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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 18   (Distress Tolerance Handout 21)
practicing a lternate r ebellion and a daptive Denial
Due Date:       Name:                   Week Starting:  
check and describe plans for alternate rebellion when the urge for addictive behaviors 
arises:
1.                                     
2.                                     
3.                                     
check and describe what you actually did as alternative behaviors instead of giving in 
to addictive behaviors:
1.                                     
2.                                     
Circle how effective alternate rebellion was at helping you survive the urges without giving in 
to addiction.
1 2 3 4 5
Not effective Somewhat effective Very effective
check off and describe adaptive denial skills below that you used to manage urges:
1. Reframing an urge for a problem behavior as an urge for something else:         
                                              
Circle how effective this was at helping you survive the urges without giving in to addiction.
1 2 3 4 5
Not effective Somewhat effective Very effective
2. Putting off addictive behavior for    minutes,    times:                
                                              Circle how effective this was at helping you survive the urges without giving in to addiction.
1 2 3 4 5
Not effective Somewhat effective Very effective