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the dbt toolbox for distress tolerance: the TIPP Skills

Life throws a myriad of challenges our way, from daily stressors to unexpected crises. In navigating these hurdles, it's essential to equip ourselves with effective coping mechanisms. Dialectical Behaviour Therapy (DBT), a widely recognized therapeutic modality that offers a toolkit of skills to manage difficult emotions and situations. Among these skills are TIPP, an acronym for techniques designed to provide immediate relief in times of distress.


Temperature

When emotions run high, it's common to experience a surge in body heat. To alleviate this discomfort, try techniques such as splashing cold water on your face, holding an ice cube, or letting the cool breeze from a car's air conditioning soothe you. Adjusting your body temperature not only provides physical relief but also helps to temper emotional intensity. This phenomenon is akin to the "scuba diver's effect," where immersing oneself in cold water can quickly calm heightened emotions, allowing for a clearer perspective and a sense of calmness. 


Intense Exercise

Engage in vigorous physical activity that mirrors the intensity of your emotions. Not a marathon enthusiast? No problem—there's no need to be. Try sprinting down the street, swimming a few laps in the pool, or doing a set of jumping jacks until you feel fatigued. Boosting oxygen circulation effectively reduces stress levels. Moreover, it's challenging to maintain intense distress when you're physically drained.


Paced Breathing

Our breath is intricately linked to our emotional state. During times of distress, our breathing often becomes rapid and shallow, exacerbating feelings of anxiety. Paced Breathing, a core component of mindfulness practices, involves slowing down and regulating your breath to induce a sense of calm. Try inhaling deeply through your nose for a count of four and then exhaling slowly through your mouth for a count of six. Repeat this pattern several times, focusing on the sensation of your breath filling and leaving your body. An important tip is to make sure your exhale is longer than your inhale.


Paired Muscle Relaxation

The concept of paired muscle relaxation is intriguing. When you voluntarily contract and subsequently release a muscle, allowing it to rest, it tends to achieve a deeper state of relaxation than prior to the contraction. Relaxed muscles demand less oxygen, resulting in a reduction of both breathing and heart rate. Experiment with this method by concentrating on a specific muscle group, such as the muscles in your arms. As you tighten these muscles as tightly as possible for five seconds, align your breath with the tightening. Then, release the tension while exhaling slowly and deeply, ensuring your breath aligns with the muscle's release. As the muscles relax, you'll notice a corresponding sense of relaxation within yourself.


Incorporating TIPP skills into your daily routine can enhance your ability to cope with life's challenges. While these strategies are undeniably beneficial, it's important to recognize that they are not intended to resolve underlying issues. Instead, they serve as tools to alleviate distress, allowing us to reach a state of equilibrium where we can make decisions from a place of "Wise Mind" — a harmonious balance between emotional and rational thinking. By integrating these techniques into our lives, we empower ourselves to navigate challenges with clarity and resilience.


Remember, everyone's journey is unique, so don't hesitate to experiment and find what works best for you. With dedication and perseverance, you can cultivate resilience and navigate even the most difficult circumstances with grace and strength.

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