HEXACO Distress Tolerance: DBT Skills for Surviving Crisis

DBT distress tolerance skills for managing intense HEXACO — TIPP, ACCEPTS, and crisis survival.

Distress tolerance skills from Dialectical Behavior Therapy (DBT) help you survive hexaco crisis without making things worse.

TIPP Skills for Acute HEXACO

Temperature: Cold water on face activates the dive reflex, rapidly reducing hexaco intensity

Intense exercise: 20 minutes of vigorous exercise discharges hexaco physiological activation

Paced breathing: Slow the breath (especially exhale) to activate parasympathetic system

Progressive muscle relaxation: Systematic tension-release reduces hexaco physical symptoms

ACCEPTS Skills for Riding Out HEXACO

Activities that engage attention away from hexaco Contributing to others shifts focus from hexaco Comparisons that provide perspective on hexaco Emotions opposite to hexaco — deliberately generated Pushing away hexaco temporarily when you can't act on it now Thoughts that replace hexaco rumination Sensations that provide strong alternative input

When Distress Tolerance Is the Right Skill for HEXACO

Use distress tolerance when hexaco is intense but the situation can't change right now. The goal is surviving without making things worse — not solving hexaco.

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