370
distress tolerance WorksHeet 1a   (Distress Tolerance Handouts 2–9a)
crisis Survival Skills
Name:                         Week Starting:  
Practice each crisis survival skill twice, and describe your experience as follows:
When did you practice this skill, and 
what did you do to practice?What was the crisis (what 
prompted needing the skill)?Amount 
of time 
practicing 
skill?rate before/after skill use
Conclusions or questions  
about this skills practiceYour level of 
distress tolerance 
(0 = I can’t stand 
it; 5 = I can 
definitely survive)Emotion
Negative 
emotion 
intensity 
(0–100)Positive 
emotion 
intensity 
(0–100)
Stop: / / /
/ / /
Pros and cons: / / /
/ / /
TIP: / / /
/ / /
Distract with ACCEPTS: / / /
/ / /
Self- soothe: / / /
/ / /
IMPROVE the moment: / / /
/ / /
Adapted from an unpublished worksheet by Seth Axelrod, with his permission.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 .