DBT for Psychosis: Distress Tolerance Skills and Interpersonal Effectiveness

Kirby-Reutter

United States Department of Homeland Security

Key Points

  1. DBT uses many acronyms to teach clients a variety of skills. The TIPP skills help clients tip their mood by tipping their body chemistry through changes in temperature, intense physical activity, and paced breathing paired with muscle relaxation.
  2. The ABC PLEASE acronym also leverages the mind-body connection. For example, the PLEASE part of the acronym focuses on optimal physiological functioning, whereas the ABC part of the acronym focuses on optimal psychological functioning. Both components are necessary when helping clients to stabilize their emotions.
  3. The DEAR MAN technique helps clients to increase their social skills by teaching them to describe, express, assert, and reinforce through more mindful interactions. As with all DBT skills, it’s especially important to teach this skill in a culturally sensitive manner.
  4. Clients with thought disorders also require a strong social network, especially characterized by a robust support system.
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