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    DBT Diary Card

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    julia nuss
    This document appears to be a diary card used for Dialectical Behavior Therapy (DBT). It contains sections to log emotions, urges, skills used, sleep, medications, therapy attendance, and notes. Ratings are given on a 0-5 scale for emotions, urges, and skill use. The skills section lists core mindfulness skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills. The final section asks the individual to summarize which skills were used each day of the week. The diary card provides a structured way for individuals to self-monitor symptoms, behaviors and use of DBT skills.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DBT Diary Card

    Uploaded by

    julia nuss
    373 views5 pages
    This document appears to be a diary card used for Dialectical Behavior Therapy (DBT). It contains sections to log emotions, urges, skills used, sleep, medications, therapy attendance, and notes. Ratings are given on a 0-5 scale for emotions, urges, and skill use. The skills section lists core mindfulness skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills. The final section asks the individual to summarize which skills were used each day of the week. The diary card provides a structured way for individuals to self-monitor symptoms, behaviors and use of DBT skills.

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    This document appears to be a diary card used for Dialectical Behavior Therapy (DBT). It contains sections to log emotions, urges, skills used, sleep, medications, therapy attendance, and notes. Ratings are given on a 0-5 scale for emotions, urges, and skill use. The skills section lists core mindfulness skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills. The final section asks the individual to summarize which skills were used each day of the week. The diary card provides a structured way for individuals to self-monitor symptoms, behaviors and use of DBT skills.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    373 views5 pages

    DBT Diary Card

    Uploaded by

    julia nuss
    This document appears to be a diary card used for Dialectical Behavior Therapy (DBT). It contains sections to log emotions, urges, skills used, sleep, medications, therapy attendance, and notes. Ratings are given on a 0-5 scale for emotions, urges, and skill use. The skills section lists core mindfulness skills, interpersonal effectiveness skills, emotion regulation skills, and distress tolerance skills. The final section asks the individual to summarize which skills were used each day of the week. The diary card provides a structured way for individuals to self-monitor symptoms, behaviors and use of DBT skills.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5
    At a glance
    Powered by AI
    The key takeaways are that the document content is from a DBT diary card which is used to track daily emotions, urges, skills used, and notes. It covers skills from different DBT modules like mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance.

    The purpose of the diary card is to help the user track their daily emotions, urges, skills used, therapy attendance, and other notes in order to better understand patterns and apply DBT skills.

    Some of the emotion regulation skills covered include wise mind, observe, describe, participate, non-judgmental stance, self-validation, turning the mind, experiencing positives, radical acceptance, and experiencing emotions as waves. It also discusses action steps toward long term goals.

    DBT DIARY CARD

    Date started: .

    How often did you fill out this section? ___ Daily _ __ 2-3x ___ Once ___ Filled out in session
    How often did you use phone consult? ____

    Did you attend individual therapy this week? _ _ Y _ _ N _ _ Not Scheduled

    SELF- SUICIDAL ALCOHOL DRUGS ** ** MEDS SLEEP


    HARM
    Day Actions/ Type/ Type/ As OTC In
    Out
    Urge Actions Urge Urge Urge Asleep Awake of
    Planning Amount Amount Directed (specify) bed
    bed
    0-5 Y/N 0-5 Y/N 0-5 0-5 Y/N Y/N
    Mon

    Tues

    Wed

    Thur

    Fri

    Sat

    Sun
    EMOTIONS SKILL USE
    Shame Interpersonal Emotional
    Day Anger Happy Sad Anxiety Pride Lonely
    ** **
    Mindfulness
    Distress
    /Guilt Effectiveness Regulation Tolerance
    0-5 0-5 0-5 0-5 0-5 0-5 0-5 0-7 0-7 0-7 0-7
    Mon

    Tues

    Wed

    Thur

    Fri

    Sat

    Sun

    Rating Scale for Emotions and Urges: Skills Used


    0 = Not at all 1 = A bit 2 = Somewhat 0=Not thought about or used
    3 = Rather Strong 4 = Very Strong 5 = Extremely Strong 1=Thought about, not used, didn’t want to
    2=Thought about, not used, wanted to
    3=Tried but couldn’t use them
    4=Tried, could do them but they didn’t help
    5=Tried, could use them, helped
    6=Didn’t try, used them, didn’t help
    7=Didn’t try, used them, helped
    NOTES
    (Events, thoughts, reactions, crisis behaviors, skill use, conversations, homework…etc./anything important)

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday
    SKILLS USED DURING WEEK OF: .

    M T W T F S S
    Wise Mind:
    * honor your emotions and the facts; make decisions consistent with long-term goals
    What Skills Observe:
    Core Mindfulness

    * Look at the situation without emotion or judgment, just notice what is happening without
    trying to change it
    Describe:
    * Put Words on The Experience (without judgment or emotion)
    Participate:
    * enter into the experience
    How Skills Stay Focused:
    * One-mindfully, in the moment
    Non-judgmental Stance:
    * just the facts, don’t judge judging, separate facts from interpretations/assumptions, avoid
    labeling something as good/bad
    Effectiveness:
    * do/focus on what works, keep in mind my objectives
    Saying "no" & observing limits
    3 goals of *getting what I want/need*
    Interpersonal

    interpersonal Objective effectiveness: DEAR MAN


    effectiveness (Describe, Express, Assert, Reinforce, Mindfully, Acting confident, Negotiating)
    *improving relationships & keeping them steady*
    Relationship Effectiveness: GIVE
    (Gentle, Interested, Validating, Easy manner)
    *feeling effective & maintaining my self-respect*
    Self-Respect Effectiveness: FAST
    (be Fair, no Apologies, Stick to my values, be Truthful)
    PLEASE Treat/take care of Physical iLlness
    (reduce emotional Balanced Eating
    vulnerability) Avoid alcohol / mood altering drugs
    Balanced Sleeping
    Exercise
    Build MASTERy Mindful to emotion
    * Identify & Label emotions, thoughts, and urges
    Act Opposite-to-Emotion
    * Fear=approach, guilt=apologize/ignore, sad=get active, anger=avoid, gentleness & empathy
    Self-Validation
    * Respect my emotions, why does it make sense for me to feel this way? What would I say to a
    friend if they were me?
    Turn the mind
    *turn my mind toward the acceptance road and away from the 'rejecting reality' road…
    *Accepting painful psychological realities requires mental effort and commitment. Turning the
    Emotion Regulation

    mind is the decision to not give up and turn to comfort or give in and turn to denial.
    Experience positives
    * Increase positive emotions/events: engage in pleasant activities, participate mindfulness with
    intention and planning
    Radical Acceptance
    *means completely and totally accepting something from the depths of your soul, with your heart and your
    mind
    *stop fighting reality, stop responding with impulsive or destructive behaviors when things aren't going the
    way you want them to, and let go of bitterness that may be keeping you trapped in a cycle of suffering
    Pros / cons: think long-term vs. short-term effects
    Experience my emotion as a wave
    (Let it come & go, just observe, don’t amplify or suppress)
    Check the Facts (of emotion responses)
    Practice loving my emotions (step back, experience, accept, don’t judge)
    Validate Someone Else (find the kernel of truth in another’s perspective)
    Positive Reinforcement (reward yourself or others for positive behaviors)
    Action Steps Toward Long-Term Goals: clarify my values and priorities,
    generate steps towards my long-term goals
    Cope ahead for emotional events
    Think Dialectically
    * practice non black-and-white thinking, maintain openness to contradictory points of view
    Act Dialectically
    * walk the middle path
    SCREW Solve the problem, Change my relationship to it, Radically accept, Entertain misery,
    Worsen the problem
    ACCEPTS Distract myself with Activities

    Contribute
    Compare/ Count blessing
    Different Emotions
    Push away thoughts
    Substitute Thoughts (thing about something more pleasant)
    Sensations
    Distress Tolerance

    STOP Stop what you are doing


    Take some deep breaths / take a step back
    Observe the situation/self
    Proceed mindfully & effectively
    TIPP Tip your Temperature
    Intense exercise
    Paced breathing
    Progressive muscle relaxation
    Self-soothe with 5 senses
    IMPROVE Imagery
    the Moment Meaning
    Prayer
    Relaxation
    One thing in the moment
    Mini-Vacation
    Encouragement

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