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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 Han Do ut 18a   (Distress Tolerance Worksheet 16)
Behavior Patterns Characteristic of Addict Mind  
and of Clean Mind
Addi Ct M ind
 Engaging in addictive behavior.
 Thinking, “I don’t really have a problem with 
addiction.”
 Thinking, “I can do a little.”
 Thinking, “I can indulge my habit, if only on weekends.”
 Thinking, “I can’t stand this!”
 Glamorizing addiction.
 Surfing the Internet for ways to engage in addictive behaviors.
 Buying paraphernalia (food, drugs, videos, etc.) for addictive behavior.
 Selling or exchanging items related to addictive behaviors.
 Stealing to pay for addiction.
 Prostituting for money or for paraphernalia.
 Lying.
 Hiding.
 Isolating.
 Acting always busy; “Got to go!”
 Breaking promises.
 Committing crimes.
 Acting like a corpse.
 Having “no life.”
 Acting desperate/obsessed.
 Not looking people in the eyes.
 Having poor hygiene.
 Avoiding doctors.