Review ratings each session. Watching them shift over time is itself metacognitive growth. Ask "which tool did you actually try?" The ones they didn't try often reveal the real barriers.

Based on DBT skills training (Linehan) and cognitive-behavioral coping skills interventions.

• Linehan, M. M. (2015). DBT Skills Training Manual

Paste into a clinician blog or resource page. Loads lazily, full interactivity preserved.