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DBT Skills Cheat Sheet

As I bring this chapter to a conclusion and begin to pivot to the next, I wanted to share something that was extremely helpful to me after returning from treatment, which I've circulated in numerous peer groups. It's a simple cheat sheet of all the DBT pillars, concepts and skills referenced throughout The Shattered Pieces blog. I hope others on their healing journey find it useful as well.


MINDFULNESS: (doing things with conscious intention)

 

WiseMind

Find level between the rational (facts, logic, knowledge) 

and the emotional (reactive, feelings and emotions) 

to reach a healthy equilibrium (balanced and mindful)

 

WHAT: (stress response)

Observe - body sensations 

Describe - what you notice and how it feels 

Participate - engage fully in the moment, then let it pass

 

HOW: (daily practice)

H-Honesty

O-Openmindedness

W-Willingness 


EMOTIONAL REGULATION: (self-care)

 

STOP: (window of tolerance regulation)

S-Stop

T-Take a breath

O-Observe thoughts & feelings

P-Proceed mindfully in consistency with values 

 

Opposite Reaction: (ANT response)

Reject the natural urge and do the opposite 

 

ABC: (regular practice of mood enhancement)

A-Accumulate positive emotions (active engagement in pleasant activities)

B-Build mastery (challenging yourself and following through to completion)

C-Cope ahead (plan ahead for distress where possible, visualization)

 

PLEASE: (physical care)

PL-Physical Limitations (optimize health)

E-Eating (balanced nutrition and water)

A-Avoid(drugs/alcohol)

S-Sleep 

E-Exercise 

 

VITALS: (to succeed)

V-Validate yourself 

I-Imagine a better life 

T-Take small steps

A-Applaud yourself 

L-Lighten the load (share chores)

S-Sweeten the pot (reward yourself periodically)


DISTRESS TOLERANCE: (self-love)

 

5 Senses: (to self-soothe)

5 things you see

4 things you hear

3 things you smell

2 things you feel

1 thing you taste

 

TIPP: (stress response)

T-Temperature 

I-Intense exercise 

P-Paced breathing 

P-Paired muscle relaxing

 

PROS/CONS: (maladaptive coping skill reprogramming)

Weigh the benefits and drawbacks to acting on your urges and or reactions 

 

IMPROVE: (self-care)

I-Imagery

M-Meaning 

P-Prayer

R-Relaxing actions 

O-One thing in the moment (focus)

V-Vacation (mini-break/childs pose)

E-Encouragement (positive self-talk)

 

ACCEPTS: (active awareness)

A-Activities 

C-Contributions 

C-Comparisons

E-Emotions

P-Pushing Away

T-Thoughts

S-Sensations

 

Radical Acceptance: (peacefulness practice)

W-What’s done is done

I-It is what it is 

F-Forgive not forget 

I-I cannot control everything 

 

Problem Solving: (active adulting)

  • Think of alternative resolutions

  • Any idea is better than none

  • Advise yourself as a friend 

  • Be patient and present 


INTERPERSONAL EFFECTIVENESS: (positive relationships)

 

GIVE: (it’s not what you say, but how you say it)

G-Gentle

I-Interest 

V-Validate

E-Easy manner

 

FAST: (self-respect)

F-Fair

A-Apologies (no more)

S-Stick to your values 

T-Truth

 

DEARMAN: (respectful request for revision)

D-Describe (facts)

E-Express (feelings)

A-Assert (needs)

R-Reinforce 

M-Maintain (position)

A-Appear (confidence)

N-Negotiate (not demanding, asking)

 

THINK: (conflict resolution)

T-Think (perspective)

H-Have Empathy

I-Interpretations (why)

N-Notice (take note)

K-Kindness

 

BOUNDARIES: (healthy)

Set a limit/rules for personal comfort, safety and tolerance.


  • Verbal

  • Emotional 

  • Physical 

  • Time

  • Material 

  • Sexual 


DESI (boundary setting)

D-Describe (I feel X.)

E-Explain  (when you Y.)

S-Suggest (I’d prefer Z.)

I-Involve (How do u feel about that?)


1st infraction = repeat DESI

2nd infraction = repeat DESI + consequence 

3rd infraction = execute consequence


OTHER HELPFUL COMMUNICATION TOOLS


Feelings Check-In:(helps identify issues/sets tone)


 

Wind-down: (healthy conversation starters)

  • Leave behind for the day

  • Highlight of day

  • Grateful for & why


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I'd love to hear from you! Please leave any questions, comments, or insights in the comments section below.

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