Wellness in Therapy
Coping Skills Toolkit
DBT and CBT skills to practise between sessions
Getting Through a Hard Moment
STOP
DBT · 1 minA 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
DBT · 2 minSlow your breath to help your body settle.
Try it
- Breathe in gently for a count of 4.
- Breathe out slowly for a count of 6 to 8.
- Keep going for 1 to 2 minutes.
Self-Soothe with Your Senses
DBT · 5 minComfort 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
DBT · 5 minDoes the size of the feeling fit the facts?
Try it
- What happened? Stick to just the facts.
- What am I telling myself about it?
- Is there another way to see it?
- Does my emotion, and how strong it is, fit the facts?
Opposite Action
DBTWhen 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
DBT · PLEASEA 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
DBTAsk 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
DBTKeep 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
CBT · 10 minSlow a thought down so you can take a closer look.
Try it
- Situation: what happened?
- Feeling: name it and rate it from 0 to 100.
- Thought: what went through your mind?
- Evidence: what supports it, and what doesn’t?
- Balanced thought: what is a fairer way to see it?
- Re-rate: how strong is the feeling now?
Spot Thinking Traps
CBTCommon 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
CBTAction first. Motivation often follows.
Try it
- List small activities that bring you enjoyment or a sense of accomplishment.
- Plan one or two each day, even if you don’t feel like it.
- Notice your mood before and after.
Problem Solving
CBT · 10 minBreak a problem into steps you can take.
Try it
- Name the problem as clearly as you can.
- Brainstorm options without judging them.
- Weigh the pros and cons of each.
- Choose one and plan the first small step.
- Try it, then look at how it went.
More Support
Mindfulness Resources
Wellness in Therapy Guided grounding, breathing, sleep and self-compassion practices, including soothing touch.
OpenMindShift CBT App
Anxiety Canada · Free A free CBT app for anxiety, with thought journals and coping tools.
App StoreGoogle PlayBounceBack Ontario
CMHA · Free · 15+ A free CBT-based program with coaching and workbooks for low mood, stress and worry.
Learn moreThese 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.