Saturday Morning Tea - Distress Tolerance & Your Personal Toolkit
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.
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Regina Speights
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Saturday Morning Tea - Distress Tolerance & Your Personal Toolkit
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