable pathway to do just that. Remember, you are not alone in this journey, and support is always available to help you move forward.