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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 1  
Goals of Distress Tolerance
Survive c riSiS SiTuaTionS
Without m aking Them Worse
accep T reali Ty
replace Suffering and Being “Stuck”  
with o rdinary p ain and the p ossibility of m oving f orward
Become f ree
of having to Satisfy  
the Demands of y our o wn  
Desires, u rges, and i ntense emotions
oTher: