i ndex •  4 1 7
of skills training, 9
spiritual perspective and, 68values and, 297, 299
Guilt
changing emotional responses 
and, 229
opposite action and, 240, 244problem solving and, 244ways to describe emotions, 222
half-smiling, 347, 348–349,
392–393, 397–398. See also  
Reality Acceptance Skills
Handouts, overview of, 3–4, 5–6Happiness, 45, 217Harm reduction approach, 357, 
358, 404–406
Hearing
observing skills and, 54, 58self-soothing and, 334, 382–384sensory awareness, 337
Homework, 133, 176–177“How” skills. See also  Describing 
skills; Effectiveness practice; Mindfulness practice; Nonjudgmentalness; Observing skills; One-mindfully practice; Participating skills
overview, 40–41, 49, 60overview of handouts and 
worksheets for, 40–41
practicing, 88–93
Humor, 128
illness, 257, 294, 303
Imagery, 258, 335, 352, 386–388IMPROVE ( Imagery, Meaning, 
Prayer, Relaxing, One thing 
in the moment, V acation, 
self-Encouragement and 
rethinking the situation) skills, 335, 369–371, 386–388. See also  Distress 
tolerance skills