DBT Distress Tolerance Skills: Tip Skill, Stop Skill, and More

Useful in crisis situations, DBT distress tolerance skills assist clients in accepting reality and resisting urges stemming from unskilled behaviors.
In this presentation, Dr. Stephanie Vaughn, Psy.D., examines when and how to work with acceptance and develop distress tolerance skills that assist in not making the problem worse. DBT distress tolerance skills assist clients in accepting reality and resisting urges stemming from unskilled behaviors.
Here are some highlights we’ve extracted from this video:
1. Distress tolerance skills are used in crisis situations.
2. Popular distress tolerance skills include: the TIP Skill, STOP Skill, Half-Smile, Willing Hands, and Radical Acceptance
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#dbt #dbtskills #distresstolerance #practicalexercises

[@emmag7398]

I've watched a million dbt videos and this was the most helpful! Thank you!

[@jennifermayph.d.2761]

Thanks for this. I definitely will share with my patients. If it is of help to anyone reading this, my channel has 37 videos of ALL the DBT skills, reviewing each one in detail. Please feel free to use it as a resource in your treatment!

[@MIMH32]

Bless you, thank you!

[@margaretdonovan1649]

I've been doing DBT for 12 years. It is so effective. At present I have a great DBT therapist. The woman who is explaining Distress Tolerance in this video is doing an excellent job of explaining this. It was very helpful. Thank you so much!

[@JohnWawryk95]

Do you do it in person? I live in rural Canada and I cannot even seem to be able to find a DBT certified therapist within my province (state equivalent).

[@margaretdonovan1649]

@@JohnWawryk95 I do it on zoom

[@katarzynaskrzypek3731]

I'm sorry, I don't mean to be rude (I've been in therapy for over 6 years), I'm just wondering... 12 years of doing it and you still have to attend therapy? It's so discouraging to me, because I've been on this journey for 6 years already (with different approaches of therapy) and the thought of having to do this for the rest of my life is disheartening... I'm tired.

[@margaretdonovan1649]

@@katarzynaskrzypek3731 Yeah, it sucks. I don't think you're rude. I hope you will feel enough better soon that you feel confident in your abilities that you can go it alone.

[@fatpinkteddy]

12 years seems a long time. I have bpd my psychiatrist just gives me medication and they don’t offer dbt on the nhs

[@norashine]

This is very well done. Perfect pace, nice to listen to, clear and good use of visuals.

[@melk.3485]

Timestamps, notes for times of crisis: 7:25 - A helpful guide for other/general distress tolerance skills 4:30 - TIP skill 5:26 - STOP skill 6:26 - ACCEPTS skill 8:18 - Radical Acceptance 9:21 - Half Smile and Willing Hands 10:05 - Key Points

[@franz.hildenburg]

Good pace. It's much faster than the other, slow, informational videos.

[@Anthony-cp9se]

If you’re anxious and can’t handle how slow the speaker speaks, put it on 1.5 speed! Helped me tremendously

[@kelmo1623]

This was a great, very to the point video!

[@lizanewton1005]

Thank you for this informative video, great tools, thank you for sharing!!

[@abbiefletcher7095]

thanks this changed my day around !

[@Erin-000]

thank you

[@laxminarasimhan950]

Excellent explanation

[@lovorka3321]

God bless you 🙏

[@simplybows1]

Clear voice great info !!!! 😊😊😊😊

[@shericontrary2535]

I worked for the state of WA for 10 years where we taught this but I never had this training.

[@lisajohnson6351]

Who was it taught to?

[@shericontrary2535]

@@lisajohnson6351 There were counselors who had the training but then they stopped the training so the new counselors never got the training. But we were expected to use it.

[@fredrickhaslett8141]

This is very helpful I been smoking crack 23 n a half year's n I just turned 40 December 29 2021

[@LaGrossePaulik]

Very informative and clear 👌 thanks a lot! I have a question though, I'm ashamed to ask it to my therapist: as for the TIP skill, should we do the 3 steps corresponding to the letters in the very T-I-P order, or should we use only one of these three tool depending on the circumstances? Because after the cold water dive in, I find it hard to exercise 20min right after. Thanks a lot, sorry if I didn't get it! 😅

[@zz-ic6vy]

i think only one!

[@andycodling2512]

12 years.. you are probably more skilled at this than your therapist, you don't have to ever feel ashamed to ask your therapist a question like that.. that's what they are there for ❤️

[@Dross_Of_The_Catticus]

So that's why.

[@ShahabSheikhzadeh]

At 1:05 you mention a crisis is 'short term'. Is that a book/DBT definition or yours, and what is that based on?

[@biggSHNDO]

I am interested in your input on something- lets say someone has just been informed a loved one has died. Would it be better to apply these immediately, or give themselves a minute to break down and sob before applying these skills?

[@zell2600]

Applying these skills doesn't mean they'll not breakdown, they'll still be sobbing their hearts out and that's pretty much normal, the difference is that they're at the same time grieving their loved one at the same time which regardless if they do or don't apply those skills would have to face the reality of it eventually, both live and faced the result of reality

[@Viv8ldi]

Memo: radical acceptance

[@jumanas4012]

easier said than done !

[@avrielya3413]

Seseorang yang memiliki gangguan didalam pikirannya, di mata umum mereka dianggap gila,padah itu sangat berbeda jauh,,mereka mengatakan seperti itu karna mereka tidak pernah mengalami hal tersebut,mereka akan mengatakan,"kau kurang beibadah,kau kurang bersyukur",kau tidak tau untuk melakukan hal tersebut juga harus mengeluarkan tenaga,karna betapa mengerikannya apa yang ada dalam pikiran yang mereka,seperti diperas,setiap langkahnya mereka bertanya-tanya,menerka menerka,harus memahami situasi,,mereka berusaha melawan apa yang dipikiran mereka,mencoba mengendalikan pikiran-pikiran buruk,bertahun-tahun,kau tau mereka mengatakan itu seperti orang yang memiliki penyakit asma padahal udara didunia ini sangat banyak,seperti halnya orang yang memiliki gangguan pada pikiran,adahal kau memiliki segalanya.

[@revolutionunderground]

Mental health industry: "You can't change another person" Also the mental health industry: "Behavioral therapy is where we try to change you"

[@cya177]

Self soothing needs to be cautioned and clarified, as things that are self soothing are often harmful. Example, Self cutting, pulling out hair (Trichotillomania), sexual, alcohol.

[@simulatedspirit9577]

If only the pain ever stopped even after years of dbt 🥴 oh well, guess this is just life #radicalacceptance

[@lisajohnson6351]

Maybe you need grief counseling

[@marzwolfe4037]

@@lisajohnson6351 agreed, grief counseling could be something that is more helpful to you. DBT is helpful as a bandaid to reduce symptoms in crisis, but it doesn’t address the deeper issues causing your symptoms. In order to make lasting change, I think addressing deeper causes for the pain you experience can be helpful

[@Angels.Aliens]

When you have the skills and know what you need to do, even in a hashtag, yet you won’t do it. It has to do with you, not DBT therapy.

[@maredare3887]

If I can get some very great music going it helps me. I look for the silliest songs ever made. I actually spend a lot if time searching for music. The emergency list that's insane amounts of say "Korn* ect. like the big growl songs make those noises from deep in the diaphragm. Those for anger and heart fluttery life ending songs. Get that feeling out. Then to the crazy disco songs one hit wonders song. That make you laugh. If you tv it's about the same rule. But don't watch any jail and oppressive type crimes. No horror or thrills just comedy not mix with stand up..

[@biffhaus]

Very helpful. If only you could get it all on a 3x2 card for your wallet. Laminate it and have it handy at work all day every day. :D

[@rockerfaerie2]

I screenshot some of the skills and have them on a folder on my phone. I also have the skills book on kindle on my phone and reference it. It really helps!

[@naishamacaay5751]

Thtnr

[@revolutionunderground]

Reality acceptance...

[@BlueCollar1212]

Wtf do I do when none of these work?

[@BuddhishMusic]

Exercise harder but do it on psychedelics, and pray. You will be given a get-out of-distress free card by a divine source….the human mind. Or maybe the mid of God. Pray.

[@frankydottir8762]

I'm normally laughing when stressed or trying to lie. Can't do anything about it :p

[@dimentoplexitronum4923]

This is what’s supposed to be helpful? Are there literally any types of therapy other than “stop feeling this way, but like this”?

[@vornamenachname9662]

Who is reading this? She reminds me of Sophie Lucido Johnson..!

[@meinaa27]

The flat tone is stressinggggg

[@user-bd4bo4tb8u]

I’m trying to accept this reality. It’s difficult, though. 😁

[@wordswordswords8203]

um, i guess this ok. but for me, my brain would override all of this.

[@grantgoldberg1663]

When you're poor everything is a crisis.

[@zzc8505]

thought i'd hear something new/useful, but it's the same stuff. The most useless and even absurd is the whole 'radical acceptance.' -- sure, "Acceptance is the key" but if it were so easy, people wouldn't need these videos. But no one, not one person I've met in my life, including professionals, can explain just HOW do you accept an intolerable and/or unacceptable situation? ... They don't have the answer, neither does this video. They just keep telling you to accept the problem, but that's the whole pt: people cannot accept intolerable situations. And as usual, they give stupid examples like 'locking oneself" out of a car or dropping an egg: seriously. Those wouldn't even be on a list of "problems" for people for which they'd need therapy. Of course, if an egg is dropped on the floor, no one will stand there in need of "TIP" and "STOP" and "radical acceptance." All these 'therapists' like to use such simplistic and hence meaningless examples. But when someone faces a serious, grave situation they struggle with, all these therapists do is recite these "techniques' but never reveal the secret of "HOW" to accept 'radically."

[@hannalowercase5928]

i think you might be misunderstanding the situations in which one would use those skills. also, DBT is basically designed for people with overwhelming emotions, so getting locked out of a car could very much trigger something that would need a radical acceptance response!

[@BuddhishMusic]

They should incorporate daily executive function practice to build the executive function “muscle” in the brain

[@vipermad358]

Are the people who made up this stuff from actual Earth?

[@Angels.Aliens]

Cope offline.

[@dstuart2918]

I'm waiting for when DBT practitioners speak in English, not PhD speak. It is ridiculously pompous

[@FullRamenAlch3mist]

this is just budhism

[@nicolegarcia3464]

So basically what your saying is to trick your own mind? That's weird.

[@deborahbaker1254]

Good information. Thankyou.Don't like the tone of your voice. It's flat.

[@eo4419]

I on the other hand don't care about the tone of your voice. I was too busy being grateful for the mass of information shared in a 10-minute video for free on the internet. There are actual coping skills listed here. Like, actionable items. With enough information to help understand the why behind the guidance. Basically, thank you. That is all.

[@chelseakevorkian4998]

Debora Gyllien I hate ignorant pricks like yourself. Be ACTUALLY grateful or gtfo her video if you don’t like her voice to the point of needing to point it out. Clearly you need these lessons more than most. POS.

[@franz.hildenburg]

@@chelseakevorkian4998 Sounds like you do too

[@mariek.474]

I kind of agree, it's not just the content that matters but how it's delivered, I didn't like the tone either personally BUT there may have been a more tactful way to bring it up.

[@tonymccann7445]

Don't like the comment you made. You sound like an entitled narcissist.