Drug Rehab in Utah
  Utah Young Adult Treatment Programs
  by NewRoadsTreatment.com

DBT in Drug Rehab: Distress Tolerance


Kristen Sroczynski, CSUDC
New Roads Treatment Centers


For this lesson in DBT - Dialectical Behavioral Therapy, we will be taking a look at the Distress Tolerance skill set. DBT stresses being able to deal with emotional pain, suffering, and distress in a healthy manner. The ability  to ride out the wave and accept distress is important for mental wellness. Pain and suffering are part of life and can never be completely avoided. Getting our clients to accept that, and giving them skills to tolerate pain, while not making impulsive decisions helps them to create desired changes.


To accept one's environment and situations as they are, without placing demands on it to be different, and experiencing emotions in a non-judgmental, non-evaluative fashion without attempting to change it is the ability to tolerate. Accepting reality is not the same as approving of reality. Tolerating an unpleasant reality is empowering our clients to gain crisis survival skills. There are four sets of crisis survival strategies:


Improving the moment
Thinking of Pros and Cons


Here is a look at the distracting skill of ACCEPTS:


A- using activities to distract
C- contributing to others to distract from one's own pain
C- comparisons to others the same or less fortunate than oneself; recasting one's situation in a more positive light
E- creating opposite emotions to negative emotions distracts and redirects
P- pushing away from a situation or blocking it until you're in a better place to deal with it, also know as shelfing it
T- distracting from current thoughts
S- using intense sensations to interfere with one's physiological component of the current negative emotion


This is an extremely effective skill to coach our clients at our drug treatment facility to use when they are experiencing pain and suffering. When see clients around the facility isolating and staying stuck in their depression we encourage, coach, and validate.


Thanks for reading! Remember to  PRACTICE and VALIDATE!


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