A menu of distress-tolerance skills outside the TIPP crisis tier. ACCEPTS, IMPROVE, and Self-Soothe each play a different role: ACCEPTS for distraction, IMPROVE for reframing the moment, Self-Soothe for grounding through the senses. Have the client pick 2–3 they actually like — owned skills are used; assigned skills are not.

ACCEPTS, IMPROVE, and Self-Soothe are the three DBT distress-tolerance acronyms widely cited in clinical training; phrasing here is Emora-original.

• Linehan, M. M. (2014). DBT Skills Training Manual, Second Edition

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