Dialectical Behavior Therapy (DBT) Worksheets

As a mental health practitioner, having the right tools is a must to be effective in delivering Dialectical Behavior Therapy (DBT) to your clients. Having the right tools allows therapists to customize their treatment plans and provide individualized care that is evidence-based and aligned with best practices in the field.

Our DBT Worksheets (Editable, Fillable, Printable) are perfect for counselors, psychologists, psychiatrists, social workers, therapists, and other mental health professionals. Our DBT Worksheets can be downloaded and used with all your clients, giving them the ability to fill it out on a digital device or print it out.

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    Depression Worksheets Bundle (Editable, Fillable, Printable PDFs)

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    Emotional Regulation Worksheets Bundle (Editable, Fillable, Printable PDFs)

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    DBT Worksheets Bundle (Editable, Fillable, Printable PDFs)

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    Distress Tolerance Worksheets Bundle (Editable, Fillable, Printable PDFs)

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    DBT Skills Worksheets Bundle (Editable, Fillable, Printable PDFs)

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    Mindfulness Worksheets Bundle (Editable, Fillable, Printable PDFs)

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    DBT Interpersonal Effectiveness Skills Worksheet (Editable, Fillable, Printable PDF)

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    DBT Problem Solving Worksheet (Editable, Fillable, Printable PDF)

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    DBT REST Technique Worksheet (Editable, Fillable, Printable PDF)

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    DBT Willingness vs Willfulness Worksheet (Editable, Fillable, Printable PDF)

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    DBT TIPP Skills Worksheet (Editable, Fillable, Printable PDF)

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    DBT Improve the Moment Worksheet (Editable, Fillable, Printable PDF)

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    Challenging Negative Thoughts Worksheet (Editable, Fillable, Printable PDF)

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    Challenging Negative Thoughts Questionnaire (Editable, Fillable, Printable PDF)

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    DBT Exploring Action Tendencies Worksheet (Editable, Fillable, Printable PDF)

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    Opposite Action for Fear Worksheet (Editable, Fillable, Printable PDF)

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    Opposite Action for Shame Worksheet (Editable, Fillable, Printable PDF)

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    Opposite Action for Jealousy Worksheet (Editable, Fillable, Printable PDF)

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    DBT Self-Soothe Worksheet (Editable, Fillable, Printable PDF)

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    DBT Radically Open (RO) Worksheet (Editable, Fillable, Printable PDF)

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    DBT Radical Acceptance Worksheet (Editable, Fillable, Printable PDF)

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    DBT ABC Please Worksheet (Editable, Fillable, Printable PDF)

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    DBT Building Mastery for Emotional Regulation Worksheet (Editable, Fillable, Printable PDF)

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    DBT STOPP Worksheet (Editable, Fillable, Printable PDF)

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    DBT How Big is My Problem Worksheet (Editable, Fillable, Printable PDF)

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    DBT Practicing Validation Worksheet (Editable, Fillable, Printable PDF)

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    DBT Cope Ahead Worksheet (Editable, Fillable, Printable PDF)

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    DBT Self Validation Worksheet (Editable, Fillable, Printable PDF)

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    DBT Pros and Cons Worksheet (Editable, Fillable, Printable PDF)

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    DBT Check the Facts Worksheet (Editable, Fillable, Printable PDF)

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Dialectical Behavior Therapy, or DBT, is a specialized form of Cognitive Behavioral Therapy (CBT). The main goal of DBT is to teach people how to stay in the present, cope with stress in a healthy way, process emotions, and to improve relationships in their lives.

According to the National Institute of Health, DBT “has many similarities with other cognitive-behavioral approaches, several critical and unique elements must be in place for the treatment to constitute DBT. Some of these elements include (a) serving the five functions of treatment, (b) the biosocial theory and focusing on emotions in treatment, (c) a consistent dialectical philosophy, and (d) mindfulness and acceptance-oriented interventions.”

What is DBT?

Dialectical behavior Therapy (DBT) is a proven and evidence-based treatment that integrates the change-oriented technique of Cognitive Behavioral Therapy (CBT) with the acceptance strategies of eastern Zen practice. The result is a powerful and balanced treatment approach to help you identify and regulate emotions and improve your interactions with others and yourself.

DBT Addresses Six Types of Dysregulation

  1. Self dysregulation – feelings of emptiness or disconnection and feelings of lack of self-concept and self-worth
  2. Emotional dysregulation – difficulties with managing emotions and anxiety, mood instability, impulsiveness, and problems with anger
  3. Behavioral dysregulation – impulsive and self-harming behaviors and behaviors that can make one’s life worse not better
  4. Cognitive dysregulation – catastrophic, black-and-white, or all-or-nothing thinking
  5. Self-management dysregulation – mood-dependent behavior and procrastination
  6. Interpersonal dysregulation – difficulty maintaining positive relationships and fears of rejection and abandonment

DBT Techniques

DBT is an evidence-based psychotherapy approach that can help treat many conditions through various techniques and strategies, including:

Distress Tolerance

Distress tolerance skills help sufferers accept themselves and their current situation. Some of these skills include: Distraction, self-soothing, improving the moment, and thinking of the pros and cons of not tolerating distress.

Distress tolerance helps sufferers prepare for intense emotions and empowers them to cope and have a more positive outlook.

Emotional Regulation

Emotional regulation is a DBT technique that helps sufferers navigate powerful feelings in effective ways. Skills learned in emotional regulation will help sufferers identify, name, and change their emotions.

Core Mindfulness

Mindfulness skills are an important technique of DBT. Mindfulness helps you stay present and live in the moment. Many times worrying about the future or feeling negative feelings about the past keep us in a loop of worry and negative feelings, hurting us today. Mindfulness helps sufferers be more aware of what’s right in front of them, including what they hear, smell, taste, see, and feel.

Interpersonal Effectiveness

Interpersonal effectiveness is a DBT technique that helps sufferers become more assertive in their relationships, such as being able to say “no”, while still keeping their relationships healthy.

This skill will help sufferers deal with difficult people, communicate effectively, and respect themselves more.

Conditions DBT Can Help With

DBT  was developed in the late 1980’s by Marsha Linehan and her colleagues after they discovered that using CBT was not as effective in patients with bipolar disorder. In light of this, Dr. Linehan and her team developed a new type of treatment to meet the needs of these unique individuals.

In addition to bipolar disorder, DBT is effective treating:

  • ADHD
  • Bipolar Disorder
  • Borderline Personality Disorder
  • Depressive Disorders including Major Depressive Disorder and Chronic Depression)
  • Eating Disorders including Anorexia, Binge Eating Disorder, and Bulimia Nervosa
  • Generalized Anxiety Disorder
  • Self-Injury (non-suicidal)
  • Obsessive-Compulsive Disorder (OCD)
  • Post-Traumatic Stress Disorder (PTSD)
  • Substance Use Disorder
  • Suicidal Behavior

Benefits of DBT

In DBT, a practitioner uses “validation” that an individual’s actions make sense given their personal experiences while not necessarily agreeing that their actions are the best approach to solving their problem.

Here are some benefits of DBT:

  • Behavioral: DBT teaches sufferers to look at their problems and destructive patterns differently and replace them with more healthy and effective ones.
  • Collaboration: DBT will teach sufferers to communicate and work together as a team.
  • Acceptance and Change: DBT teaches strategies of acceptance and tolerance to life circumstances, emotions, and yourself overall. DBT will help sufferers develop new skills that can help make positive changes in their behaviors and interactions with others and themselves.
  • Support: DBT will teach sufferers to recognize their positive strengths and attributes, to develop them, and to use them to their benefit.
  • Cognitive: Suffers will learn to change their thoughts and beliefs that are not helpful to them.
  • Skill Sets: DBT will teach sufferers new skillsets to elevate their capabilities and change their way of thinking for the better.

Why DBT Worksheets?

Dialectical Behavior Therapy (DBT) worksheets are tools used in therapy to help individuals develop skills to manage difficult emotions, behaviors, and relationships. These worksheets provide a structured and organized way for individuals to learn and practice new skills, as well as monitor their progress over time.

Some of the key benefits of using DBT worksheets include:

  1. Development of problem-solving skills: DBT worksheets teach individuals how to identify and solve problems effectively. This includes strategies for breaking problems down into smaller parts, generating solutions, and evaluating the effectiveness of different approaches.
  2. Improved emotion regulation: DBT worksheets help individuals develop skills to manage intense or overwhelming emotions. These skills include mindfulness, distress tolerance, and emotion regulation, which can help individuals manage their emotions in a healthier and more effective way.
  3. Greater self-awareness: DBT worksheets help individuals become more aware of their thoughts, feelings, and behaviors. This increased self-awareness can help individuals identify their triggers and develop coping strategies that are tailored to their specific needs.
  4. Increased interpersonal effectiveness: DBT worksheets provide individuals with strategies to improve communication, build relationships, and set healthy boundaries. This can help individuals navigate difficult or challenging relationships and improve their overall quality of life.

Overall, DBT worksheets are an effective tool for helping individuals develop the skills they need to manage difficult emotions, behaviors, and relationships. By providing a structured and organized way to learn and practice these skills, individuals can improve their mental health and well-being and lead a more fulfilling life.

Why Our DBT Worksheets?

Our DBT worksheets are designed to help practitioners deliver Dialectical Behavior Therapy (DBT) to their clients more effectively.

Key Features of Our DBT Worksheets:

  • US letter size (8.5″ x 11″)
  • Fillable / Printable
  • Editable (If you need to make changes, we can provide you with a free editing website that will allow you to make changes to questions/statements)
  • Checkboxes
  • Longform responses
  • Short form responses

Benefits of our DBT Worksheets:

  • Take in responses from clients on a digital device like a computer
  • Organize client documents in an easy to find folder on your computer or in the cloud
  • Search for specific questions and/or answers by using “CTRL + f” function on your keyboard when viewing your PDF
  • Legibly read your client’s answers
  • Print copies that are high in quality – (we made this form grey on purpose! Much easier on your printer)

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