1. Distress Tolerance

2. Learning to tolerate frustration Being able to deal with stress, drama, and crises in skillful ways

3. Distress Tolerance Having frustration tolerance is an essential life skill for everyone. Frustration tolerance means being able to hold frustration and stress without engaging in negative, problematic, or destructive behaviors.

4. Classic DBT Pros & Cons Self Soothe Turning the Mind Observe Breathing Willingness ACCEPTS IMPROVE Half Smile Radical Acceptance

5. PROS & CONS Pros to having drama and stress Cons of not having drama and stress Cons of having drama and stress Pros of not having drama and stress

6. SODAS Situation Options Disadvantages Advantages Solutions

7. Radical Acceptance

8. INNOVATIVE DBT Crisis Survival Network Keeping It in Perspective Self Soothe First Aid Kit OBJECTIVES SPECIFIC PATHS

9. Crisis Survival Network

10. Keeping It In Perspective

11. Self-Soothe 1 st Aid Kit

12. OBJECTIVES One thing at a time Be effective Avoid Judgments Cope with Emotions Consider Consequences Take Time Use Introspection Act consistently with Values Focus on desired Endings Balance Short-term and long-term goals

13. SPECIFIC PATHS What is my Supreme Concern? Practice my skills Focus my Energy and Concentration I can be effective Have Faith Consider what is Important Have Courage and Patience Pay Attention Complete Tasks Be Humble and have Sensitivity

14. Distress Tolerance