392
distress tolerance WorksHeet 8a   (Distress Tolerance Handouts 10–15a)
reality a cceptance Skills
Due Date:       Name:                   Week Starting:  
Practice each reality acceptance skill twice, and describe your experience as follows:
When did you practice this skill, and 
what did you do to practice?What was going on that you 
had trouble accepting (if 
anything)?How long 
did you 
practice 
accepting?rate before/after skill use
Conclusions or questions  
about this skills practiceAcceptance 
(0 = none at 
all; 5 = I am 
at peace with 
this)Emotion
Negative 
emotion 
intensity 
(0–100)Positive 
emotion 
intensity 
(0–100)
Radical acceptance: / / /
/ / /
Turning the mind: / / /
/ / /
Willingness: / / /
/ / /
Half- smiling: / / /
/ / /
Willing hands: / / /
/ / /
Mindfulness of current thoughts: / / /
/ / /
Adapted from an unpublished worksheet by Seth Axelrod, with his permission.
From DBT Skills Training Handouts and Worksheets, Second Edition  by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this worksheet is granted to purchasers of 
this book for personal use only (see copyright page for details). Purchasers may download a larger version of this worksheet from www.guilford.com/dbt-  worksheets .