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Distress Tolerance Digital First Aid Kit

The DBT crisis survival skills you need when emotions feel overwhelming — structured, printable, and ready to use.

4.9/5

34 exercises · 4 skill areas · 28 reviews

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Everything you need for crisis survival

This workbook contains 34 structured exercises across all four core distress tolerance skill areas — TIPP, STOP, Wise Mind ACCEPTS, and Radical Acceptance. Each exercise includes clear instructions, practice space, and an effectiveness tracker.

TIPP Skills Worksheets
STOP Skill Practice Sheets
Wise Mind ACCEPTS Cards
Radical Acceptance Exercises
Pros and Cons Decision Framework
Crisis Survival Quick-Reference Card

Three steps to building resilience

1

Identify the Crisis

Recognize when distress tolerance is needed. Use the quick-reference card to assess your current emotional state and determine which skill set will be most effective.

2

Select the Skill

Choose TIPP, STOP, or ACCEPTS based on your situation. Each section is color-coded and indexed so you can find the right exercise in seconds — even during a crisis.

3

Practice & Log

Use the worksheet, track effectiveness, and build muscle memory. Repeated practice turns these skills into automatic responses — the goal of every DBT protocol.

Structured practice across 4 skill areas

01

TIPP Temperature

02

TIPP Intense Exercise

03

TIPP Paced Breathing

04

TIPP Progressive Relaxation

05

STOP — Stop

06

STOP — Take a Step Back

07

STOP — Observe

08

STOP — Proceed Mindfully

09

Activities

10

Contributing

11

Comparisons

12

Emotions (opposite)

13

Pushing Away

14

Thoughts

15

Sensations

16

Radical Acceptance Practice

17

Turning the Mind

18

Willingness vs Willfulness

19

Half-Smile Exercise

20

Awareness Exercise

+14 more exercises included in the workbook

Built for real-world crisis moments

Between therapy sessions — maintain momentum and practice skills when your therapist isn't available
During acute emotional crises — structured guidance when you need it most urgently
For daily DBT skill practice — build the habit loop that transforms crisis response into automatic resilience
As a companion to the Life to the Fullest course — hands-on exercises that reinforce each module
For therapists to share with clients — a ready-made homework resource grounded in evidence-based DBT
4.9
28 reviews

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Build your crisis toolkit

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Edward Flynn, LPC, NBCCH, DBTC

Edward Flynn

LPC, NBCCH, DBTC

Licensed Professional Counselor with over thirteen years of clinical experience. Nationally certified in clinical hypnotherapy and dialectical behavior therapy. Every product in this library is crafted from direct clinical practice — the same techniques used in individual and group therapy sessions.