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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 8b   (Distress Tolerance Handouts 10–15a)
reality a cceptance Skills
Due Date:       Name:                   Week Starting:  
For each reality acceptance skill, describe the skill you used during the week, and circle a number 
(0–5) indicating your own experience of acceptance of yourself, your life, or events outside yourself. Use the following scale:
No acceptance; I am 
in complete denial 
and/or rebellionI was able to 
accept somewhat or 
for a little while.Complete 
acceptance; I am at 
peace with this.
1 2 3 4 5
Day: raDical accep Tance (describe what and how often you practiced)
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: Turnin G The min D (describe the cross-road you were at, and what you chose)
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: WillinG neSS (describe the situation, what you were willful about, and how 
you practiced)
    /                                 Effectiveness:  
    /                                 Effectiveness:  
    /                                 Effectiveness:  
Day: half-  Smilin G (describe the situation and how you practiced)