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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 8   (Distress Tolerance Handouts 10–15a)
reality a cceptance Skills
Due Date:       Name:                   Week Starting:  
Check off two reality acceptance skills to practice this week during a stressful situation:
Radical acceptance
Turning the mind
WillingnessHalf- smiling
Willing hands
Mindfulness of current thoughts
Skill 1. Describe the situation and how you practiced the skill:
  
How effective was the skill in helping you cope with the situation (keeping you from doing 
something to make the situation worse)? Circle a number below.
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
Did this skill help you cope with uncomfortable emotions or urges, or  avoid conflict of any 
kind? Circle YES or NO.
Describe how the skill helped or did not help:  
 
Skill 2. Describe the situation and how you practiced the skill:
  
How effective was the skill in helping you cope with the situation (keeping you from doing