WithMarsha DBT Skills Library

Free DBT skill worksheets you can print or share.

Each worksheet includes step-by-step guidance, modern examples, and reflection prompts. Pair them with WithMarsha’s AI coach for daily practice.

✔ Therapist-friendly handouts✔ Modern take on the classic resource✔ Practice in the WithMarsha app
Emotion Regulation

ABC Skills Log

Track how you Accumulate positives, Build mastery, and Cope ahead each day to strengthen emotional resilience.

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Distress Tolerance

ACCEPTS Distraction Plan

ACCEPTS offers seven healthy distractions for when you can’t solve the crisis – so you can ride it out without making it worse.

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Emotion Regulation

Behavioral Chain Analysis

Behavioral chain analysis helps you slow down a problem behavior, spot each link that led there, and plan specific repairs and prevention steps.

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Emotion Regulation

Build Mastery & Cope Ahead Plan

Create a rehearsal plan for upcoming challenges—practice skills in advance and schedule mastery experiences.

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Emotion Regulation

Check the Facts Worksheet

Check the Facts helps you test whether an emotional reaction fits the facts—or whether your thoughts are amplifying the threat.

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Interpersonal Effectiveness

Clarifying Interpersonal Goals

Identify whether your priority is the objective, the relationship, or self-respect before you enter a conversation.

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Distress Tolerance

Crisis Survival Strategy Builder

Assemble a runbook that combines STOP, TIPP, distraction, and self-soothing so you know exactly what to do when a crisis hits.

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Emotion Regulation

Daily Values Diary

Track how your daily actions align with your values—note successes, misses, and next steps.

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Interpersonal Effectiveness

DEAR MAN Builder

Use the DEAR MAN Builder to script requests or boundaries—balancing objective, relationship, and self-respect goals.

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Mindfulness

Describe Skill

Describe puts words to what you observe—labeling sensations, thoughts, and actions objectively so you stay grounded in facts instead of judgments.

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Mindfulness

Effectively Skill

Effectively asks: what works right now? It keeps you focused on goals, wise mind, and practical steps instead of being right or clinging to shoulds.

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Emotion Regulation

Emotion Analysis Snapshot

Use this streamlined form to capture the essentials of an emotion when you’re short on time.

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Emotion Regulation

Emotion Diary

Log daily emotions—track prompting events, interpretations, sensations, urges, actions, and after-effects to spot patterns.

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Emotion Regulation

Emotion Diary Example

A filled-in emotion diary entry showing how to track events, thoughts, emotions, urges, actions, and after-effects.

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Emotion Regulation

Emotion Function Example

See a worked example of analyzing an emotion’s functions—use it as a model when you complete your own worksheet.

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Emotion Regulation

Emotion Regulation (Overview)

Emotion Regulation skills help you understand and influence emotions—so you can reduce vulnerability, change emotions that don’t fit the facts, and experience more balanced moods.

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Emotion Regulation

Emotion Regulation Problem Solving

Problem Solving is for emotions that fit the facts—when something is actually wrong and you can take steps to change it.

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Emotion Regulation

Emotion Regulation Troubleshooting

When skills aren’t working, diagnose the breakdown—vulnerability, skill choice, intensity, follow-through—and decide next steps.

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Mindfulness

Everyday Mindfulness Planner

Apply mindfulness skills to everyday activities—plan the task, choose a What/How skill focus, and reflect on the impact.

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Interpersonal Effectiveness

Factors Affecting Interpersonal Effectiveness

Analyze what boosts or reduces your effectiveness—emotions, thoughts, others’ behaviors, and environmental limits.

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Interpersonal Effectiveness

FAST Skills Log

Use the FAST Skills Log to plan and review interactions where self-respect is the priority—Fair, (appropriate) Apologies, Stick to values, Truthful.

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Interpersonal Effectiveness

GIVE Skills Record

Log how you use GIVE—Gentle, Interested, Validate, Easy manner—to strengthen relationships when connection is the priority.

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Distress Tolerance

IMPROVE the Moment

IMPROVE the Moment helps you soften emotional pain by layering soothing imagery, meaning, and actions when you can’t change the stressor.

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Interpersonal Effectiveness

Interpersonal Conflict Problem Solving

Blend DEAR MAN, GIVE, FAST, and problem-solving steps to resolve conflicts while protecting relationships and self-respect.

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Interpersonal Effectiveness

Interpersonal Myths

Challenge beliefs that sabotage effective communication—replace myths with balanced truths and new behaviors.

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Mindfulness

Mindfulness Attention Builder

Strengthen attentional control by tracking distractions, labeling them, and gently returning to your anchor.

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Emotion Regulation

Mindfulness of Current Emotions

Observe an emotion in real time—name it, allow it, ride the wave, and let it pass without judgment.

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Mindfulness

Mindfulness of Current Thought

Practice mindfulness of a single thought—watch it arise, stay curious, and let it pass without getting hooked.

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Mindfulness

Mindfulness Practice Log

Track your daily mindfulness practice, what you noticed, and how it influenced emotion, urges, or effectiveness.

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Mindfulness

Mindfulness Weekly Review

Review a full week of mindfulness practice—identify patterns, celebrate wins, and target your next growth edge.

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Emotion Regulation

Myths About Emotions

Challenge common myths about emotions and replace them with balanced truths that support effective regulation.

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Emotion Regulation

Nightmare Protocol Log

Track your imagery rehearsal or exposure protocol for trauma-related nightmares—monitor setup, rehearsal quality, and outcomes.

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Mindfulness

Non-Judgmentally Skill

Non-judgmentally means noticing experiences without labeling them good or bad—sticking to the facts so you can respond wisely.

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Mindfulness

Observe Skill

Observe invites you to notice what is happening inside and around you without getting hooked—simply take in the experience with your five senses and inner awareness.

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Emotion Regulation

Observing & Describing Emotions

Break an emotion into prompting events, interpretations, sensations, expressions, urges, and after-effects to understand it fully.

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Mindfulness

One-Mindfully Skill

One-Mindfully means doing one thing at a time with full attention—letting go of multitasking so you can stay present and effective.

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Emotion Regulation

Opposite Action Builder

Opposite Action helps you shift emotions that don’t fit the facts by acting opposite to the urge the emotion gives you.

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Emotion Regulation

Opposite Action Log

Track real-life opposite action reps—identify the emotion, plan the opposite behavior, rehearse, and record outcomes.

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Mindfulness

Participate Skill

Participate invites you to throw yourself into the present activity wholeheartedly—losing self-consciousness and letting wise mind guide the next step.

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Emotion Regulation

Pleasant Events Diary

Log daily pleasant activities, rating joy and noting which experiences boost positive emotion.

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Emotion Regulation

Practicing PLEASE Skills

Use this checklist to monitor physical self-care habits—illness, eating, substances, sleep, and exercise—each day.

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Distress Tolerance

Pros & Cons of Acting vs. Not Acting

Pros & Cons helps you slow an urge by weighing what happens if you act vs. if you ride it out—both short-term and long-term.

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Emotion Regulation

Pros & Cons of Changing Emotions

Weigh the benefits and costs of staying with an emotion as-is versus regulating it so you can choose the most effective path.

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Distress Tolerance

Radical Acceptance Worksheet

Radical Acceptance is the practice of acknowledging reality exactly as it is—because fighting what already happened amplifies suffering.

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Distress Tolerance

Reality Acceptance Checklist

Audit how you relate to a painful situation—spot resistance, choose acceptance strategies, and track what helps you stay willing.

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Emotion Regulation

Reducing Vulnerability: PLEASE + Build Mastery

Strengthen emotional resilience by caring for your body (PLEASE) and scheduling mastery-building activities.

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Interpersonal Effectiveness

Request & Refusal Intensity Calculator

Use 0–10 scales to decide how firmly to ask—or how strongly to say no—based on priorities, relationship, and consequences.

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Distress Tolerance

Self-Soothe with 5 Senses

Self-Soothe taps into sight, sound, smell, taste, and touch to dial down distress. Build a sensory kit that comforts you fast.

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Emotion Regulation

Sleep Hygiene Checklist

Evaluate daily sleep habits—environment, timing, routines—and plan adjustments that improve rest.

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Distress Tolerance

STOP Skill Practice

STOP is your emergency brake when emotions spike. It creates space between an urge and what you do next so you can respond, not react.

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Distress Tolerance

TIPP Skills Log

TIPP is your rapid-response toolkit for high arousal. Change your body chemistry first so your mind can catch up.

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Distress Tolerance

Turning the Mind Practice

Track each moment you consciously turn toward acceptance instead of fighting reality—especially when the urge to resist keeps resurfacing.

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Interpersonal Effectiveness

Validation Practice Worksheet

Practice the six levels of validation in a real scenario—observe, reflect, read minds, understand in context, normalize, and show equality.

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Emotion Regulation

Values to Action – Structured Plan

Use this structured form to turn a value into a SMART goal with clear metrics, supports, and review checkpoints.

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Emotion Regulation

Values to Action Steps

Map your core values to specific goals and measurable action steps so emotions align with what matters most.

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Mindfulness

What & How Skills Practice

Review how you applied the What skills—Observe, Describe, Participate—and the How skills—Non-judgmentally, One-mindfully, Effectively—in a specific moment.

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Emotion Regulation

What Are My Emotions Doing for Me?

Identify the function your emotion is serving—information, motivation, communication, or behavior control—so you can respond wisely.

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Distress Tolerance

Willingness vs. Willfulness

Spot where willfulness is keeping you stuck and sketch the willing attitudes and actions that move you back into effective behavior.

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Mindfulness

Wise Mind

Wise Mind sits at the overlap of Emotion Mind and Reasonable Mind. It’s the calm inner voice that integrates logic and feeling.

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Mindfulness

Wise Mind Entry Practice

Practice entering Wise Mind through breath, imagery, and wise mind cues so you can access balanced intuition on demand.

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Mindfulness

Wise Mind Mapping

Differentiate Emotion Mind, Reasonable Mind, and Wise Mind in a recent situation so you can shift toward wise action.

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Bring these worksheets to life with coaching.

WithMarsha walks you and your clients through DBT skills step-by-step, keeps daily diary cards, and offers real-time AI support.

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