Wellness in Therapy

Coping Skills Toolkit

DBT and CBT skills to practise between sessions

Getting Through a Hard Moment

STOP

Woman breathing fresh air by the seaDBT · 1 min

A pause button for when emotions run high.

Try it
  • Stop: freeze for a moment. Don’t act yet.
  • Take a step back: breathe and give yourself some space.
  • Observe: notice what is happening inside you and around you.
  • Proceed mindfully: ask what will help, not what will make it worse.

Paced Breathing

Woman sitting cross-legged outdoors with her eyes closedDBT · 2 min

Slow your breath to help your body settle.

Try it
  1. Breathe in gently for a count of 4.
  2. Breathe out slowly for a count of 6 to 8.
  3. Keep going for 1 to 2 minutes.

Self-Soothe with Your Senses

Lit candle beside a cup of teaDBT · 5 min

Comfort yourself through sight, sound, smell, taste and touch.

Try it
  • See: something calming, like a photo or the sky.
  • Hear: a favourite song, or a few minutes of quiet.
  • Smell: a candle, lotion or fresh air.
  • Taste: a warm drink, sipped slowly.
  • Touch: a soft blanket, a warm shower or a pet.

Riding Big Emotions

Check the Facts

Magnifying glass and pen on a blank sheet of paperDBT · 5 min

Does the size of the feeling fit the facts?

Try it
  1. What happened? Stick to just the facts.
  2. What am I telling myself about it?
  3. Is there another way to see it?
  4. Does my emotion, and how strong it is, fit the facts?

Opposite Action

Woman opening curtains to let in morning lightDBT

When an emotion doesn’t fit the facts, try acting opposite to its urge.

Try it
  • Sad and want to hide? Open the curtains, reach out to someone, get moving.
  • Anxious and want to avoid? Take one small step toward it.
  • Angry and want to lash out? Step away and be gently kind.

Take Care of Your Body

Breakfast bowl with fruit and granolaDBT · PLEASE

A cared-for body makes big feelings easier to manage.

Try it
  • Look after physical illness.
  • Eat regular, balanced meals.
  • Avoid alcohol and drugs that change your mood.
  • Aim for steady sleep.
  • Move your body most days.

Asking and Saying No

DEAR MAN

Two people talking at an outdoor cafe tableDBT

Ask for what you need, or say no, clearly and calmly.

Try it
  • Describe the situation, just the facts.
  • Express how you feel, using “I” statements.
  • Assert what you want, or say no clearly.
  • Reinforce how it helps them too.
  • Stay mindful of your goal, appear confident, and be willing to negotiate.

GIVE

Two women talking together on a couchDBT

Keep the relationship strong while you talk.

Try it
  • Gentle: no attacks, threats or judging.
  • Interested: listen and let them finish.
  • Validate: show you understand their side.
  • Easy manner: a little warmth or humour goes a long way.

CBT: Working with Thoughts

Thought Record

Person writing in a notebookCBT · 10 min

Slow a thought down so you can take a closer look.

Try it
  1. Situation: what happened?
  2. Feeling: name it and rate it from 0 to 100.
  3. Thought: what went through your mind?
  4. Evidence: what supports it, and what doesn’t?
  5. Balanced thought: what is a fairer way to see it?
  6. Re-rate: how strong is the feeling now?

Spot Thinking Traps

Colourful sticky notes on a wallCBT

Common thinking patterns that make things feel worse.

Try it
  • All-or-nothing: “I always mess up.”
  • Catastrophizing: jumping to the worst case.
  • Mind reading: “They must think I’m…”
  • Should statements: “I should be over this by now.”
  • Labelling: “I’m a failure.”

Noticing a trap is the first step. Then ask, “What would I say to a friend who thought this?”

CBT: Taking Action

Behavioural Activation

Man walking his dog along a pathCBT

Action first. Motivation often follows.

Try it
  1. List small activities that bring you enjoyment or a sense of accomplishment.
  2. Plan one or two each day, even if you don’t feel like it.
  3. Notice your mood before and after.

Problem Solving

To-do list on sticky notes on a white wallCBT · 10 min

Break a problem into steps you can take.

Try it
  1. Name the problem as clearly as you can.
  2. Brainstorm options without judging them.
  3. Weigh the pros and cons of each.
  4. Choose one and plan the first small step.
  5. Try it, then look at how it went.

More Support

Mindfulness Resources

Gentle waves on a sandy beachWellness in Therapy

Guided grounding, breathing, sleep and self-compassion practices, including soothing touch.

Open

MindShift CBT App

Woman holding a phone and a cup of coffeeAnxiety Canada · Free

A free CBT app for anxiety, with thought journals and coping tools.

App StoreGoogle Play

BounceBack Ontario

Hands writing in a lined notebookCMHA · Free · 15+

A free CBT-based program with coaching and workbooks for low mood, stress and worry.

Learn more
Book a Session
These skills work best with practice, and with support from a therapist who can tailor them to you.
In crisis? Call 9-1-1, or call or text 9-8-8 (24/7). Youth: Kids Help Phone 1-800-668-6868 or text CONNECT to 686868.
DBT skills were developed by Dr. Marsha Linehan. CBT tools are described here in general terms. For general education and self-care only, not a substitute for professional care.