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Crisis Survival DBT Skills

This DBT Crisis Survival Skills Worksheet offers practical tools from dialectical behavior therapy to help clients manage intense emotional pain without resorting to self-destructive behaviors. By practicing distress tolerance skills, clients can navigate challenging situations and build emotional resilience.

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by Insight Timer

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How to Use This Worksheet

This worksheet guides clients through breathing techniques, self-soothing activities, and wise mind strategies to prevent impulsive behaviors and reduce emotional distress. Therapists can introduce the worksheet during individual therapy sessions or assign it as between-session practice to support DBT skill application in real-life crisis situations.

Who It’s For

This worksheet is especially beneficial for clients with symptoms related to borderline personality disorder, anxiety, depression, or a history of self-harm or harmful behaviors. Clients who struggle with managing stress, staying present, or tolerating discomfort will benefit from learning and reinforcing these crisis survival skills.

Expected Outcomes

  • Improved ability to tolerate and manage distressing thoughts
  • Increased access to coping strategies
  • Enhanced use of wise mind and self-compassion in difficult moments
  • Greater emotional regulation and reduction in destructive behaviors

References

Prada, P., Perroud, N., Rüfenacht, E., & Nicastro, R. (2018). Strategies to deal with Suicide and Non-suicidal Self-Injury in Borderline Personality Disorder, the case of DBT. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.02595

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