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dbt · 15 skills
tradition

Dialectical Behavior Therapy

Strong channel spread for a clinical tradition. Useful for high-effort tier users. Skills are well-codified and teachable.

channel profile
  • somatic
    2
  • cognitive
    3
  • affective
    2
  • sonic
    0
  • natural
    0
  • relational
    2
tier 1
entry
2
  • Wise mind

    dbt-1

    The integration of emotion mind and reasonable mind. Find the seat that holds both.

    somatic1cognitive2affective2
  • Observe one breath

    dbt-2

    Notice one full breath cycle. Entry point to mindfulness without elaboration.

    somatic2cognitive2
tier 2
deepening
4
  • Describe without judgment

    dbt-3

    Use only facts. 'I notice tightness in my chest' not 'I feel awful.'

    somatic1cognitive3
    after: Observe one breath
  • Participate fully

    dbt-4

    Throw yourself into the current activity. Become it. The opposite of dissociation.

    somatic3cognitive1affective1
    after: Observe one breath
  • One-mindfully

    dbt-5

    Do one thing at a time. Whatever you are doing, only that.

    somatic1cognitive3
    after: Observe one breath
  • TIPP

    dbt-6

    Temperature, intense exercise, paced breathing, paired muscle relaxation. The acute crisis kit.

    somatic3cognitive1
    after: Wise mind
tier 3
engaged
4
  • Radical acceptance

    dbt-7

    Accept reality as it is, not as it should be. The first act of agency in many situations.

    somatic1cognitive3affective3
    after: Wise mind · Describe without judgment
  • Opposite action

    dbt-8

    Act opposite to the urge an emotion is pushing for, when that emotion doesn't fit the facts.

    somatic2cognitive2affective2
    after: Describe without judgment
  • Check the facts

    dbt-9

    Before reacting, examine whether the interpretation driving the emotion is accurate.

    cognitive3affective1
    after: Describe without judgment
  • ACCEPTS distraction

    dbt-10

    Activities, contributing, comparisons, emotions, push away, thoughts, sensations. Get through the hour.

    somatic1cognitive2affective1relational1
    after: TIPP
tier 4
mastery
5
  • DEAR MAN

    dbt-11

    Describe, express, assert, reinforce, mindful, appear confident, negotiate. The assertiveness skill.

    cognitive2affective1relational3
    after: Check the facts
  • GIVE

    dbt-12

    Gentle, interested, validate, easy manner. For when the relationship matters more than the outcome.

    cognitive1affective2relational3
    after: Check the facts
  • FAST

    dbt-13

    Fair, no apologies, stick to values, truthful. For when self-respect is the priority.

    cognitive2affective2relational3
    after: Check the facts
  • Half-smile

    dbt-14

    Slight smile, relaxed face, throughout an upsetting situation. Body shapes mind.

    somatic2cognitive1affective2
    after: Radical acceptance
  • Diary card

    dbt-15

    Daily tracking of emotions, urges, behaviors, skills used. The infrastructure of the work.

    somatic1cognitive3affective2
    after: Wise mind