Karyn Hall, Ph.D. is the founder and director of The Dialectical Behavior Therapy Center in Hous- ton, Tx, and the author of The Emotionally Sen- ie sitive Person and SAVVY. ‘is co-author of The Power of Valida- and the founder of DBTSkillsCoach- This book was made possible by the generous sharing of so many DBT ther- apists. Thanks to each and every per- son who contributed. dfulness Exercises For DBT TherapistsILNESS EXERCISES FOR DBT THERAPISTS oper 2011 ated by Kaya HallDear Mindfulness Leader, Very few ofthe following exerctes are orginal. Most ate variations zac epicas of exerciaes ve leaned at confeenees of found in vasiou places. I wish I could give credit tothe onginal source fr ¢ ‘one, but I don’t know the sources. I have given credit when I knoy om the creator, but that’s only a few cea eee “he cxecns vay in terms of city. So of dficay. Some could be dyeing ‘Of course, always use your judgment about how an exerci might be" sesred by your tile groupe Tyemade an ancmpt to organize the exrcites according othe DBT Shilthey bert Manes «part fever sl othe vs sen Mot fhe ccs ac eum otha oe Jconference I attended Dr. Linehan cautioned group leaders to f2om mindfulness into games or activites, thatthe core fmindfulness isto be aware. As a group leader, being reason for the exercises and balancing mindfulness of fexperiences isimportant. Mindfulness of sternal ifficul for some geoup members and they the more active exercises more. Group members leaders for sing “Tun” mindfulness exercises ver V1 pase thison, with the ea that exch acto ether to use a8 they are written helpful, ‘oven, There i cally only one wa Co ce mindfulness are ellen ike to share, Pele happy icons — rnin Minas Ere ne ition, Distress Tolerance, and Interpersonal Ent iafulness is the pach to wise mind. In addition, 3 mfortable with mundtulness ben completed a Na Me pn a Bowl Ifyou don't know how to be minal, y for the ear or the football and any artempes to drive oF fy oF aravals “punish” therapists client sees as a waste Of rit they airplane Bite Super Bow! wil noc work for long. You can’ seally tolerate Sotes, be effective interpersonally or regulate emotions if you can't Demin. ee cone ofan emer Mf ol (Heath and Hleath 24008). So when regand over thee wll Come atime when oor espa more. Like the mother who ot ere pleadings, says, okay but just wo “nerputs ind themselves strugaing with mindfulness sete, don wall totes team for suppor, re ning mindfulness i ey to thie fo therpits who work hard help epiinced to be effective for their own is important and clients come 10 that be enough? For some, itis, t lease pot For some clients the problems may be Wey uncomfortable. That could be [may bring about painful emotions. Or joing it right, afterall their mind is ce, You may know that cleaning = that doesa't mean you want 0 do i ate willing to dott OT ies Pohems to the reasons you are doing mindfulness exerci Se ee eth cc soit coup men lent is part ofthe intake. Aad geting commiems repre may ace 1o be repeated. So if group leaders repeatedly sorre i eth womeot participang in mindéalness, thea the group fees could ask the indivi therapist ro ass. Overall commit Relevance and Context _there are some teaching strategies that could be helpful. Past ofall, meeifalness needs to be relevant and in coatext. Relevant means you. imvt ase a motorcycle gang example witha group of soccer moms sorta content means you tella brief story that makes the exerciser ‘This is easier sad than done Most group leaders could come up with one or two examples that they Meu ie to their own lies. Here in Houston, experiences in traffic all foemindfulness on a regular basis, so many leaders have those ‘Ecamples, Parenting children also ges rich opportunities for ‘indfulness stories. But coming up with meaningful, relevant stories owe with mindfulness exercises week after week is challaging, We fue to use energy Ie gets eascr to just do a mindfulness exercise and fnget the context. Thats a slippery slope into mindless mindfulness ‘exetetes, Doing mindfulness mindlessly is nos help,Bice ott soe in “he opening mindfulness exc Mpactue the erainer told ast : Sa wo Silas cmen get rest don ais Set cbr ea corse Hae pe not hepa PN, But fe ao ae eid Se ae caes ure chs Se ce es mac lor hy So pen of ing nde cet cote o eri Teching masdhines bcos spear yt oe nnn a Gandy Senden gre ben exampeofptting mines n er aber mindfulnes exer about an aquarium. She descaed Gang te eqn ad sexing al ferent sie, color an shapes AP She then sored how our emosions canbe lke the fish inthe asian. “Tobelp you remember the importance of context, and to give rou sense lw sat content ve inched some examples with few of (bemindfloess exercnes, These are onl 0 give examples. The entet that you we willbe what you have experienced. Giving ones ako res you another opportunity to model effective se of teal, — fe Fo oe sneer he JpFULNESS INSTRUCTIONS ber the basic ules mses with each MIN! easy 1. Get ino a minus posi Grete name ofthe pracice eerie. 2 ore Comet nul by el a personal sory 3 haan te peace 4 Wenn he parcpans gent bring hee mind back and Shem it wanders lia there ae any questions, ing the bel three ames fk Parwcpae 5: Ring the bel one ome fo. tte opposunity 1 desenbe experienceDistress Tolerance Scrambled Count Comes: hare never enjoyed sumer, Mention mulipcaton and | frm edatly daycteaming about going the beach My ees gaze Srerf your conretution cortaizs numbers tat dont eet ncone’s age become most anmindfl Ie reed that asociate tambers with lgebra snd geometry, clases that were hand fr me ‘hook Fm judging sumbers bess of something hat happened st trp So thought T could be mindful of numbers fa way. lp fri ee dhe ws numbers realy ae instead of reacting base fnngege experience. So thn mindfdnee Primary Mindflaes Component: Patcipate mary relates: Distress ers Maer: noe Disctions. Give the group 4st of umber in onde wth one oF m0 ‘numbers more tan the numberof group members, If ou haves {roop members, you could ae the mubers one though seve oF Srentone through ene he ‘The fest person sys a sumer. ‘The second person says umber bat doce’ repeat he surber ands. Tht contnocs uel you ae back othe fst penn. The second meas the memos cant repeat the number they sadn the previous mound someone repeats on purpose a nuibr somone ele said hit round, then the round starts ore atl hit person gat to sae They fre cauht” bythe other members den the sound starts over and thes tte the bt person Acs doing his afew tines, each mmr aks about his hee ‘perience: Some member wl fx pressure and sess, Tecan be ‘ntti o point out how the mind create amsict whe there 0 need fr fight or Bight, no consequence in saltImagery, Favorite Place os Pur the Glas ourself at your favorit place your body. What type Whac do you see wi colors? What do you sel lke? How do you fel being insa ‘ABox of Chocolates “gat Tasred: Wiles, Radial Acceptance box of chocolate candy with different filling, Sar ayo th i ofthe bos) Optona Tames for choosing the chocolate ae select one.” ae a eeeeagtaaeenes eS Ad a Bide 1g Say: Have you ever Soated oa a ube or a boat down a shallow snee and nonced dhe bea rocke as you pss? They ook a eee when the sun shines rough the water and rele the cols eT oat byt don't want the experience to end ties pencent Ted see rocks that I don't want to leave But then thee anemone woke fetes down, Sometimes think that isthe way lfc into, that ree done to eave rome tes in your if thi are go aad yes the a ‘experiences to come felt them ands pane ‘When you hea the chimes, plese observe your rock, When you hear the chimes again, put your ck n water and observe itn. When the chimes ing thee nes, the exten over Self Soothing Sharing Supplies: Either bring ox have a group member big in an obec they use for one ofthe senses, You cold do ths mule tans sllthe senses. Some les ate Hearing: music forest sound, ence, voice ofa avoite person Tame: Lemons, sup, chocolate, mint Secing: Am, photos of nature, pictures of five people colors, books pies of» pet Smet: candles with different smells, cologne, soaps, hetbs, Touch: soft mash smooth stones, subbing your shoulders, rbing ‘pen back and forth oa your pals, hogying youl, The group member or group leader shtes the ob bet and the group members asked to be mindful of the sbject os“Not Knowing a “amdiam Sze bo* oF DAL Fees si Otnare Mil of Curent Emosion se oucan ee therein a box in font of me on the ue oe Sete oat te igh want give a hint. Or sugges they sninthe bo and ote how feck gers and guessing you might end the exercise pws in the bos. You can then disco something tht you expected 0 lean, raskthem to sitand observe thie hebox. What is inside doesn't mate, bur be fruit oa snack of some sont Music (From participants io DBT Training, May 18, 2008) Primary Skil: Self Soothe ‘Materials: Pay different types of music As you play each piece ask group members fo waite the emotions created by exch piece. Be fnindl of which ones are soothing to each person. Scent ‘Materials: Cotton balls and different scent, like essential os Directions: Put different smells on the cotton balls and smell them. Be mindful of your response to each seent. Note which smells are oothing 0 you. ‘Mindfulness of the Breath Stress Release Primary Skill: Self Soothing Directions: With an inhale, chink ofall the things in your be that ace giving you stress/worty/ansicty. Breathe ial that stzess ina count of| five, then quicky Blow out the entire breath ina count of to.Ea Grandfather Tells ‘ima Read the fllowig story and ask the group 1 be mind _An old Grandfather = ate Gsend who bad done him an ius at 2 Tres have feta great hate For those that oweow for what they do 1d to hie grandson, who came to him with anger tice, "Let me tell ous story. fave taken so much with no jes not hurt your enemy: Teis like emmy would die Thave struggled Pee fackngs many times.” He conrinued, “Iisa there ae ride mes One it good and does no harm. He lives in ind does not uke offense when 0 ies ight eo do x0 an ia But hate wears you down and dow faking poison and wishing your two wolves in fastnony with ll around Fim a eense was intended, He wil only fight when the sight way ‘Bor the other wolf ah! He is fll ofanger. The littlest ching will se an intoa Br of temper. He fights everyone all she dime for no reason. Tiecanmoc think because his anger and hate are so great. Tes helpless anger for his anger wil change fothing, Sometimes iti hatd to live sae hese ewo wolves inside me for both of them try co dominate my ise “The boy looked intent into his Grandtathee’s eyes andl asked, “Which one wins, Grandfathers” The Grandather sled and quiet si “The one Heed” anAnger Collecting Pleasant Memories Focus on peasant events You ma Beginning jou are aot used to doing it aes you only the unpleasant count or matte Strive for wilingnes, as noticing pleasant ekInternal Tour and Check In emotions, connect emotions to physical sensation Goat To snoge emotions and le not £0 act On emotions ‘esl ro mange incon Grup: Take a breath. Slowly elease. Take another beh Pi deae Focus foramoment on your felnys. Note itthee ser dtnes Just ote. None if theres any shame, Just nce a ref ihere any anger. Just notice, Notice i there anyon. Jag poses, Notice if theres any anxiey. Just notice ‘Now notice your thoughts. Are they focused on one situation? Are they changing rapidly or slowly? Just nose [Now notice your bods. Any pain? Any soreness? Are your muses relaxed or tense? Jost notice ‘Now come back ato this room. Notice your reaction to this itera ‘Were you mindful? Blue Dot Materials: Blue Dot drawn on board or large blue dot cut from construction paper "Sinal blue dot stickers from office supply store Directions: Ask the group members to be mindful ofthe blue dot. As pane Foeus on dhe blue dott also self soothe. Be in the moment. Reine breath, Let go ofall thoughts exeept the blue dot. Let ume pase in quiet Discuss the mindfulness. Ther hand out the blue dot stickers. Ask the [roup members to pot the doss on diferent belongings or around the area where they lve and where they work and their ear. Every cme Ghersce a blue dot to practice mindfulness. You might want co put bine blue dots in the group room and the therapy offices. Peacock Feather Jil Tedemann, LPCC Primary Skill: One mindfally Materials: Long peacock fethers for each member Diections: Give each member a feather. Ask them to observe thet feather. Now ask them to balance thei feather on their hand, being ‘mindful only of their own feather‘Awareness of Brain Filling in MeaningMindfulness Snowflakes julie Neon Primary Skill: Nonjulgmentally Materials: Scissors and paper foreach group member Directions: Fold the paper and ext out designs Rice in Sand Matriale Baggies Glled with sand and 4 10 5 grains of rice Dirations, Pass out one baggie ro each group member. Ask the group to feel the sandbag in their hands. Then ask the group members to find the grains of rice in their baggie withour dumping the sand out. ‘Share how mindfal each group member was able to be and how they managed the feckngs they had about finding the grains of sce. ‘Trip to the Zoo Focus on being present ‘The frst member of the group takes the letter and says T went tothe zoo and I saw an A (eg, antelope, aardvark, ape), listing one animal ‘The next member repeats what the frst member = animal that start with ab aeEyewitness Primary Skill: Obser frve and Desert Ask one member leave the 100m, White they return to the group nes room, she or he is eo something abet theyre HP 10m, the members areas Rhythm Game From participants in DBT Training, May 18, 2009 rimary Skill: One Mindful Each person repeats the previous id adde oe Buzz From participants in DBT raining, May 18, 2008 Primary Skill: One Mindfally Directions: Choose a number, such as 3 and use deriva: G\69,12,15) as the buzeword instead of saying actual number Go around the circle, Start with 1, 2, and the next persons 5, “Buzz” time, that person steps out and becomes a distractor: satbes fad s0 on. If someone miscounts ot buzz nap, Crackle, and Pop Sa enipantsin DBT Training, May 18,20 Name Game (From participants in DBT Training Directions: Go around in uch as Abe Lineol then you feverse direction in the celeLemons Direction Foot in Air Juliet Nelson Primary Skill Nonjudgmental Direct clockwise circles. Now, while doing While sting, lift your right foto the No Note 1 wil typically change nections. Listen Observe and Describe Group Drawing = op mers pass the pape the person on thee ight. Watt another inte ad the sk hem sto the righ apn. Conti il ach paper has euthed o ginal cnet. If ou have avery srl group you tay wa to lengthen the time before the papers passe pas mule te Ask about ther aby tobe midland what they nosed about Uhemslves,Mindful Walking in jom Kae What I want to dois be awa Raisin . : i , . f ches the Noon and a a en the sate ate Focus your aren Pn on the experien en ic feel. Be mindful ‘ z in, gn bing your a ee ea en wet i ‘Movements as mt walk. there snd explore i Create a D, Sound Toss Skill Parsi Peimary vn Disections: One person in the gr Supplies: Musie Directions: Ask g‘Table Slap Finger painting Primary Skil: Paticipate Directions: Put both hands on the table. When iy either slap the table or pound lightly wath yous faa your fist with your second hand, the order reverses 0 thay a skips the next turn (either the fist hand of the nesta #8 other hand). Ifyou go out of tur, you tke that hand cana eee Rain ‘skill on two index cards. Yo wish fea W rom paicpans in DBT Tring, May 18,205 ean ed by ree Dieeoos: Pick leader and die eveone dint p Dieioas.Aakcch gop meer Breryonefoloms the dscoion of the leader snd ote PS goup amber reas 1. Rub hands together Points of ViewPrin Hy Sk Aad dese Ne Mina lig WO people with the ree alae osed a Passing the Ball Jennifer Faton, MS, LMC Primary Skill: One mindful Materials: Small, softballs or tenis balls Directions: Two balls ae p down the line until it has passed between ball and then when the fis ball ball. Your d back and forth actos the group, ‘i ses, str the second ‘an a third and fourth ball depenlng on ball is dropped, start over. Ifthe able is Mindful Music Primary Skill: Structure ache son sound a note and then a aa ‘Then have each per and th going 2r0u ld be wed. ‘Ode to Joy has > Mindful Ball Scramble Mindful Balloons Toss Beads stetials: A luge bowl o Directions! Pass the bow around the Describe your abject to the group be mindPrimary Skil: Obser Din rections: Ry Breathing Patience Bonnie Atkins, LICSW Directions: Read the follow Do you have the patience t0 wai Til sour mud settles andthe waeris cea remain unmoving Can you i ion arises By itself? Til the right 2 Lao Tau ren inhale and extale with yourself peeing: Wai a, Breathing vt faowing pone tous”ET Drawing “7 Skis Nadya singing in Rounds " lee i: Patcpare, Cine Mindful Matec wma and paper ONS: Have mah c he Eas enough ve ne sbi in “ Table: Now tooking ti p nt en ng only a yond “mia nondominant han 6 ha hand “amber then describe thane . Flashlight Otter : : : “ Bonnie Aekins, LCs Heh Primary Skill Observe Material: Fashlighe, dick room Singing with Hand Movements Direction: Ina datk room, shine the 8 0up to focus thei at Primary Sk: Pan Vion on he Diection: Sing a song ke “Take mic ott the Balle” sad a hand mocions ke me otto the all ame (Both hand point se St me outwith the crowd (oth hands seep wesen Buy me some peanuts and Cracker Jace (Po tdonttcare if I never get back, (Shoe oa EEE f00t oot, oot forthe home tenn (hands ingin shyt they don’t win is «sham ‘wo, thee strikes, Athe ol ball game thre Hands wpSaying Numbers or Alphabet oe Bonnie Atkins, LICSW rhe master serie Primary Skill: One Mindfully fesiom from * peak at the same time, ue er or letter. What You Think of Me (Reacin, ap he di Dennis Merstt Jones, DD) ee esas sc omen Primary Skil: Nonjudgmental Sree to bless and praise each person in every grave, telling them how Primary Skill: Observe and Describ day. .even go so far as to light incense and canes foreach oe Beene: Tam grog vo my tort woods faked these, "Well what id they have oy abo" ces gH Astounded, the student replied, “How could they respond ro me + Discussion: Encourage discussion of their int: Mayers la an crs ox hears word wid ep Spot fer many ak urns eh pa oe Did the thoughts come in the center or from theseyous images? Dad you se colors? Mindful of the Senses [Sorta Robinson, LCSW) Pray Ski Observe Dimesons Tate + dep breath a your own comfort evel. Reese nother dep breath. Release Be mind of five sounds Bemindf of five sel Be mind off things you ca ate ight now ‘Be mint of re things you can see sght now ‘Berindl fir this yo can toch sight now Interpersonal EffectivenessTelephone p “mae Skil Mind Liseing Directions ‘That person isto Empathy Supplies: bie tm A em AF Vinee te Waidcea-sbevaeoorscip fam seen Dircetons: Name a character nd ask he tobe mini ow ht character fel. Tested he story or play the video, Then ame» ‘erent charactet. Ask them toe mindfl of ht character bw hae fels. Then reread the story or repay the eo ‘eas diferent fom cach cepa anh Diseus how the be rl iful of different characters ‘experience of being mind weestion ay conversa Le my Bones Lcsw ve aie wt so ord ana Foon dt meget Remind he op Soutiaea ee gage Tae ee sea ue co flow adi mn 2 re speaking to pane and give the steers) an sa majueruon, See if yo ea be awate of othe listener, Be mind of "we" not ne eve you az sen, ste fly, Foous on the ack, You ate aso fe” not "me" oF 30" Er being mand reeminaeonveraton we ate ongsn ak abou erie hoy Foxman ek bow ther ont levi ow Whe wr bo was speaking becomes the sence and the al the Seba eeu [Or the psson de age bcos he mew penker) Body Language soppcs: Paper and pencil fr each group member Diecons: On a lage piece of paper or om a white oad write abst tfemotons: fear, anger, sseprise, oy, shame, scorn, Frastation Mae list of the same emotions ina different order tht you do not share with the group members.eee ot ex ging 10 make «sts of facial expresiny that owns vetted on the boas Heres the fin Speen. Continue foreach emotion on yor ley now when you ee changing your expression, aki What were they mindful about fr each expression Connections with Others mle oes sik men ara Ungame Primary Skil Observing nonverbal communication, seogniving ‘motions in nonverbal Mate: Deck of Ungame Cards Directions: Pass the deck of cards with emotions to be dept and then pass the cad with the statement to be made. Hach gry member isto say the statement while at the same time wing by language ad tone to show the emotion that likly doesn't match he statement. Group members ae o guess the emotion beng expresed Loving Kindness Daten on le Fs nr ey a in eo bang abou Take wa eee Now send thon els mcg mn toa pet ors oo You have mt. You mur sed he ing os op tums he shol cun na eo ow sen ther the pero un urna, Rea Fotie on our eft sending loving kn Connected Dineatons: (Prise berseen cach same twake posiioa. Forts on our breathe ‘reat ang Geri a comforabl, rang ia. Focus on your Be Gres of how yews bri in whe rom the ue ira these of th pple athe room. Be sac how ou tres a a hog teeah bth aoe trou breathed ot Be sa ote ‘anectednes of al people shang the ses, Be sare of our chat Feel the coonct berecen the char and sour boy, Nove how the char fers Re svar of theca of he hs bg ome tothelegs ofthe chai. Be aware of sour bth on these edt Shas connected to the lps ofthe a Be eae ofthe nso be hair oa the Noor ofthe oom And the eof our ha oe ae Aor the eg ofthe cof the person test you Of al rope in the room. Fee the connectedness of ereon coe © thetame or And the or of the bung eect eh ae connected othe round. We areal cone o he od todoeach other. nd othe est ofthe pep nthe wn. wn ais ities and Demands oat al pebbles mayonnaise, Ad 0 cup of ef Mitr ean be done a 2a After group sar, il he mayonnaise wit golf ba, Cte Ba Then ake the bag of pebbles and pour in he Aa fei fl The ae box of 0 0 ag roy i Mpa inthe jar. Ask f te afl Then be ates fe om aide plac 04 pour tone hep, READING The Mayon Jr and Coffee When things i your if seem almost 100 much to handle, when 24 Jonas ina day ate not enough, remember the mayonnaise jar and the coffee ‘A profesor stood before his philosophy class and had some stems in feamcofhirs When the clase began, he picked up a very lange and ae jar and proceeded to fit with golf ball. He then kod ifthe ar was full They said it was. ‘The professor next picked Ap box of pebbles and poured them into the jar. Then he asked if the jirwas fal. ‘Then he took a bag of sand and poured that into the jr ‘Of couse the sand filed up everything else. He asked once more if ‘the jar was fll. The students responded yes. The professor thes ‘produced two cup of coffee from under the table and poured the ‘axe contents into the ja, effectively filling the empry space between thesand. The students laughed. “Now, the profesor said, “I want you to think about sis je ‘spreseaing your life. The golf balls are the important things, your ends, children, fay, favorite passions, things that if everything ese ‘was lostand only they remained your life would wll be full The bts he te hing that mater ike enh fo 0 ects Joven The sand is everthingee—the sal sta the sand into the jar Gest there sm ane M 1 ro0m for the pebbles you Pits The same goes for life. Ifyou spend allyone ee toe eo he small stff, you will never bi fra the on the smal st never have room forthe things hae See mportant 10 YOU, tion to the things that are eetiel to you, Oh and the cof ayo and the coffe yargoes co show You that n9 matter how fll you if you alas Teas ore for a couple of cups of coffee witha fend, have 0075Multiple Skill Categories cs | gas ation/Improving Recall sane oc ces of paper folded in a container ‘Reena the group members draw the numbers fom the isecins: Have the group she wey he group wes the words the Mo ves who choowes te letter. You can have any umber be number choomes a think of that go in The person wh gs the wing det gon ttt wt that ect. Dialectical Thinking Red and Yellow Mates: Small baggie with ketchup and mustard, separated Disctons: Slowly mix the two. Be mindful of the daleetie Six Sticks ene: stich, the matchsticks, thre foreach group member Askthe APA sup members to range the sucks sa they have i instead Teo solutions are to ma mend ike the number 6 and to make the Rotsaa Fairy Tales—_—_ # eben i ee eo Hk ls re 1 ie (1 Da she Ry rt Sup te moe Jane Bo, cps pe are ro Ask them ese ‘DBT Charades inary Sei Dips Tolenc and Ninos (pte) Son sips of pape and hae ech ron we Fach menber the 48 ot themes Paenames of DBT sil. ‘peer daw slip of pa (peck withou osing words Sls to st: Wie Mind Saf sothe, vision Self sok, och adil Accepeance Saf sot, smell Sef sooth, beating Divs, scien Diner, coambution Dist, compusons ismat opposite emorins Diss, posing a4 Dist, hough Sf soothe, ensions “The member who gusscs the sil shen gives an example ofthe sl ‘You may ave each member give an example ofthe alas el Dialectical Jeopardy a ca Hohe soot ath Patiipate pay SH poo es Pr) ss apd sn wae mas ceo" _om aude op wit DIALECTICAL JEOPARDY, Then Me free columns and four oF five roms ofthe category, such a rs, oFmuncellaneoss, Direc underneath witht 00 om exch guste oft Pa Meo Ten gro mee sa answer the question, eRCOWTA eae can have people use nose makers of iawer the question. Avery new member feet. sche eer boa ge the ba 1 ree score keep sample Questions Minalness Name the dee min Niet thee mindfalaess how sls Girean example of effectiveness Define mindlness fulness what lls Macelancous Green cample of dase Dosa bv funcional vaste omeone whose You st “stepped on ‘ Babi how toslfvakine when you ate when you are ont ‘Wataehe foe pone aeaoos oaks oy ao? = or | EE eoaiaeieteemte $How do you bud mastery? | gesaS rerpersooal Effecuvencss What does DEAR MAN What docs GIVE sand for? When do you use GI Won 201457 sand for? When do you use FAST? We et ce primary as oferty neracton? Distress Tolerance What does IMPROVE stand for? Gire an example of how to selE-soothe using senses low do you turn the mind? Describe when to use half smile ‘Give an example of radical acceptance Hiow do you do pros and cons? DBT Wheel of Fortune (oquetta Hutchens) Primary Skill: Participate Mates: Flip Chart of Paper or board, markers Directions: Draw a ccele on the top half of your fip char, diving ito og pl pee. The nimber depends on ow ng ‘want to guess lerers. (On the hottom half of the flip chart, put blanks corresponding tothe letters of DBI word or phrase Go around the group letting members and co-therapists guess leer the word /phease. They can guess any letter they want Ifthe guesser guesses a letter correty, they get to guess again. they ‘wish they can guess the phrase oF word specu hen wns nc = ses the word /pha one gue hey then tell what someone £ ae when tana its being part of DBT know abo p scone gus the worse es head he ns poz Picture Puzzles Goat: Generalization of skills Level: Advanced Materials: Pictures of people, animals, actions, and abject fom Magsines. Choose pictures that relate to heathy activities, unhealthy eaities, people who look uahappy, people who look happy. You right wan to include pictures of people exercising, talking with other, tnd pictures of health’ food. Picnises of traffe sgas such ax Vield and Stop and Slow usually work well. Think of the sills when you choose the activites. You need enough pictures to have three for exch group member but having more works best Die the pees nto the stacks. One sucks picts ht ould sec fe sions nema toe al ss Src One wach sepann as one sch to eta oe! stack to the right. aers pareins: Tam going pass around tice Sacks of et guider thee pactaes and choOse On from tah ny Nid oa repens sa Photo tha copes ek ror anda photo tha represents Ie afer tecen fa to cic tbout the skill you choone MY ag ‘Pave picrares around and have cach member t ke UEC, oe Fam exh Mindfulness Readings sept materi Wage Lif Yo Way Bag Th Hare Mask Nepo Being Preset the re Lanes Dt Seuss ap May Cobred Das. Seuss/Johnson & Fancher oh The Plaes You Go Dr Seuss ene Tas Margaret Read MacLonale Windom Tales From Arvand the World Weather For Games Moods by Hasbro Jens Bop It (Hasbro) Bananagrams Dance (Cha Cha Slide (2004) Download from Tun> —™ Movies/Television eamte Kid (Dane as crane ia wise mind. Mr Magi mut 80 sy texnes) at (hooting from fee theow line or playing gol Tapes/CDS Jon Kabat-Zinn?» Body Sean and Mindfulness Mec ‘nep://ooww dtavon ndfulnesstapes.com/autl