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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."
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.
Distress tolerance skills are meant to arise naturally as a consequence of mindfulness. They have to do with the ability to accept, in a non-evaluative and nonjudgmental fashion, both oneself and the current situation. It is meant to be a non-judgmental stance, one of neither approval nor resignation.
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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.
Whereas the premorbid personality accepts social roles as given, feels powerless to influence actions, and merely tries to play the roles as well as possible; the ideal identity, through expression of his or her psychological side, does not feel powerless in the face of social pressure.
Emotion-focused coping is a mechanism to alleviate distress by minimizing, reducing, or preventing, the emotional components of a stressor. [19] This mechanism can be applied through a variety of ways, such as: seeking social support; reappraising the stressor in a positive light; accepting responsibility; using avoidance; exercising self-control
Rumination, an example of attentional deployment, [20] is defined as the passive and repetitive focusing of one's attention on one's symptoms of distress and the causes and consequences of these symptoms. Rumination is generally considered a maladaptive emotion regulation strategy, as it tends to exacerbate emotional distress.