355
From DBT Skills Training Handouts and Worksheets, Second Edition  by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission 
to photocopy this handout is granted to purchasers of this book for personal use only (see copyright page for details).distress tolerance Handout 16   (Distress Tolerance Worksheets 13–18)
overview:  
When the c risis i s addiction
Skills for backing down from addiction.  
you can remember them as D, c , B, a .
DDialecTical aBSTinence
Cclear m inD
communiT y reinforcemenT
BBurnin G BriDGe S  
anD  Buil DinG neW one S
AalTerna Te reB ellion
aDapTive Denial