of the temptation to do so.
••Distress Tolerance Handout 18a: Behavior Patterns Characteristic of Addict 
Mind and of Clean Mind. This handout lists typical behaviors of addict mind and 
clean mind and can help you identify when you are in one or the other. In particular, 
check the behaviors you engage in while you are in clean mind. Use Distress Toler -
ance Worksheet 15: From Clean Mind to Clear Mind to practice replacing clean mind behaviors you’ve marked on Handout 18a with clear mind behaviors.
••Distress Tolerance Handout 19: Community Reinforcement. Community 
reinforcement means restructuring your environment so that it will reinforce absti -
nence instead of addiction. This handout explains why this is important and lists steps you can take to make it happen. Use Distress Tolerance Worksheet 16: Rein -
forcing Nonaddictive Behaviors to track your practice of community reinforcement.
••Distress Tolerance Handout 20: Burning Bridges and Building New Ones. 
“Burning bridges” here means actively eliminating from your life any and every con -
nection to potential triggers for addictive behaviors. “Building new bridges” means 
creating new visual images and smells in your mind to compete with addiction urges. 
Use Distress Tolerance Worksheet 17: Burning Bridges and Building New Ones to 
track your practice of this skill.
••Distress Tolerance Handout 21: Alternate Rebellion and Adaptive Denial. 
When addiction functions as rebellion, you can use some type of alternate rebellion 
to satisfy your wish to rebel without destroying yourself or blocking your way to