When you’re overwhelmed by intense emotions, DBT TIPP skills can help shift the body into a more relaxed state. Use one or more of these strategies to regain stability in moments of turmoil.

Skills 

Why it Works 

How to Practice

T

Temperature

Cooling the body

slows heart rate

and breathing,

shifting attention

away from intense

emotions and

intrusive thoughts.

Briefly immerse your face in cold water while

holding your breath, repeating 2-3 times. Other

options:

• Take a cold shower.

• Apply an ice pack or ice cube to your skin

(avoiding extreme or prolonged cold).

• Hold a wet cloth on your face or neck.

I

Intensive exercise

Intense exercise

lowers stress and

increases feel-good

brain chemicals,

like endorphins.

Exercise at moderate intensity for around 15

minutes, being careful not to overdo it:

• Walk briskly or jog.

• Swim laps or ride a bike.

• Jump rope or do jumping jacks.

P

Paced breathing

Paced breathing

increases oxygen

intake and lowers

blood pressure

and heart rate.

1. Inhale through your nose for a count of 4.

2. Hold your breath for a count of 7.

3. Exhale through your mouth for a count of 8.

4. Repeat several times.

P

Progressive

muscle relaxation

Tensing and relaxing

muscles helps the

body let go of stress,

triggering the

relaxation response.

1. Sit or lie down in a comfortable position.

2. Tense the muscles in your feet for 5 seconds.

3. Slowly relax these muscles as you say the

word “relax.”

4. Repeat these steps with your calves, thighs,

mid-section, back, chest, arms, and face.