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DBT Skills

DBT Skills: Tools for Emotional Balance

Dialectical Behavior Therapy (DBT) offers practical skills to help manage emotions, navigate relationships, and build resilience in everyday life. These evidence-based tools are designed to support emotional regulation, distress tolerance, mindfulness, and effective communication.

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This resource page includes worksheets, exercises, and guidance on DBT skills to help you develop healthier coping strategies and a greater sense of balance. Whether you're new to DBT or looking to strengthen your practice, these resources can support you in building emotional awareness and responding to challenges with confidence.

DBT Skills Section

General

Definitions & List of Skills

Diary Card Wk 1

Diary Card/Skills

Website with More DBT Tools

Fire

Burning Bridges

PDF

Mindfulness Skills

Mindfulness & Meditation

Pathways to Wise Mind

Observe, Describe, Participate

Mind States

Emotion Mind

 

Emotion Mind will act out of fear, excitement, sadness, anger, joy and more.

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Triggers can be:

- Argument

- Fighting urges

- Procrastinating tasks

- Certain people, places or events

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It can be difficult to maintain impartial and a reasonable mindset when in this state.

Wise Mind

 

BOTH Rational and Emotional minds are used when making a decisions. The Wise Mind honours and accepts emotions, while taking into account the facts. It is often referred to as your inner wisdom.

Reason Mind

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Reason Mind bases its decisions on facts, evidence and what has worked in the past. 

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Situations that use rational mind may be:

Deciding on what to eat

Driving 

Planning an event

Learning

Fixing an item

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However these activities can be hijacked by emotions. For example, deciding on what to eat by emotions if you are trying to eat healthier.

Distress Tolerance Skills

Distress Tolerance Skills help to distract you and help you through stressfull /  emotional situations.

ACCEPTS

A - Activities
C - Contributions
C - Comparisons
E - Emotions
P - 
Pushing Away
T - 
Thoughts
S - 
Sensations

IMPROVE the Moment

I  - be Fair
M - no Apologies
P - stick to Values
R - be Truthful
O - 
be Truthful
V - 
be Truthful
E - 
be Truthful

Self Soothe

PDF

Pros & Cons

PDF

Accepting Reality

PDF

Tip The Temperature

Tip the temperature of your face with ice water (to calm down fast). Hold your breath and put your face in a bowl of ice water. OR hold an ice pack on your eyes and cheeks. Hold it for 10 to 30 seconds.

Intense Exercise

To help calm your nervous system down when it is revved up. Engaging in intense exercise for a short while uses up your body's stored energy. Try running, walking, basketball, lifting weights, jumping, skip rope, etc.

Willingness

PDF

Paced Breathing

Pace your breathing by slowing it down. Breathe deeply into your belly. Breathe in for 5 counts breathe out for 7.

Emotional Regulation Skills

Emotional Regulation Skills include naming and understanding your emotions, decrease frequency of unpleasant emotions, decrease vulnerability to emotions and decrease emotional suffering.

Build Mastery

Model of Emotions

Opposite to Emotion 

Information

Worksheet

Emotional Regulation for Feelings

Basic Emotions and their Opposites

Emotions on a Continuum

PLEASED Skill

PL - Treat PhysicaL Illness
E - Balance Elating
A - Avoid mood altering substances
S - 
Sleep
E - 
Exercise

Interpersonal Skills

The goals of Interpersonal Skills is to have people understand and meeting your needs by strengthening and building relationships.  

FAST Skills

F - be Fair
A - no Apologies
S - stick to Values
T - be Truthful

GIVE Skills

G - be Gentle
I - act Interested
V - Validate
E - use an Easy manner

ASSERT Skills

A - Ask/set boundaries
S - Say what is needed
E - Eye contact
R - Respectful
T - Timing

DEAR MAN Skills

D - Describe situation
E - Express feelings
A - Assert by asking
R - Reinforce / explain positive effects of getting needs met

M - Mindful / focus on goals
A - Appear confident
N - Negotiate

For Immediate Help

CALL or TEXT  988 
Canada’s suicide crisis helpline 24 hrs a day

In Canada Text "Connect" to 686868

Kid's Help Line 1-800-688-6868 24 hrs

If it is an emergency
Call 911
or go to your nearest Emergency Department

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Explore culturally grounded grief and trauma resources. Honouring Indigenous teachings, including the Medicine Wheel, with NIHB-covered counselling for First Nations, Inuit, and Métis communities.

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