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Distress tolerance is an emerging construct in psychology that has been conceptualized in several different ways. Broadly, however, it refers to an individual's "perceived capacity to withstand negative emotional and/or other aversive states (e.g. physical discomfort), and the behavioral act of withstanding distressing internal states elicited by some type of stressor."
Distress tolerance means learning to bear emotional discomfort skillfully, without resorting to maladaptive reactions. Healthier coping behaviors are learned, including intentional self-distraction, self-soothing, and 'radical acceptance.' [27] Distress tolerance skills are meant to arise naturally as a consequence of mindfulness.
The specific skills focused on are mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation. [38] The main goal of DBT is to help clients manage their treatment and better understand their symptoms. The focus of DBT for PTSD is the future and adapting to the symptoms of the trauma.
“Over time, building up what therapists call your ‘distress tolerance’ skills can help you to accept that sometimes you have intrusive thoughts and that you are and will be OK,” says Abrams.
Distress tolerance skills, like writing down your thoughts, are used in dialectical behavioral therapy (DBT), a type of talk therapy that helps people shift their behavior to better regulate their ...
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When exposure to an item at the bottom of the hierarchy leads to moderately reduced distress or increased tolerance, a client progresses up the hierarchy to more and more difficult exposures. An exposure hierarchy can also be used as an assessment tool of the client's progress and their increasing ability to habituate to fearful situations ...
The skills therapy sessions include four segments; core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. [72] Dialectical behaviour therapist recommend developing self-compassion.