GENERAL HANDOUT 7 Chain Analysis - Recovery 360 Conf
GENERAL HANDOUT 7(General Worksheets 2, 2a )53, 13. pp;Chain AnalysisTO UNDERSTAND BEHAVIOR, DO A CHAIN ANALYSIS.PROBLEM BEHAVIORVULNERABILITYPROMPTING EVENTLINKSCONSEQUENCESStep 1: Describe the PROBLEM BEHAVIOR.Step 2: Describe the PROMPTING EVENT that started the chain of events leading to the problembehavior.Step 3: Describe the factors happening before the event that made you VULNERABLE to startingdown the chain of events toward the problem behavior.Step 4: Describe in excruciating detail the CHAIN OF EVENTS that led to the problem behavior.Step 5: Describe the CONSEQUENCES of the problem behavior.To change behavior:Step 6: Describe SKILLFUL behaviors to replace problem links in the chain of events.Step 7: Develop PREVENTION PLANS to reduce vulnerability to stressful events.Step 8: REPAIR important or significant consequences of the problem behavior.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
MINDFULNESS HANDOUT 3(Mindfulness Worksheet 3 )38.p;Wise Mind:States of MindREASONABLEMINDWISEMINDReasonable Mind Is:Emotion Mind Is:CoolRationalTask-FocusedWhen in reasonable mind,you are ruled by facts, reason,logic, and pragmatics. Valuesand feelings are not important.EMOTIONMINDHotWise Mind Is:The wisdom withineach personSeeing the value ofboth reason andemotionBringing left brain andright brain togetherMood-DependentEmotion-FocusedWhen in emotion mind,you are ruled by yourmoods, feelings, and urgesto do or say things. Facts,reason, and logic are notimportant.The middle pathFrom DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
MINDFULNESS HANDOUT 4(Mindfulness Worksheets 2–2c, 4–4b )78–48, 28–87. pp;Taking Hold of Your Mind: “What” SkillsOBSERVE Notice your body sensations (coming through your eyes, ears, nose, skin, and tongue). Pay attention on purpose, to the present moment. Control your attention, but not what you see. Push away nothing. Cling to nothing. Practice wordless watching: Watch thoughts come into your mind and let them slip right bylike clouds in the sky. Notice each feeling, rising and falling, like waves in the ocean. Observe both inside and outside yourself.DESCRIBE Put words on the experience. When a feeling or thought arises, or you do something,acknowledge it. For example, say in your mind, “Sadness has just enveloped me,” or “Stomachmuscles tightening,“ or “A thought ‘I can’t do this’ has come into my mind.” Label what you observe. Put a name on your feelings. Label a thought as just a thought, afeeling as just a feeling, an action as just an action. Unglue your interpretations and opinions from the facts. Describe the “who, what, when,and where” that you observe. Just the facts. Remember, If you can’t observe it through your senses, you can’t describe it.PARTICIPATE Throw yourself completely into activities of the current moment. Do not separate yourselffrom what is going on in the moment (dancing, cleaning, talking to a friend, feeling happy orfeeling sad). Become one with whatever you are doing, completely forgetting yourself. Throw yourattention to the moment. Act intuitively from Wise Mind. Do just what is needed in each situation—a skillful dancer onthe dance floor, one with the music and your partner, neither willful nor sitting on your hands. Go with the flow. Respond with spontaneity.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
MINDFULNESS HANDOUT 5(Mindfulness Worksheets 2–2c, 5–5c )39–88, 28–97. pp;Taking Hold of Your Mind: “How” SkillsNONJUDGMENTALLY See, but don’t evaluate as good or bad. Just the facts. Accept each moment like a blanket spread out on the lawn, accepting both the rain and thesun and each leaf that falls upon it. Acknowledge the difference between the helpful and the harmful, the safe and the dangerous,but don’t judge them. Acknowledge your values, your wishes, your emotional reactions, but don’t judge them. When you find yourself judging, don’t judge your judging.ONE-MINDFULLY Rivet yourself to now. Be completely present to this one moment. Do one thing at a time. Notice the desire to be half-present, to be somewhere else, to gosomewhere else in your mind, to do something else, to multitask—and then come back to onething at a time. When you are eating, eat.When you are walking, walk.When you are worrying, worry.When you are planning, plan.When you are remembering, remember. Let go of distractions. If other actions, or other thoughts, or strong feelings distract you, goback to what you are doing—again, and again, and again. Concentrate your mind. If you find you are doing two things at once, stop—go back to onething at a time (the opposite of multitasking!).EFFECTIVELY Be mindful of your goals in the situation, and do what is necessary to achieve them. Focus on what works. (Don’t let emotion mind get in the way of being effective.) Play by the rules. Act as skillfully as you can. Do what is needed for the situation you are in—not the situationyou wish you were in; not the one that is fair; not the one that is more comfortable. Let go of willfulness and sitting on your hands.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 4(Distress Tolerance Worksheets 2, 2a )373–273. pp;STOP SkillSTOPtopDo not just react. Stop! Freeze! Do not move amuscle! Your emotions may try to make you actwithout thinking. Stay in control!ake a step backTake a step back from the situation. Take a break. Letgo. Take a deep breath. Do not let your feelings makeyou act impulsively.bserveNotice what is going on inside and outside you. Whatis the situation? What are your thoughts and feelings?What are others saying or doing?roceed mindfullyAct with awareness. In deciding what to do, consideryour thoughts and feelings, the situation, and otherpeople’s thoughts and feelings. Think about yourgoals. Ask Wise Mind: Which actions will make itbetter or worse?Note. Adapted from an unpublished worksheet by Francheska Perepletchikova and Seth Axelrod, with their permission.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 5(Distress Tolerance Worksheets 3, 3a )573–4 73. pp;Pros and ConsUse pros and cons any time you have to decide between two courses of action. An urge is a crisis when it is very strong and when acting on the urge will make things worse inthe long term. Make a list of the pros and cons of acting on your crisis urges. These might be to engage indangerous, addictive, or harmful behaviors, or they might be to give in, give up, or avoid doingwhat is necessary to build a life you want to live. Make another list of the pros and cons of resisting crisis urges—that is, tolerating the distressand not giving in to the urges. Use the grid below to evaluate both sets of pros and cons (this type of grid is also used inDistress Tolerance Worksheet 3). Or you can use the type of grid seen in Distress ToleranceWorksheet 3a and in the pros-and-cons worksheets for other modules.PROSActingon crisisurgesResistingcrisisurgesCONSPros of acting on impulsive urges,giving in, giving up, or avoiding whatneeds to be done.Cons of acting on impulsive urges,giving in, giving up, or avoiding whatneeds to be done.Pros of resisting impulsive urges,doing what needs to be done, andnot giving up.Cons of resisting impulsive urges,doing what needs to be done, andnot giving up.Before an overwhelming crisis urge hits:Write out your pros and cons; carry them with you.Rehearse your pros and cons over and over.When an overwhelming crisis urge hits:Review your pros and cons. Get out your list and read it over again. Imagine the positive consequences of resisting the urge. Think of the negative consequences of giving in to crisis behaviors. Remember past consequences when you have acted on crisis urges.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 6(Distress Tolerance Worksheet 4 )673.p;TIP Skills: Changing Your Body ChemistryTo reduce extreme emotion mind fast.Remember these as TIP skills:TIP THE TEMPERATURE of your face with COLD WATER*(to calm down fast)T Holding your breath, put your face in a bowl of cold water,or hold a cold pack (or zip-lock bag of cold water) on your eyes and cheeks. Hold for 30 seconds. Keep water above 50 F.INTENSE EXERCISE*(to calm down your body when it is revved up by emotion)IP Engage in intense exercise, if only for a short while. Expend your body’s stored up physical energy by running, walking fast, jumping,playing basketball, lifting weights, etc. PACED BREATHING(pace your breathing by slowing it down) Breathe deeply into your belly. Slow your pace of inhaling and exhaling way down (on average, five to six breathsper minute). Breathe out more slowly than you breathe in (for example, 5 seconds in and 7seconds out).PAIRED MUSCLE RELAXATION(to calm down by pairing muscle relaxation with breathing out) While breathing into your belly deeply tense your body muscles (not so much asto cause a cramp). Notice the tension in your body. While breathing out, say the word “Relax” in your mind. Let go of the tension. Notice the difference in your body.*Caution: Very cold water decreases your heart rate rapidly. Intense exercise will increase heart rate. Consult your health care provider beforeusing these skills if you have a heart or medical condition, a lowered base heart rate due to medications, take a beta- blocker, are allergic tocold, or have an eating disorder.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 7(Distress Tolerance Worksheets 5–5b )183–973. pp;DistractingA way to remember these skills is the phrase “Wise Mind ACCEPTS.”With Activities: Focus attention on a task you need to get Go out for a meal or eat a favorite food.done. Call or go out with a friend. Rent movies; watch TV. Listen to your iPod; download music. Clean a room in your house. Build something. Find an event to go to. Spend time with your children. Play computer games. Play cards. Go walking. Exercise. Read magazines, books, comics. Surf the Internet. Write e-mails. Do crossword puzzles or Sudoku. Play sports. Other:With Contributing: Find volunteer work to do. Call or send an instant message encouraging Help a friend or family member.someone or just saying hi. Surprise someone with something nice (a Make something nice for someone else.card, a favor, a hug). Do something thoughtful. Give away things you don’t need. Other:With Comparisons: Compare how you are feeling now to a time Compare yourself to those less fortunate.when you felt different. Watch reality shows about others’ troubles; Think about people coping the same as you orread about disasters, others’ suffering.less well than you. Other:With different Emotions: Read emotional books or stories, old letters.Ideas: Scary movies, joke books, comedies, Watch emotional TV shows; go to emotionalfunny records, religious music, soothing musicmovies.or music that fires you up, going to a store and Listen to emotional music.reading funny greeting cards.(Be sure the event creates different emotions.) Other:With Pushing away: Push the situation away by leaving it for a Notice ruminating: Yell “No!”while. Refuse to think about the painful situations. Leave the situation mentally. Put the pain on a shelf. Box it up and put it Build an imaginary wall between yourself andaway for a while.the situation. Deny the problem for the moment. Block thoughts and images from your mind. Other:With other Thoughts: Count to 10; count colors in a painting or Work puzzles.poster or out the window; count anything. Watch TV or read. Repeat words to a song in your mind. Other: Squeeze a rubber ball very hard. Listen to very loud music. Hold ice in your hand or mouth.With other Sensations: Go out in the rain or snow. Take a hot or cold shower. Other:From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 8(Distress Tolerance Worksheet 6–6b )483–283. pp;Self-SoothingA way to remember these skills is to think of soothing each of your FIVE SENSES.With Vision: Look at the stars at night. Sit in the lobby of a beautiful old hotel. Look at pictures you like in a book. Look at nature around you. Buy one beautiful flower. Walk in a pretty part of town. Make one space in a room pleasing to look at. Watch a sunrise or a sunset. Light a candle and watch the flame. Go to a dance performance, or watch it on TV. Set a pretty place at the table using your best Be mindful of each sight that passes in front ofthings.you. Go people-watching or window-shopping. Take a walk in a park or a scenic hike. Go to a museum or poster shop with beautiful Browse through stores looking at things.art. Other:With Hearing: Listen to soothing or invigorating music. Burn a CD or make an iPod mix with music Pay attention to sounds of nature (waves,that will get you through tough times. Turn itbirds, rainfall, leaves rustling).on. Pay attention to the sounds of the city (traffic, Be mindful of any sounds that come your way,horns, city music).letting them go in one ear and out the other. Sing to your favorite songs. Turn on the radio. Hum a soothing tune. Other: Learn to play an instrument.With Smell: Use your favorite soap, shampoo, aftershave, Sit in a new car and breathe the aroma.cologne, or lotions, or try them on in the store. Boil cinnamon. Make cookies, bread, or Burn incense or light a scented candle.popcorn. Open a package of coffee and inhale the Smell the roses.aroma. Walk in a wooded area and mindfully breathe Put lemon oil on your furniture.in the fresh smells of nature. Put potpourri or eucalyptus oil in a bowl in your Open the window and smell the air.room. Other:With Taste: Eat some of your favorite foods. Suck on a piece of peppermint candy. Drink your favorite soothing drink, such Chew your favorite gum.as herbal tea, hot chocolate, a latté, or a Get a little bit of a special food you don’tsmoothie.usually spend the money on, such as fresh Treat yourself to a dessert.squeezed orange juice or your favorite candy. Eat macaroni and cheese or another favorite Really taste the food you eat. Eat one thingchildhood food.mindfully. Sample flavors in an ice cream store. Other:With Touch: Take a long hot bath or shower. Take a drive with the car windows rolled down. Pet your dog or cat. Run your hand along smooth wood or leather. Have a massage. Soak your feet. Hug someone. Put creamy lotion on your whole body. Put clean sheets on the bed. Put a cold compress on your forehead. Wrap up in a blanket. Sink into a comfortable chair in your home. Notice touch that is soothing. Put on a blouse or shirt that has a pleasant Other:feel.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 11(Distress Tolerance Worksheets 8–9a )593–193. pp;Radical Acceptance(When you cannot keep painful events and emotions from coming your way.)WHAT IS RADICAL ACCEPTANCE?1. Radical means all the way, complete and total.2. It is accepting in your mind, your heart, and your body.3. It’s when you stop fighting reality, stop throwing tantrums because reality is notthe way you want it, and let go of bitterness.WHAT HAS TO BE ACCEPTED?1. Reality is as it is (the facts about the past and the present are the facts, even ifyou don’t like them).2. There are limitations on the future for everyone (but only realistic limitations needto be accepted).3. Everything has a cause (including events and situations that cause you pain andsuffering).4. L ife can be worth living even with painful events in it.WHY ACCEPT REALITY?1. Rejecting reality does not change reality.2. Changing reality requires first accepting reality.3. Pain can’t be avoided; it is nature’s way of signaling that something is wrong.4. Rejecting reality turns pain into suffering.5. Refusing to accept reality can keep you stuck in unhappiness, bitterness, anger,sadness, shame, or other painful emotions.6. Acceptance may lead to sadness, but deep calmness usually follows.7. The path out of hell is through misery. By refusing to accept the misery that ispart of climbing out of hell, you fall back into hell.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 11ARadical Acceptance: Factors That InterfereRADICAL ACCEPTANCE IS NOT:Approval, compassion, love, passivity, or against change.FACTORS THAT INTERFERE WITH ACCEPTANCE 1. You don’t have the skills for acceptance; you do not knowhow to accept really painful events and facts. 2. You believe that if you accept a painful event, you aremaking light of it or are approving of the facts, and thatnothing will be done to change or prevent future painfulevents. 3. Emotions get in the way (unbearable sadness; anger atthe person or group that caused the painful event; rage atthe injustice of the world; overwhelming shame about whoyou are; guilt about your own behavior). Other:From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 12(Distress Tolerance Worksheets 8, 8a, 10 )693, 293–193. pp;Turning the MindTURNING THE MIND is like facing a fork in the road. Youhave to turn your mind toward the acceptance road, andaway from the road of rejecting reality.TURNING THE MIND is choosing to accept.The CHOICE to accept does not itself equal acceptance.It just puts you on the path.TURNING THE MIND, STEP BY STEP1. OBSERVE that you are not accepting.(Look for anger, bitterness, annoyance;avoiding emotions; saying “Why me?”,“Why is this happening?”, “I can’t standthis,” “It shouldn’t be this way.”)RejectionAcceptanceIf you are here . . .2. Go within yourself and MAKE ANINNER COMMITMENT to accept realityas it is.3. DO IT AGAIN, over and over. Keepturning your mind to acceptance eachtime you come to the fork in the roadwhere you can reject reality or accept it.4. DEVELOP A PLAN for catching yourselfin the future when you drift out ofacceptance.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
DISTRESS TOLERANCE HANDOUT 13(Distress Tolerance Worksheets 8, 8a, 10 )693, 293–193. pp;WillingnessWillingness is readiness to enter and participate fully in life and living.Find a WILLING RESPONSE to each situation.Willingness is DOING JUST WHAT IS NEEDED: In each situation. Wholeheartedly, without dragging your feet.Willingness is listening very carefully to your WISE MIND, and thenacting from your WISE MIND.Willingness is ACTING WITH AWARENESS that you are connectedto the universe (to the stars, people you like and don’t like, the floor,etc.).Replace WILLFULNESS with WILLINGNESS. Willfulness is REFUSING TO TOLERATE the moment.Willfulness is refusing to make changes that are needed.Willfulness is GIVING UP.Willfulness is the OPPOSITE OF “DOING WHAT WORKS.”Willfulness is trying to FIX EVERY SITUATION.Willfulness is insisting on BEING IN CONTROL.Willfulness is ATTACHMENT TO “ME, ME, ME” and “what I wantright now!”WILLINGNESS, STEP BY STEP1. OBSERVE the willfulness. Label it. Experience it.2. RADICALLY ACCEPT that at this moment you feel (and may beacting) willful. You cannot fight willfulness with willfulness.3. TURN YOUR MIND toward acceptance and willingness.4. Try HALF-SMILING and a WILLING POSTURE.5. When willfulness is immovable, ASK, “WHAT’S THE THREAT?”Situations where I notice my own:Willfulness:Willingness:From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
EMOTION REGULATION HANDOUT 3(Emotion Regulation Worksheets 2–2c )872–572. pp;What Emotions Do for YouEMOTIONS MOTIVATE (AND ORGANIZE) US FOR ACTION Emotions motivate our behavior. Emotions prepare us for action.The action urge of specific emotions is often “hard-wired” in biology. Emotions save time in getting us to act in important situations.Emotions can be especially important when we don’t have time to think things through. Strong emotions help us overcome obstacles—in our minds and in the environment.EMOTIONS COMMUNICATE TO (AND INFLUENCE) OTHERS Facial expressions are hard-wired aspects of emotions.Facial expressions communicate faster than words. Our body language and voice tone can also be hard-wired.Like it or not, they also communicate our emotions to others. When it is important to communicate to others, or send them a message,it can be very hard to change our emotions. Whether we intend it or not, our communication of emotions influences others.EMOTIONS COMMUNICATE TO OURSELVES Emotional reactions can give us important information about a situation.Emotions can be signals or alarms that something is happening. Gut feelings can be like intuition—a response to something important about the situation.This can be helpful if our emotions get us to check out the facts. Caution: Sometimes we treat emotions as if they are facts about the world: The strongerthe emotion, the stronger our belief that the emotion is based on fact. (Examples: “If I feelunsure, I am incompetent,” “If I get lonely when left alone, I shouldn’t be left alone,” “If I feelconfident about something, it is right,” “If I’m afraid, there must be danger,” “I love him, sohe must be OK.”) If we assume that our emotions represent facts about the world, we may use them to justifyour thoughts or our actions. This can be trouble if our emotions get us to ignore the facts.From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
EMOTION REGULATION HANDOUT 4A(Emotion Regulation Worksheet 3 )972.p;Myths about Emotions1. There is a right way to feel in every situation.Challenge:2. Letting others know that I am feeling bad is a weakness.Challenge:3. Negative feelings are bad and destructive.Challenge:4. Being emotional means being out of control.Challenge:5. Some emotions are stupid.Challenge:6. All painful emotions are a result of a bad attitude.Challenge:7. If others don’t approve of my feelings, I obviously shouldn’t feel the way I do.Challenge:8. Other people are the best judges of how I am feeling.Challenge:9. Painful emotions are not important and should be ignored.Challenge:10. Extreme emotions get you a lot further than trying to regulate your emotions.Challenge:11. Creativity requires intense, often out-of-control emotions.Challenge:12. Drama is cool.Challenge:13. It is inauthentic to try to change my emotions.Challenge:14. Emotional truth is what counts, not factual truth.Challenge:15. People should do whatever they feel like doing.Challenge:16. Acting on your emotions is the mark of a truly free individual.Challenge:17. My emotions are who I am.Challenge:18. My emotions are why people love me.Challenge:19. Emotions can just happen for no reason.Challenge:20. Emotions should always be trusted.Challenge:21. Other myth:Challenge:From DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT SkillsTraining Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.)
;Action urgesBody sensations (feelings)ExperiencesNervous system changes(internal body changesthat affect musclesand autonomic systemfiring—blood vessels,heart rate, temperature)Brain changes(neural firing)Biological ChangesActions(your behavior)Words(what you say)Face and Body Language(facial expression, posture,gestures, skin color)ExpressionsAwarenessEmotionNameFrom DBT Skills Training Handouts and Worksheets, Second Edition, by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permission to photocopy this handout is granted to purchasers of DBT SkillsTraining Handouts and Worksheets, Second Edition, and DBT Skills Training Manual, Second Edition, for personal use and use with individual clients only. (See page ii of this packet for details.).AftereffectsSecondaryEmotionsPrompting Event 2Attention/AwarenessPrompting liefs aboutprompting event)PreexistingVulnerability Factors. ppModel for Describing Emotions282–182(Emotion Regulation Worksheets 4, 4a )EMOTION REGULATION HANDOUT 5
EMOTION REGULATION HANDOUT 8(Emotion Regulation Worksheet 5 )58 2.p;Check the FactsFACTSMany emotions and actions are set off by our thoughts and interpretations of events,not by the events themselves.Event Thoughts EmotionsOur emotions can also have a big effect on our thoughts about events.Event Emotion ThoughtsExamining our thoughts and checking the facts can help us change our emotions.HOW TO CHECK THE FACTS1. Ask: What is the emotion I want to change?(See Emotion Regulation Handout 6: Ways of Describing Emotions.)2. Ask: What is the event prompting my emotion?Describe the facts that you observed through your senses.Challenge judgments, absolutes, and black-and-white descriptions.(See Mindfulness Handout 4: Taking Hold of Your Mind: “What” Skills.)3. Ask: What are my interpretations, thoughts, and assumptions about theevent?Think of other possible interpretations.Practice looking at all sides of a situation and all points of view.Test your interpretations and assumptions to see if they fit the facts.4. A
sion to photocopy this handout is granted to purchasers of DBT Skills Training Handouts and Worksheets, Second Edition, and DBT Skills Training Manual, Second Edition , for personal use and use with individual clients only. (See page ii of this packet for details.) MINDFULNESS HANDOUT 4 (Mindfulness Worksheets 2–2c , 4–4b
Faculty use anecdotal notes to remember observations . Handout 2 – Sample Adequate Nursing Care Plan, pages 14-15 Handout 3 – Faculty Evaluation of Sample Nursing Care Plan, page 16 Handout 4 – Poor Concept Map, page 17 Handout 5 – Faculty Evaluation of Poor Concept Map, page 18 Handout 6 – Concept Care Map, page 19 Handout 7 – Faculty Evaluation of Good Concept Map, page 20 For .
Day 2 1. PB&J Algorithm handout 2. Algorithmic Bias handout 3. Reflection handout 4. Cats and Dogs Dataset cards 5. Playing Cards 6. Instructor Laptop and Projector 7. Student Laptops 8. Robots 9. USB Webcams Day 3 1. Ethical Matrix handouts 2. Final Project Brainstorm handout 3. Final Project Research handout 4. Reflection handout 5.
SUMMARIZING, PARAPHRASING, AND QUOTING WORKSHOP CONTENTS Lesson Plan Handout 1: "The Shanghai Secret" Handout 2: Model Citations Handout 3: A Response to "The Shanghai Secret" Handout 4: When to Use/Effective Features of Each Type of Citation Handout 5: Citations for Improvement Handout 6: "Gilmore Girls: A Girl-Power Gimmick" Reference Sheet: A Response to "The Shanghai Secret"
Circular Chain (Curved Chain) 63 Double Pitch Conveyor Chain C2040 to C2160H C2042 to C2162H 64 ANSI Roller Chain with Attachment 25 to 160 65 Double Pitch Roller Chain with Attachment 66 ANSI Roller Chain with Extend Pin 35 to 120 67 Double Pitch Roller Chain with Extend Pin C2040 to C2102H 68 ANSI Roller Chain with Wide Contour Attachment 69 D
a) Diet b) Supplements c) Other considerations d) Clinician Handout: GERD Treatment Summary 6. IBD/IBS-D a) Diet b) Supplements c) Medications d) Patient handout: Paleo Low-FODMAP Diet e) Patient handout: GAPS Diet f) Patient Handout: How to Manage Your Stress g) Clinician Handout: IBD Remiss
Lesson 7: Identifying Skills 50 handout: Skills Identification 51 Lesson 8: things I Am Good At 53 handout: things I Am Good At 54 handout: List of 246 Skills as Verbs 55 Lesson 9: Skills Auction 56 Lesson 10: Identifying Job Values 58 handout: Job Values Inventory 60 handout: work Values Clarification 61 Lesson 11: Prioritizing Job Values 62
Lenten Journey Manual Contents Overview Handout A1: Beginning My Lenten Patterns Handout A2: Family Prayer Leader's Guide for Sessions 1, 2 and 3 Handouts for Sessions 1,2 and 3 Leader's Guide for Session 4 Handout 4a Lectio Divina Practice Handout 4b Lectio Divina Practice Handout 4c Lectio Divina Process Leader's Guide for Session 5
The Story of Monetary Policy comic book Handout 1: Prices: The Marketplace's Communication System Reading 1: Prices: The Marketplace's Communication System Handout 2: Prices in the Galaxy Handout 3: A Class Basket Handout 4: The Interest Rate Lever Handout 5: Monetary Policy Review
