Pros and cons before acting on an urge
List the pros and cons of acting on the crisis urge before you do it — to give the decision back to your wiser self.
Why it works
Crisis urges feel compelling because the emotional system has temporarily won the attention war. Pausing to write out the actual pros and cons of acting on the urge — including the consequences to relationships, goals, and self-respect — re-engages prefrontal cost-benefit reasoning. Even a brief engagement with consequences can create enough hesitation that the urge peaks and begins to subside before action.
How to do it
- Write (not just think) the pros of following the urge right now.
- Write the cons — short-term and long-term — of following it.
- Write the pros and cons of tolerating the distress without acting on the urge.
- Read both lists. Notice if the emotional case for acting looks different on paper.
Evidence
Pros and cons is a standard DBT distress tolerance tool. The underlying mechanism — that written cognitive evaluation slows impulsive behavior — is consistent with research on deliberative versus automatic decision-making. It is a clinical skill more than a trialed technique. (clinical)
At very high arousal, pros-cons may be too cognitively demanding; body-based skills (TIPP) should come first. This works better in the medium-intensity window.
Common mistake
Doing the pros-cons mentally rather than in writing — the act of writing externalizes the process and engages different cognition than internal rumination does.
Practice this with IX Coach
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More practices for Distress Tolerance Skills, Made Practical
- TIPP — change your body chemistry fast
Use Temperature, Intense exercise, Paced breathing, and Progressive muscle relaxation to drop overwhelm from the body up.
- ACCEPTS — structured distraction from crisis
Use Activities, Contributing, Comparisons, Emotions, Pushing away, Thoughts, and Sensations to redirect attention during a crisis.
- IMPROVE the moment
Use Imagery, Meaning, Prayer, Relaxation, One thing, Vacation, and Encouragement to get through right now.
- Radical acceptance in a crisis
Fully acknowledge that this is happening right now — stopping the war with reality to free energy for getting through.
- Self-soothe through the five senses
Deliberately comfort yourself through sight, sound, smell, taste, and touch while the crisis peaks.
- Turning the mind toward acceptance
Actively choose acceptance — not once, but each time the mind rebels — treating it as a repeated practice, not a state.
Related concepts
- Dialectical Behavior Therapy (DBT) Skills, Made Practical
The four DBT skill sets, the mechanisms behind them, and an honest read on the evidence
- Radical Acceptance, Made Practical
Ending the second arrow — RAIN and the skills of accepting what is
- Acceptance and Commitment Therapy (ACT), Made Practical
The core ACT processes, the mechanisms behind them, and an honest read on the evidence