Rejection Sensitivity Distress Tolerance: DBT Skills for Surviving Crisis

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

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

TIPP Skills for Acute Rejection Sensitivity

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

Intense exercise: 20 minutes of vigorous exercise discharges rejection sensitivity physiological activation

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

Progressive muscle relaxation: Systematic tension-release reduces rejection sensitivity physical symptoms

ACCEPTS Skills for Riding Out Rejection Sensitivity

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

When Distress Tolerance Is the Right Skill for Rejection Sensitivity

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

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