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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 5b   (Distress Tolerance Handout 7)
Distracting with Wise m ind accep TS
Due Date:       Name:                   Week Starting:  
For each ACCEPTS skill, write down what you did during the week, and write down a number to 
indicate how effective the skill was in helping you tolerate the distress and cope with the situation (keeping you from doing something to make the situation worse). Use the following scale:
I still couldn’t stand 
the situation, even 
for one more minute.I was able to cope somewhat, 
at least for a little while.  
It helped somewhat.I could use skills, 
tolerated distress, and 
resisted problem urges.
1 2 3 4 5
Day: acTivi TieS
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: conT riBuTionS
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: compari SonS
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: emoTionS
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: puShinG aWay