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Distress tolerance is an emerging construct in psychology that has been conceptualized in several different ways. Broadly, however, it refers to an individual's "perceived capacity to withstand negative emotional and/or other aversive states (e.g. physical discomfort), and the behavioral act of withstanding distressing internal states elicited by some type of stressor."
Distress tolerance means learning to bear emotional discomfort skillfully, without resorting to maladaptive reactions. Healthier coping behaviors are learned, including intentional self-distraction, self-soothing, and 'radical acceptance.' [27] Distress tolerance skills are meant to arise naturally as a consequence of mindfulness.
The specific skills focused on are mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation. [38] The main goal of DBT is to help clients manage their treatment and better understand their symptoms. The focus of DBT for PTSD is the future and adapting to the symptoms of the trauma.
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An abbreviated example of an exposure hierarchy is pictured in Image 1. Image 1: Exposure hierarchy example for treating public speaking fears. When exposure to an item at the bottom of the hierarchy leads to moderately reduced distress or increased tolerance, a client progresses up the hierarchy to more and more difficult exposures.
In general last for approximately a year where participants will engage in weekly individual skill therapy sessions and group skill sessions. [72] The skills therapy sessions include four segments; core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. [72]
Rumination, an example of attentional deployment, [20] is defined as the passive and repetitive focusing of one's attention on one's symptoms of distress and the causes and consequences of these symptoms. Rumination is generally considered a maladaptive emotion regulation strategy, as it tends to exacerbate emotional distress.
By having time to sit still and rest without stimuli, thoughts can better pass through naturally as whispers instead of building up as screams and causing distress, Bjelland adds, who lays on her ...