Distress tolerance skills - the 'ACCEPT' skills DBT - dialectical behaviour therapy

This is a practical video to help you develop (or support someone to develop) distress tolerance skills - i.e. the ability to manage overwhelming feelings or emotions.
This is a set of skills call the ACCEPT skills:
Activities
Contributing
Comparisons
Emotions
Push Away
Thoughts
Sensation
Which is one of the skillsets that form part of the DBT (dialectical behaviour therapy) approach.
That all sounds very grand - but in short, if you'd like some ideas to help you learn to manage overwhelming thoughts and feelings, there should be some ideas here that help. This is a great set of skills if you struggle with depression, anxiety, are trying to overcome self-harm or if you get flashbacks or struggle with dissociation / derealisation. They're good skills for a lot of people in a wide range of situations... I hope you find it helpful - do let me know in the comments if you'd like me to make more videos like this one (and in particular if you'd like more re DBT skills).
I hope you find this video helpful. Please take a moment to leave a comment about what you did and didn't like or sharing your own ideas or experiences.
Please also to let me know what other topics you'd like me to tackle in future videos and subscribe to be kept up to date with new videos as they’re published.
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Пікірлер: 30

  • @daintytreasures
    @daintytreasures2 жыл бұрын

    Thank you so much - I'm so glad to have found your channel. Excellent suggestions ☺🤗

  • @angelamerriman6563
    @angelamerriman65633 жыл бұрын

    This was great! I am a therapist working in addiction treatment. This video is so full of information and does a great job if explaining DBT and ACCEPTS while being brief enough to keep my audience engaged! So happy I came upon it! Subscribed and thumbs up!

  • @emilydalee8690
    @emilydalee86902 жыл бұрын

    Thank you! I am in a DPT group. You took ACCEPTS one level lower than the manual. This helped me so much. 🙂

  • @nicoleimmerheiser6429
    @nicoleimmerheiser64293 жыл бұрын

    Made skills index cards for quick reference, wrote down each letter with your examples. Dbt therapist and group thought fabulous idea. Thank you for detailed explanation and active suggestions that were completely relative and realistic.

  • @vanessasouthern1792
    @vanessasouthern17923 жыл бұрын

    Excellent video. And I've just took my feet off.... 😂

  • @catherinewylie6959
    @catherinewylie69592 жыл бұрын

    Thank you.You are lovely. I had a very bad meltdown today. I live with an elderly mother who doesn't realize she verbally abuses me. It was terrible. I feel suicidal when this happens and in deep shame because it all gets turne don me for being "too sensitive."

  • @Ruth-nu6fs
    @Ruth-nu6fs3 жыл бұрын

    Thanks Pooky. The rain added to the video for me. This is the only video that has made me think I may be strong enough to return to EMDR. Lots of coincidences caused it to go horribly wrong for me but you said it can get better. I’ll think about it. I hace Marsh Linehan’s book. It is quite hard to understand at times. You made it sound so easy & grounded. Thanks again 🐈‍⬛

  • @PetterNilsson
    @PetterNilsson2 жыл бұрын

    I really enjoy your videos, youre so cool and brave

  • @breandakoinllansdkfl
    @breandakoinllansdkfl5 жыл бұрын

    Excellent video. Thank you for posting.

  • @barbaraoshea1494
    @barbaraoshea14946 жыл бұрын

    Brilliant Pooky, thank you.

  • @jennifermarsh1260
    @jennifermarsh12606 жыл бұрын

    Will be using this as I battle through my current flare up of panic disorder xx

  • @PookyH

    @PookyH

    6 жыл бұрын

    Sorry it’s difficult times Jen - I really hope this helps. You’re in my thoughts x x

  • @EllenJones
    @EllenJones6 жыл бұрын

    So....what I am gathering from this video is that these are literally all of the things I do (or try to do) as common sense. Like literally. How have I managed to accidentally follow a thing I didn't know existed haha.

  • @PookyH

    @PookyH

    6 жыл бұрын

    One of the best things about DBT is that it feels like common sense - it's essentially a skills based practice that has been developed based on a combination of what works well from other disciplines... so there are no big surprises other than the weirdo language sometimes. Anyone for 'radical acceptance' ?? added to that is the fact you've had a long time of having to find ways to manage with minimal professional input and you're resourceful so I guess it's not 100% surprising that you've tried a lot of these things. Hopefully they'll give you a bit of a framework to work to on the days when your head goes kaput though... xx

  • @Kuutamo73
    @Kuutamo734 жыл бұрын

    Thank you Pooky. You are always a breath of fresh air. I was wondering if is it wise to ignore a difficult feeling, pushing it aside and distract ourselves with something else. What we resist, persists?

  • @renus6015
    @renus60153 жыл бұрын

    Good. Useful

  • @katzonair
    @katzonair7 ай бұрын

    Thanks so much for the examples! I have trouble coming up with any sometimes. Any ideas for opposite emotions for anxiety?

  • @thebarkfestclub4544
    @thebarkfestclub45444 жыл бұрын

    Thanks for the video! And admitting to being a poor speller, though it wasn't my biggest takeaway...I definitely related! (Hooray for spell check while typing lol)

  • @OK-we3il
    @OK-we3il5 жыл бұрын

    rain sounds is so great in this video, soothing

  • @PookyH

    @PookyH

    5 жыл бұрын

    I adore the sound of the rain! (and the birds too which I can often hear in my shed/ garden office)

  • @lizm9863

    @lizm9863

    4 жыл бұрын

    Rain ☔ soothes me too... On the window panes.. It really settles and lulls and comforts me 😀

  • @DiabeticNichole
    @DiabeticNichole3 жыл бұрын

    My therapist sent me a link to your video and it is really good. I am scared about some of the steps though the main one is P I am worried about it surfacing at the wrong time

  • @garryfowler
    @garryfowler6 жыл бұрын

    Inspiring, as always Pooky. I certainly need something to help me as my anxiety levels are sky high at the moment ;) I have tried the ideas from "Feel the fear and do it anyway", but it hasn't helped

  • @PookyH

    @PookyH

    6 жыл бұрын

    Sorry to hear that things are difficult. I hope that some things in here might help you Garry. You're in my thoughts x

  • @garryfowler

    @garryfowler

    6 жыл бұрын

    Thanks Pooky, you are such a star! One little thing happened and my self-confidence "House of Cards" collapsed. What is more frustrating is that I know my fears are irrational! Take care always x

  • @Miss_Lexisaurus
    @Miss_Lexisaurus6 жыл бұрын

    Thank you for this, I really need to make an effort to try to teach myself DBT but I keep putting it off for a myriad of reasons. I find that taking using the "I've felt this way before and I survived it" thinking impossible though because I didn't. I attempted suicide and other people saved me. So the fact I'm still here and survived those feelings isn't actually my doing. Is it at all common to feel that if your distress doesn't last very long (days/months) that it doesn't count? I definitely feel that which complicates things. Music is so amazing. I have several songs I love (mostly upbeat ones) in my Self Care Jar.

  • @PookyH

    @PookyH

    6 жыл бұрын

    Sorry I didn't see this before - DBT is a great set of tools which is over-complicated by an array of acronyms but I have found it to be incredibly helpful personally and I've shared lots of the skills and ideas through my work and many others have found them helpful too, so worth thinking about. I'm not sure how you feel about the fact you were saved - (for what it's worth, I'm glad you're here) but I can understand that that would complicate a lot of how you feel. I wonder though if there were other times you felt these ways and did survive aside from the suicide attempt - just that knowing that we had managed to do something or feel someway in the past can sometimes help us realise we can do it again? As for the question re whether or not your distress counts, it is certainly common for people to think their distress isn't valid for a range of reasons, but that doesn't mean it isn't valid - a similar example would be that when my anorexia was at it's worst I would always think that I wasn't worthy of help because I wasn't so ill it killed me - which is of course completely faulty thinking - but our brains can be little B238**£((@s can't they? Sorry that things are so far from straight forward but I love that you ended on a positive - I'd love to hear more about. your self-care jar - that sounds like a fantastic idea. xx

  • @lizm9863

    @lizm9863

    4 жыл бұрын

    I like the self care jar too ♥

  • @lizm9863
    @lizm98634 жыл бұрын

    Hi Pooky, Do they need to be used in order..ie/because there is a reason for the order... That mentally it works better that way? . Or can you order them differently? Or use a few of them only?