Distress Tolerance | DBT Skills for Depression Anger & Anxiety Relief

Distress Tolerance is a dialectical behavior therapy (DBT) self-help skill to help people cope with feelings like anger, depression and anxiety.
👋 Chat with me at t.me/docsnipesbot
📢SUBSCRIBE and click the BELL to get notified when new videos are uploaded.
💲 Unlimited CEUs $59 based on these videos at allceus.com for social work, counseling, marriage and family therapy, addiction counseling, case management, pastoral counseling and more.
Join this channel to get access to perks:
/ @docsnipes
**CEUs available for purchase at:
www.allceus.com/member/cart/i... **
Want to listen to it as a podcast instead? Subscribe to Counselor Toolbox Podcast pod.link/1120947649
#DBT #CBT #counseling #anxietyrelief
~ Distress tolerance is a natural progression from mindfulness~ Accepting, nonjudgmentally, oneself and the situation~ Not trying to change the situation, your feelings, thoughts or urges~ Distress tolerance means surviving crises, accepting life as it is in the moment.Tolerance and acceptance of reality do not equate with approvalProving How Bad It Is~ Sometimes people so want others to understand how bad it is they focus on that instead of surviving the situation~ Short Term Gains (Look what you made me do)~ Controlling another’s behavior~ Going to the hospital and getting attention/break~ Long Term Benefits~ ??~ Have clients remember a time they acted out to try to get someone to see how bad it was. What were the results?Distress Intolerance Thoughts~ I can’t stand this~ It’s unbearable~ I hate this feeling~ I must stop this feeling~ I must get rid of it~ Take it away~ I can’t cope with this feeling~ I will lose control~ I’ll go crazy~ This feeling will keep going on forever~ It is wrong to feel this way~ It’s stupid and unacceptable~ It’s weak~ It’s bad~ It’s dangerousAvoidance BehaviorsUrge Surfing~ Urges are generally intense for 20-30 minutes~ Every time you have an urge think, “I have a choice!†~ Surf the urge by opening yourself up to the urge. This doesn’t mean that you consume yourself in it (which feels horrible) or fight it and push it away. What you do is experience the feeling of the urge with acceptance, non-judgement, and be sensitively aware that it is there.STOP Skills~ Stop~ Take a step back~ Observe~ Proceed MindfullyPros and Cons~ What are the benefits to acting on impulsive urges?~ What are the drawbacks to acting on impulsive urges?~ What are the benefits to __[insert the skill] __~ What are the drawbacks to __[insert the skill] __TIP Skills~ Temperature~ Intense Exercise~ Paced Breathing~ Paired Muscle Relaxation~ The act of muscle relaxation is paired with a verbal cue~ What reactions do you have that are paired with verbal cues?Distract with Wise Mind ACCEPTS~ Activities (pleasant)~ Contributing~ Comparisons~ Emotions (opposite)~ Pushing Away~ Think about something totally different~ 4 3 2 1~ What did you used to do on long car trips?Self-Soothing~ Body Scan Meditation~ Self-Soothing Using the 5 Senses~ Sight~ Smell~ Hearing~ Touch~ TasteIMPROVE the Moment~ Imagery~ Safe place~ Successfully dealing with this~ A force field~ A coach/fairy godmother/angel~ Feelings and thoughts are clouds in the sky~ An unstoppable train~ Meaning~ Changing how you think about yourself and your situation~ Make lemonade. Find the silver lining.~ Prayer~ RelaxationIMPROVE the Moment~ One thing in the Moment~ Focus on one thing you are doing right now~ Sitting in a chair~ Driving~ Weeding~ Vacation~ Mental vacation~ Take a short break~ Leave stress at work~ Encouragement~ Be your best friend~ Create a mental coachReality Acceptance~ Radical Acceptance~ Complete and total acceptance of the facts of reality~ Turning the mind~ Mentally looking to the other sideReality Acceptance~ Seeing Emotions Differently~ Fear and anger kick in when there is a threat~ Sadness kicks in when you lose something important to you in some way, If you didn’t feel sadness when these things occurred, it would mean that nothing was important.Negative emotions are important to survival, rather than something to be feared and avoided at all costsReality Acceptance~ Willingness vs. Willfulness~ Willfulness forgets, ignores or actively tries to change, master, direct, control or manipulate what is~ Willingness is a surrendering to a process in which one is already a partReality Acceptance~ Half Smiling and Willing Hands~ Emotions are partially controlled by facial expressions.~ Half smiling with lips slightly upturned~ Hands are unclenched, palms up, fingers relaxed~ Mindfulness of current thoughts~ Recognize that thoughts are just neural firing in the brain, not facts about the world~ Allow the thoughts to come and fade
#DrDawnEliseSnipes

Пікірлер: 84

  • @DocSnipes
    @DocSnipes8 ай бұрын

    👌More videos can be found on this topic at kzread.info/head/PLcB3trehXswgdURAGHxP23IR4VFxarMR9&si=Isk9oiKcH99b2mPW ❤️Self help activities and worksheets and concierge coaching with Dr. Snipes can be accessed at DocSnipes.com 👍Online Courses for Continuing Education (CEU, OPD, CPD) and Substance Abuse Counselor Certification

  • @NCWildHeART
    @NCWildHeART Жыл бұрын

    As someone who couldn’t find access to these much needed and recommended services thank you so much for your videos. I understand it’s not therapy but learning the techniques and different approaches is so super helpful in dealing with my mental illnesses

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    I appreciate you watching. Other videos you might be interested in can be found at: kzread.infosearch?query=DBT Wishing you peace, health, and happiness

  • @rainbeau9752

    @rainbeau9752

    Жыл бұрын

    SAME

  • @avosquirrel231

    @avosquirrel231

    Жыл бұрын

    Agreed, I can not access services either. Wish I could and understand these videos are not therapy, but they have become valuable resources that are bridging the gap until I can get the help I need.

  • @jazmine627
    @jazmine6272 жыл бұрын

    While I agree that certain methods of seeking validation (repeated or unnecessary trips to the hospital) may be unhelpful, I this issue should have been discussed with more empathy. It is completely normal to want validation for one's feelings, especially when those feelings are so powerful and isolating, like extreme depression or anxiety. Hearing someone say "I see you" or "I'm sorry you're going through this" can be hugely comforting and disarming for someone, and help the person feel less alone.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for sharing, and watching.

  • @sarahjaye4117

    @sarahjaye4117

    4 ай бұрын

    Indeed

  • @theredqueen6911
    @theredqueen69113 жыл бұрын

    I started practicing letting that bpd feeling hit me in waves. How much I'm reminded of Linehand's "third degree burns"

  • @DocSnipes

    @DocSnipes

    3 жыл бұрын

    Thanks for sharing and watching!

  • @Lichunguita
    @Lichunguita3 жыл бұрын

    I am really impressed with DBT, it´s so practical and structured. I can clearly see how useful it can be for everybody.

  • @DocSnipes

    @DocSnipes

    3 жыл бұрын

    Thanks for subscribing!

  • @ayasameh846

    @ayasameh846

    3 жыл бұрын

    I know right!

  • @kategreene7258

    @kategreene7258

    3 жыл бұрын

    Please tell me the up side

  • @pauladuncanadams1750
    @pauladuncanadams17502 жыл бұрын

    Be careful with the word "relax" as it can trigger some people, especially those who were sexually abused. Sometimes the abuser will use this word when they are abusing. I'm not saying don't use that word, just something that you should be aware of and look for triggering. If you detect tension with a particular word, you may need to change your language.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    It is important to be cognizant of an individual's trigger words in a counseling setting. Thanks for watching.

  • @AndreTheAstronaut
    @AndreTheAstronaut2 жыл бұрын

    I notice all the dbt groups are extremely expensive and only cater to upper classes how should poor / lower class people seek DBT programs and or treatment?

  • @wordivore

    @wordivore

    Жыл бұрын

    If you're in the US you may be eligible for public assistance benefits, which would include medicaid. Medicaid comes with mental health benefits as well. It's limited in who you can see obviously and there may or may not be a DBT program in your area that's covered this way. But it may be worth looking into if you really want this. I was able to find one in 2018...however, the therapists were not trauma informed and tbh, I ended up more traumatized by them. So caveat emptor.

  • @NCWildHeART

    @NCWildHeART

    Жыл бұрын

    Yup. I’m bipolar on lithium and it was recommended. The closest group was eve 55 miles away from me and one phone call informed me they should be starting a new group in 6 months and that they will call everyone on the waiting list. Well I never even got a call. I have Medicaid so it really is hard to find good therapy around a rural area

  • @NCWildHeART

    @NCWildHeART

    Жыл бұрын

    @@wordivore unfortunately as someone who has it. The govt insurance is the worse as far as drug coverage, good councilors, and psychiatric care :( I am lucky to get my drugs for free but finding actual help has been a struggle.

  • @yourfriendlyscrummasteryami
    @yourfriendlyscrummasteryami Жыл бұрын

    Doctor Snipes, I find your videos so instructional and helpful. Your content, your empathy and warmth while exploring these topics give me so many tools to find peace of mind and understand and cope with my anxiety better. Thank you so so much, you are a gem 💜

  • @mcparks1968
    @mcparks19682 жыл бұрын

    I find when my wife is emotionally disregulated, and I use the word "relax" on her, it has the opposite effect. ( I say this in jest) I use this technique on myself, and my wife and I have a phrase we use with each other that signals that the other party is growing uncomfortable with the level of emotion being expressed, and having some keywords and tactics can be very helpful.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching and commenting.

  • @camerokid78
    @camerokid782 жыл бұрын

    Algorithm: more dialectical behavior therapy content please.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching.

  • @rainbeau9752
    @rainbeau9752 Жыл бұрын

    you are a God send. thank you SO much. the tiny hampster is so very cute. so true.

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    Thank you so much for your kind words and thank you for watching. What is your favorite tip from the video?

  • @coolcat3421
    @coolcat34214 жыл бұрын

    Both helpful and timely

  • @questioneverything1776
    @questioneverything1776 Жыл бұрын

    Such great info! I’ve listened to it 2x now and I get new stuff every time. Super helpful. Thank you ❤

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    You’re so welcome. I appreciate you watching the video. What did you find most helpful from it? Other videos you might be interested in can be found at kzread.infosearch?query=DBT

  • @dee0731
    @dee07312 жыл бұрын

    Very information and helpful thank you Doc Snipes so much! 🙌🏻☀️

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    My pleasure!

  • @joaquinromolor8413
    @joaquinromolor84132 жыл бұрын

    Thank you doc, I like to sleep it off to refresh my perspectives on life activities.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching.

  • @newlife6306
    @newlife6306 Жыл бұрын

    I really like the stop skills and the 4 quadrant activity. It's a helps to create vision/plan. Like you said unhook. Then make it 3d that's brilliant. Thanks

  • @nitichadha6988
    @nitichadha6988 Жыл бұрын

    It's ok to feel become next moment present. Encouraging.

  • @jronkowski4346
    @jronkowski43463 жыл бұрын

    Fantastic, thanks

  • @user-ue1nv9jf8c
    @user-ue1nv9jf8c10 ай бұрын

    Thanks so much

  • @DocSnipes

    @DocSnipes

    10 ай бұрын

    You’re so welcome! Thank you so much for watching! If you’re interested in other videos on the subject, you can find more at: kzread.infosearch?query=DBT

  • @TristineBarry
    @TristineBarry3 жыл бұрын

    Thank you as always! 🙂

  • @DocSnipes

    @DocSnipes

    3 жыл бұрын

    No problem 😊

  • @Krtwells
    @Krtwells2 жыл бұрын

    Omg! She is stressing me out!!!

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    That is the beauty of videos. You can turn them off.

  • @aprilshannon1402
    @aprilshannon14022 жыл бұрын

    Thank you so much for this. I woke up feeling a bit depressed.. I wanted to crawl back into bed and binge eat and watch Netflix. But you helped pull me back into the present and I remembered again now great life really is 🥰

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching! Wishing you peace, health, and, happiness.

  • @debb.3857
    @debb.38573 жыл бұрын

    Going to a gym 💪has helped, and WALKING 🚶‍♂️HELPS SAYS, DJ.DEB.USA 6/27/2021..HELPFUL & EDUCATIONAL TOO... Gardening helps me too & I talk to da 🐦birds & squirrels too...I feed them, ducks & swans too.

  • @DocSnipes

    @DocSnipes

    3 жыл бұрын

    Thanks for sharing

  • @SoraiaLMotta
    @SoraiaLMotta Жыл бұрын

    thank you

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    You’re so welcome. I appreciate you watching. Other videos you might be interested in can be found at: kzread.infosearch?query=DBT

  • @chewygal69
    @chewygal69 Жыл бұрын

    I like the idea of having a coping kit.

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    Thanks for watching! Wishing you peace, health, and, happiness.

  • @iqrahameed3151
    @iqrahameed31513 жыл бұрын

    Always awesome mam

  • @DocSnipes

    @DocSnipes

    3 жыл бұрын

    Thanks a lot

  • @nancybrew1376
    @nancybrew1376 Жыл бұрын

    This presentation is golden. One excellent insight and suggestion after another. Thank you so much Doc Snipes! Is there anyway to obtain a transcript? My middle age brain seems to retain better when i read things and make notes. (KZread transcript option doesn't print out well)

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    I don't have transcripts.... It is something I would like to do if an affordable service comes out to do in an automated fashion.

  • @nancybrew1376

    @nancybrew1376

    Жыл бұрын

    @@DocSnipes Dragon medical is pretty amazing these days. I am a family nurse practitioner and use it to dictate at work. There's a little learning curve, and it is worth the 200. to buy a Nuance handheld PowerMic, but then the program actually learns from you. Your lectures really are exceptional. If you put a book together, i would buy it in a heartbeat.. not just to support my clients... to support my own ability to thrive. Thank you again. Best wishes!

  • @SirCamera
    @SirCamera Жыл бұрын

    This is all so overwhelming and hard.

  • @martingd777

    @martingd777

    3 ай бұрын

    One day at a time!

  • @dee0731
    @dee07312 жыл бұрын

    Thanks!

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thank again, SO MUCH, for the tip. :)

  • @dee0731

    @dee0731

    2 жыл бұрын

    You are very welcome Doc Snipes your videos have been a Godsend to me! 🙌🏻 🌞

  • @paulklem9249
    @paulklem92492 жыл бұрын

    Surfing the urge; I think about the Jack Rabbit, an old wooden roller coaster, where when they first leg you go ,you roll down and around the corner and latch onto the chain with a lurch forward. Now your aiming upward being pulled towards the climax. Listen to the sounds on the clanking dogs "clank, clank ,clank, clank, clank…..". Realize you can’t get off ….clank clank clank,…and relax, Clank, clank ,clank…….and your coming over the top feel the thrill…….. So the coping skill for me is to hear the clanks and relax till the top.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching. Wishing you peace, health, and happiness.

  • @valeriereed7654

    @valeriereed7654

    2 жыл бұрын

    I love this. I often like to describe my experiences in metaphor, and this really speaks to me! I appreciate you sharing and I’m going to write it down so I don’t forget. 🥰

  • @geraldinefinegan9712
    @geraldinefinegan971210 ай бұрын

    Dr. Linehan said she would create dbt website? Can't find it...

  • @DocSnipes

    @DocSnipes

    10 ай бұрын

    To the best of my knowledge Dialectical Behavior Therapy is not trademarked, so I do not know if this is her site or not. It does go over a lot of the tools. Remember that Dialectical Behavior Therapy is a therapeutic approach that involves a lot more than just the DBT skills and tools. dialecticalbehaviortherapy.com/ here is another site: dbt.tools/ I have not fully reviewed these sites, so explore at your own risk.

  • @lisaarmstrong238
    @lisaarmstrong2382 жыл бұрын

    i don't want a ceu. why does no one offer dbt classes on line for hurting human beings who can't get an appointment to even get a referral to a dbt person who's covered by their insurance until 2 months from now? i have no idea how long it will be after that that referral i will ever even get to see an actual dbt therapist. FML. I've been trying to find someone in my insurance to help by providing dbt therapy for like 5 years now.

  • @dmgsoultogetherness6667
    @dmgsoultogetherness66677 ай бұрын

    physical exercise if your depressed is rarely going happen....the physical lethargy and zero motivation is impossible

  • @DocSnipes

    @DocSnipes

    7 ай бұрын

    Thanks for watching and for sharing

  • @dmgsoultogetherness6667

    @dmgsoultogetherness6667

    7 ай бұрын

    @@DocSnipes great channel all the same

  • @furkandesign-art9213
    @furkandesign-art9213 Жыл бұрын

    43:40 46:45 48:30 52:20

  • @DocSnipes

    @DocSnipes

    Жыл бұрын

    Thank you so much for watching and for sharing. Have an awesome day

  • @danielraypickrel4316
    @danielraypickrel43162 жыл бұрын

    I have contacted professionals about the moment I am regretfully experiencing. Most likely this moment will climax with a court appearance in a week. Every phone call gives me , Most Often, a sense of relief. This morning as I wait and work for next helpful conversation you will be my background sound track. Past thanks, assuredly. Present thanks, definitely. Future thanks, most likely.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching.

  • @angelacanter3812
    @angelacanter38122 жыл бұрын

    Ok ok. We know all this, where are the exercises?????

  • @Diana-iq9co
    @Diana-iq9co Жыл бұрын

    ,

  • @dmgsoultogetherness6667
    @dmgsoultogetherness66672 жыл бұрын

    When is the right time to bring up someones cultural bias and negative general chat...its upsetting and the opposite if my values.....

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    Thanks for watching.

  • @kahlodiego5299
    @kahlodiego52992 жыл бұрын

    Very middle-class.

  • @DocSnipes

    @DocSnipes

    2 жыл бұрын

    I don't know what you mean by that?

  • @ThomasPetter

    @ThomasPetter

    2 жыл бұрын

    @@DocSnipes I could write an essay about that comment; for me, it's funny and deep. Anyway, you're a great teacher and I'm pretty sure the information in this video will help me become a better person; starting right now!