When skills aren’t working, diagnose the breakdown—vulnerability, skill choice, intensity, follow-through—and decide next steps.
Tip: jot notes below, then print or “Save as PDF.”
Move through each step slowly. Notice what the skill asks for and how you can experiment in real life.
Summarize the emotion episode you’re reviewing and the skill(s) you attempted.
Note PLEASE factors, sleep, substances, or stressors that made regulation harder.
Evaluate whether the skill matched the emotion (e.g., problem solving vs. opposite action) and whether you used it early enough.
Rate how fully you applied the skill (0–10). Identify partial efforts or missing steps.
Decide what to adjust—prep earlier, add TIP, combine skills, seek support—and schedule practice.
Try spotting moments like these in your week. Notice how the skill changes the ripple effect of a tough situation.
Troubleshooting Example
Scenario: anger outburst after email. Vulnerabilities: slept 4 hrs. Skill used: Check the Facts (too late). Execution: 3/10. Plan: prioritize sleep, use TIP first, then Check the Facts + DEAR MAN within 30 minutes.
Analyze two difficult episodes. Implement the revised plan and note changes in intensity next time.
What vulnerability contributed most?
Was the skill choice the best match?
How can you execute more fully next time?
What support or reminder will help you follow through?
WithMarsha guides you through this skill in real time, keeps track of your practice, and helps you build your DBT toolkit day by day.
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