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DBT worksheet export

Distress Tolerance

ACCEPTS Distraction Plan

The ACCEPTS worksheet helps you use healthy distraction on purpose so intense emotions have time to come down before you solve the real problem.

What this worksheet is for

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

How to use it

  1. Read the full skill once before writing.
  2. Use the examples below to spot where it fits real life.
  3. Complete the reflection page using the answers you already typed or by writing directly on the PDF.

At a glance

Primary topic: accepts dbt worksheet

Worksheet type: Priority worksheet

Best for: Short-term crisis survival when problem-solving too early would only escalate the moment.

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Worksheet overview

How to practice it

1

Activities

Engage in something absorbing—clean, craft, game, cook, watch a show—anything constructive that takes your focus off the distress.

2

Contributing

Shift attention outward. Text encouragement, do a roommate’s chore, donate, or help a colleague finish a task.

3

Comparisons

Remember times you coped well or setbacks others have survived. Note what is better now than before.

4

Emotions

Evoke a different emotion intentionally—watch a comedy, listen to energizing music, or read something hopeful.

5

Pushing Away

Set the problem aside mentally for a short time. Visualize placing it in a container, or schedule “worry time” later.

6

Thoughts

Occupy your mind. Count backward by 7s, recite song lyrics, list dog breeds alphabetically, or do a crossword puzzle.

7

Sensations

Stimulate your senses—hold ice, use aromatherapy, chew peppermint, take a hot/cold shower, or wrap in a weighted blanket.

Real-world examples

You’re waiting on scary medical results. Instead of doomscrolling, you bake cookies (Activities), drop encouraging notes to friends (Contributing), remember healthier chapters (Comparisons), watch a feel-good movie (Emotions), and plan to revisit the worry with your partner after dinner (Pushing away).

You crave self-harm after a breakup. You text a DBT buddy to check in (Contributing), count backwards from 100 by sevens (Thoughts), hold an ice cube (Sensations), and blast a hype playlist to shift the emotional channel (Emotions).

Before you write

Pick one situation you are actually likely to face this week. The activity page works best when you complete it for a real moment instead of a hypothetical one.

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Practice guide

Worksheet activity

Practice Activity

Build an ACCEPTS toolbox. List specific options for each letter so you can reach for them fast when distress hits.

Reflect and write

Activities: Which hobbies or chores absorb you?

Contributing: Who or what can you support when you need distraction?

Comparisons & Emotions: What memories or media help shift perspective?

Thoughts & Sensations: What mental games or sensory tools work best for you?

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Reflection page