Coaching practices for Dbt Emotion Regulation Skills Before Bed

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Does this sound like the set of challenges you might be facing?

  • I notice that on the days I’ve slept badly or skipped lunch, the smallest thing sets me off and I take hours to come back down
  • On the nights I barely sleep or forget to eat, the smallest thing sets me off and a normal day flattens me
  • My days have flattened into nothing but obligations and dread, and there’s no good stuff banked anywhere
  • Right now I’m so far over the edge that talking or reasoning is useless
  • I’ve got one go-to thing I do when I’m overwhelmed and I lean on it for everything, but it doesn’t always land

Practices that may help

  1. DBT Emotion Regulation Skills, Made Practical
    DBT’s emotion regulation module teaches you to understand what emotions are and why they fire, reduce vulnerability to emotional overwhelm, and change unwanted emotional states through specific skills. DBT as a whole has strong randomized-trial support; the individual skills are established clinical practice rather than separately trialed units.
  2. Dialectical Behavior Therapy (DBT) Skills, Made Practical
    DBT is a skills-based approach built around a balance — accepting yourself as you are while working to change — taught through four skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. It has strong randomized-trial support, particularly for chronic emotion dysregulation and self-harm.
  3. Reduce emotional vulnerability (PLEASE)
    Lower your baseline reactivity by protecting sleep, eating, exercise, and physical health.
    DBT Emotion Regulation Skills, Made Practical
  4. PLEASE skills (reduce emotional vulnerability)
    Protect your baseline by tending physical health: illness, eating, avoiding mood-altering substances, sleep, and exercise.
    Dialectical Behavior Therapy (DBT) Skills, Made Practical
  5. TIPP: DBT’s Crisis Skill for Rapidly Lowering Emotional Intensity
    TIPP — Temperature, Intense exercise, Paced breathing, Progressive relaxation — is a DBT skill developed by Marsha Linehan for rapidly reducing extreme emotional arousal using physiological interventions. Unlike cognitive approaches, TIPP works on the body directly and can shift arousal within minutes, making skills that require reflective thinking accessible again.
  6. Accumulate positive experiences
    Deliberately do things that generate positive emotion — building a reservoir that distress draws from.
    DBT Emotion Regulation Skills, Made Practical
  7. TIPP for crisis distress tolerance
    Use Temperature, Intense exercise, Paced breathing, and Paired muscle relaxation to drop overwhelming arousal fast.
    Dialectical Behavior Therapy (DBT) Skills, Made Practical
  8. The STOP Skill: A DBT Technique for Crisis Moments
    The STOP skill — Stop, Take a step back, Observe, Proceed mindfully — is a DBT distress-tolerance technique designed to interrupt impulsive, emotion-driven action in crisis moments. It creates a brief deliberate pause between an emotional trigger and a response, allowing the rational mind to re-engage. DBT as a whole has strong RCT evidence; the STOP skill is a defined component of that validated package.
  9. Cope Ahead: DBT’s Method for Preparing for Difficult Situations
    Cope ahead, a DBT skill developed by Marsha Linehan, involves mentally rehearsing a likely difficult situation in detail — imagining the emotions that will arise, and practicing the exact coping responses before the event. It is not positive visualization; it is stress-inoculation rehearsal that pre-loads effective responses so they are available under real-time pressure.
  10. Understand TIPP — the full DBT context for this skill
    Temperature is one of four DBT crisis-survival tools (TIPP: Temperature, Intense exercise, Paced breathing, Paired muscle relaxation).
    The Dive Reflex, Made Practical

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