Play Distress Tolerance: DBT Skills for Surviving Crisis

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

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

TIPP Skills for Acute Play

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

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

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

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

ACCEPTS Skills for Riding Out Play

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

When Distress Tolerance Is the Right Skill for Play

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

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