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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."
Dialectical behavior therapy (DBT) is an evidence-based [1] psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. [1] Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. [2]
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.
A Subjective Units of Distress Scale (SUDS – also called a Subjective Units of Disturbance Scale) is a scale ranging from 0 to 10 measuring the subjective intensity of disturbance or distress currently experienced by an individual. [1] Respondents provide a self report of where they are on the scale.
Dialectical behavior therapy (DBT), on the other hand, focuses on developing skills in four main areas: interpersonal communication, distress tolerance, emotional regulation, and mindfulness, aiming to equip individuals with BPD with tools to manage intense emotions and improve interpersonal relationships. [172] [173] [170]
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For example, a relevant mnemonic formulated in DBT is "ABC PLEASE": [62] Accumulate positive experiences. Build mastery by being active in activities that make one feel competent and effective to combat helplessness. Cope ahead, preparing an action plan, researching, and rehearsing (with a skilled helper if necessary).