DBT Distress Tolerance skills: TIP
Distress Tolerance skills are here to help you tolerate painful situations. When changing a situation/emotion is either impossible or ineffective, the other option is to tolerate it. These skills arenât here to make your painful emotions go away. Allowing yourself to feel emotional pain as it happens is necessary in order to avoid suffering. Instead, distress tolerance skills exist in an effort to make feeling emotional pain a bit more bearable as a situation takes its natural course. One of the DT skills is TIP. Think TIP when you need help to calm extreme emotions.Â
T (Temperature): Change the temperature of your face with cold water. Â Put your entire face into ice water while holding your breath for 15-30 seconds. When you trick your brain into thinking that you dived into cold water, your heartbeat slows and more blood flows to your brain and heart. Do this in a calm place to maximize effectiveness. Use this when you have a strong, quick distressing emotion to help regulate your emotional response. (For a milder result, you can also do this by holding an ice cube in your hand, holding a cold drink, or running your hand under cold water. Reusable ice cubes are awesome. You can also step outside if you live in a cold area).
I (Intense Exercise): Physical exhaustion can calm down your body from a heightened emotional state. Â Exercise intensely, even if only briefly. The goal is to use your bodyâs stored physical energy to give a feeling of calm.
P (Progressive Muscle Relaxation): Relaxing your muscles can help relax your mind. Start by getting into a comfortable position to relax and bringing yourself into a mindful state. For each area of the body, tighten the muscles while focusing on the sensation. Â Release the tension as you breathe out, focusing on the sensation again. Do this for the hands, arms, shoulders, forehead, eyes, face, mouth, neck, chest, back, stomach, buttocks, thighs, calves, ankles, and feet. Practice this exercise in a calm, quiet state to best prepare you to use it during emotional stress.
Source: (x) Paraphrased by Rachel for Borderline Bravery / Images: (x)(x)(x)