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From DBT Skills Training Handouts and Worksheets, Second Edition  by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permis -
sion 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 .distress tolerance WorksHeet 10   (Distress Tolerance Handouts 12, 13)
Turning the m ind, Willingness, Willfulness
Due Date:       Name:                   Week Starting:  
Practice each skill, and rate your level of acceptance of reality as it is before and after: from 0 (no 
acceptance at all) to 5 (I’m at peace with this). List what you tried specifically under the rating.
Turning the m ind: Acceptance   Before:     After:    
oBS erve  not accepting. What did you observe? What were you having trouble accepting?
make an inner commiTmenT  to accept what feels unacceptable. How did you do this?
Describe your plan for ca Tchin G your Self the next time you drift from acceptance.
WillinG neSS (rate 0–5): Acceptance  Before:     After:    
Willfulness   Before:     After:    
Describe effec Tive Behavior you did to move forward toward a goal.
noTice Willfulne SS. Describe how you are not participating effectively in the world as it 
is, or how you are not doing something you know needs to be done to move toward a goal.
Describe how you prac TiceD raD ically accep TinG your W illfulne SS.
make an inner commiTmenT  to accept what feels unacceptable. How did you do this?