The TOM Strategy in DBT: Shifting Thought Patterns

United States Department of Homeland Security

Key Points

  1. The TOM technique (Thought Opposite Middle) in DBT encourages clients to find a balanced perspective between extreme thoughts.
  2. By introducing a middle thought, clients experience cognitive dissonance, fostering a natural motivation to change.
  3. Shifting from extreme to middle-ground thinking can significantly decrease emotional distress, promoting healthier cognitive patterns.
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The TOM Strategy in DBT: Shifting Thought Patterns