Distress tolerance skills from Dialectical Behavior Therapy (DBT) help you survive koro crisis without making things worse.
TIPP Skills for Acute Koro
Temperature: Cold water on face activates the dive reflex, rapidly reducing koro intensity
Intense exercise: 20 minutes of vigorous exercise discharges koro physiological activation
Paced breathing: Slow the breath (especially exhale) to activate parasympathetic system
Progressive muscle relaxation: Systematic tension-release reduces koro physical symptoms
ACCEPTS Skills for Riding Out Koro
Activities that engage attention away from koro Contributing to others shifts focus from koro Comparisons that provide perspective on koro Emotions opposite to koro — deliberately generated Pushing away koro temporarily when you can't act on it now Thoughts that replace koro rumination Sensations that provide strong alternative input
When Distress Tolerance Is the Right Skill for Koro
Use distress tolerance when koro is intense but the situation can't change right now. The goal is surviving without making things worse — not solving koro.