DBT Tools for Trauma: The TOM


United States Department of Homeland Security

Key Points

  1. Once clients become more aware and accepting of thoughts, help them actively change those thoughts.
  2. TOM stands for thought, opposite, middle.
  3. Identify an ineffective thought, then the opposite thought, then a thought more in the middle.
  4. Help clients plant a new thought without confronting the original thought.
  5. Any middle thought is already dialectical since it is a different perspective from the original thought.
  6. It is important that clients come up with the middle thought on their own.

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DBT Tools for Trauma: The TOM

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