When we feel emotionally threatened—whether by conflict, past trauma, or overwhelming stress—our nervous system shifts into survival mode. This threat response (fight, flight, freeze, or fawn) is the body’s way of protecting us, but it can also disrupt our emotional balance and relationships. We may lash out, shut down, or people-please to avoid discomfort, even when these reactions don’t serve our long-term well-being. Dialectical Behavior Therapy (DBT) offers practical skills to help us manage these intense emotions, regulate our nervous system, and respond to challenges with greater awareness and care.
One of DBT’s core components is Mindfulness, which helps us observe our emotions and reactions without immediately acting on them. When we notice ourselves getting triggered, mindfulness encourages us to pause, name what we’re feeling, and engage with the present moment rather than reacting impulsively. This simple shift allows the prefrontal cortex (the thinking part of our brain) to engage, giving us more control over how we respond. By practicing mindfulness regularly, we train our nervous system to recognize that we are safe, reducing emotional reactivity over time. Another essential DBT skill for managing the threat response is Distress Tolerance, which teaches us how to navigate emotional crises without making things worse. Techniques like TIP (Temperature, Intense Exercise, Paced Breathing, and Progressive Muscle Relaxation) can quickly calm an overactivated nervous system, helping us regain a sense of control. By engaging in distress tolerance strategies, we communicate to our body that we are not in immediate danger, allowing us to respond to conflict and stress with greater stability and clarity. In relationships, the Interpersonal Effectiveness skills of DBT help us set boundaries, communicate needs, and navigate conflict without falling into patterns of defensiveness or avoidance. The DEAR MAN technique (Describe, Express, Assert, Reinforce, Mindful, Appear Confident, Negotiate) provides a framework for expressing ourselves clearly while maintaining respect for both our needs and the needs of others. This approach strengthens relational trust and reduces the likelihood of emotional escalation, making it easier to repair and maintain meaningful connections. As we practice DBT skills, we support our nervous system’s natural capacity for healing and regulation. With time and consistency, our ability to pause, self-soothe, and communicate effectively grows, allowing us to move from reactivity to intentionality. Healing from the impacts of a dysregulated threat response is not about perfection but about building resilience through small, steady efforts. The more we practice, the more we reinforce safety within ourselves and our relationships, creating a life where connection, stability, and emotional well-being become the norm rather than the exception. Would you like specific guidance on practicing these skills in your daily life?
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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. 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. Introducing Radical Acceptance Radical Acceptance is a core skill in Dialectical Behavior Therapy (DBT). This skill falls into the category of Distress Tolerance skills. We reach for this skill when we are navigating something big and hard in our life that is outside of our control or influence. The idea behind Radical Acceptance is that we can work to improve our wellbeing even in the midst of the big and hard things. To appreciate what Radical Acceptance can offer us, we must first understand the difference between pain and suffering. Pain is an inevitable part of being human in our world. We will all experience pain at different times in our life. Suffering, however, is caused when we make choices that make painful circumstances harder for ourselves. Radical Acceptance seeks to accept pain and reduce suffering. When we reduce suffering, we grow in emotional resilience and wellbeing. Understanding Radical Acceptance Radical Acceptance is the act of fully acknowledging and embracing reality without judgment or resistance. In other words, Radical Acceptance is a choice to stop fighting against reality. Likely something is happening in our life that is hard and beyond our ability to change it, and we are left with the decision to accept (radically) or reject the reality of the situation. The radical part of Radical Acceptance speaks to the complete and total nature of our choice to accept reality. Radical Acceptance is not resignation or apathy, rather it is a conscious choice to yield to what is real. Radical Acceptance also does not require our stamp of approval on the difficult circumstances, instead a simple acknowledgement that it exists and that we will stop fighting against it. Suffering comes when we fight against painful events that we don’t have the power to change, and Radical Acceptance offers us a peaceful alternative. Cultivating Radical Acceptance DBT offers us some step-by-step guidance on how to execute the choice to Radically Accept painful circumstances.
We can draw upon other DBT skills as tools to help us in this process. Mindfulness skills help us notice what is happening internally and externally and bring awareness to the present moment. Additionally, mindfulness skills call us to self-compassion and nonjudgmental observation of emotions. We may have an opportunity to reframe negative thoughts about our reality and notice growth opportunities or unexpected benefits. Some nourishing activities like journaling and spending time in nature can help promote acceptance. Often times, Radical Acceptance requires patience and practice, as most painful events will require us to choose acceptance over and over again. Disclaimer: Radical Acceptance is not an excuse for harmful or abusive dynamics, but it may be a starting point for being honest about the harm that exists. May this honesty open doors for healing and support. Dialectical Behavior Therapy (DBT) offers a set of skills to help with many different emotional and relational difficulties. The four pillars of DBT are Mindfulness, Emotion Regulation, Interpersonal Effectiveness and Distress Tolerance. Each of these pillars offers a number of skills to practice in that area. I have selected three DBT skills that I believe can make a significant difference for those managing depression.
Depression is an experience that includes a slow-down or freeze response in the nervous system. People managing depression may feel numb, detached, hopeless and sad. These internal experiences may cause them to isolate from relationships, get stuck in their difficult emotions, struggle to complete normal activities. Often, those managing depression feel misunderstood by the people in their life, especially when they are encouraged to “think positively” and “just get over it.” In fact, people managing depression are often expending enormous effort to engage in their life in the most simple ways. The following set of DBT skills can be used together or individually to improve depression symptoms and help catalyze healing and forward movement. 1.Emotion Regulation Skill: Opposite Action When we are using Emotional Regulation skills, we are paying attention to whether or not our emotions fit the situation we are in. Opposite Action is a skill that we reach for when we have determined that our emotions DO NOT fit the facts of the situation. This is often the case with depression. Depression is like a lens that makes life look harder and sadder than it actually is. All emotions have an action urge, an instinctual action that the emotion makes us want to do. When our emotions DO NOT fit the situation, we benefit from acting opposite to the action urge. Here are some common emotions experienced in depression and suggestions for opposite action.
2.Interpersonal Effectiveness Skill: Making Requests Making Requests is a relationship skill that is very closely related to making boundaries. Requests highlight what we need from another person. While they can be vulnerable to make, they are also vital to communicating our needs with others. Loved ones are not mind-readers and need invitations and instructions to know how to care for those managing depression. People experiencing depression are almost always misunderstood by the people who care for them most. Unless they have experienced depression themselves, loved ones will likely minimize the depressed experience. From the outside, it may appear that it would only take a few simple steps to recover from depression. If only that were true. In order to stay connected with loved ones and to receive the care they absolutely need, those managing depression need to lean into this skill of making requests. They need to speak about how they are feeling and the effort they are expending to engage with their lives. They need to ask their loved ones to be patient with them, to use encouraging language, to offer comfort and presence rather than solutions. 3.Distress Tolerance Skill: Radical Acceptance We reach for distress tolerance skills when we are going through circumstances that are too big and/or too hard for us to change. Depression often comes on the tails of a big and hard life event, such as the loss of a loved one, a difficult transition, a painful event or unmovable circumstances. When there is truly nothing we can do to change our circumstances, we need to shift our focus toward acceptance. We are using radical acceptance skills when we work to create openness and willingness toward our difficult circumstances. Willingness is a powerful mindset shift and means that we will stop fighting against what is inevitable. Endlessly fighting against unfavorable circumstances is a recipe for suffering. Pain is inevitable in our lives, but suffering is a choice. We can still live meaningful lives in the midst of painful circumstances. When we give up the fight, we are more able to find acceptance. . . and peace. |
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