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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 15   (Distress Tolerance Handouts 18, 18a)
from c lean m ind to c lear m ind
Due Date:       Name:                   Week Starting:  
Check off each clean mind behavior you plan on changing this week. During the week, write down 
the clear mind behavior you did to replace clean mind.
clean m inD Behavior S clear m inD Behavior S aS replacemen TS
 1. Engaging in apparently irrelevant  
behaviors that in the past inevitably led to problem behavior.                       
 2. Thinking, “I’ve learned my lesson.”                        
 3. Believing, “ i can control my 
addiction.”                       
 4. Thinking, “ i don’t really have an 
addiction.”                       
 5. Stopping or cutting back medication that helps with addiction.                        
 6. Being in addiction environments.                        
 7. Seeing friends who are still addicted.                        
 8. Living with people who are addicted.                        
 9. Keeping addiction paraphernalia.                        
10. Carrying around extra money.                        
11. Being irresponsible with bills.