What Is Distress Tolerance?
Skills used to ride out high anxiety without reinforcing fear or avoidance.
Effective Distress Tolerance Skills:
- Stop
- Take a breath
- Observe thoughts and sensations
- Proceed intentionally
Distraction with Intention
- Short-term, purposeful redirection (not avoidance)
Reframe the thought
You are not avoiding anxiety—you are preventing escalation.
Daily Affirmation: “I can handle intense moments safely.”
Exposure-Based Coping (Building Confidence Over Time)
Why Exposure Works
Avoidance teaches the brain that anxiety is dangerous. Exposure teaches:
“I can feel anxious and survive.”
Principles of Effective Exposure
- Gradual
- Repeated
- Planned
- Done without excessive safety behaviors
Exposure Examples
- Staying present during anxious sensations
- Entering mildly avoided situations
- Reducing reassurance behaviors
Daily Affirmation: “Confidence grows through practice.”
Creating Your Personal Regulation Plan
Your Regulation Toolkit
Everyone’s nervous system is different. Your plan should include:
- 1 breathing skill
- 1 grounding skill
- 1 emotion regulation skill
- 1 distress tolerance strategy
- 1 exposure goal
Maintenance Matters: Consistency matters more than intensity.
Daily Affirmation: “I am building a system that supports me.”
- Regulation must come before coping.
- Breath and grounding calm the nervous system directly.
- Emotional intensity decreases when emotions are named and allowed.
- Distress tolerance prevents anxiety from escalating.
- Exposure builds confidence and long-term relief.