DBT Peer Connections

Building Hope, Community and Mastery

Dialectical Behavior Therapy Handouts & Worksheets

DISCLAIMER: The content contained herein is for informational purposes only. It is not meant to be regarded as a substitute for professionally qualified mental health services. Application of the information found on this website is done so purely at the risk of the reader whom takes full responsibility for the manner of use.  Any references made on this website to mental health organizations or other treatment providers are generally made and not indicative of any formal professional affiliation with DBT Peer Connections. Lastly, the author is not a qualified mental health professional, but a person who is in recovery from borderline personality disorder and has had over four years of ongoing dialectical behavior therapy. The author is not claiming to be an expert or authority on dialectical behavior therapy and only means to share DBT related knowledge from a peer consumer perspective. If you have any questions or concerns regarding this notice, you may direct your inquiries to Rachel Gill at  ilovedbt@gmail.comDBT Skills at a Glance by Rachel Gill

DBT Skills at a Glance

DBT Skills Quick Reference Sheet (by Rachel Gill)

Core Mindfulness

States of Mind Handout (by Rachel Gill)
Mindfulness Skills Overview (by Rachel Gill)
Nonjudgmental Stance Handout and Worksheet (by Seth Axelrod)
Reality Acceptance Skills Overview (by Rachel Gill)
Radical Acceptance Worksheet (by Seth Axelrod
Willingness and Willfulness Worksheet (by Rachel Gill)
Turning the Mind, Willingness & Willfulness Worksheet (by Seth Axelrod)

Interpersonal Effectiveness

DEAR MAN GIVE FAST Handout & Worksheet (by Rachel Gill)
Interpersonal Effectiveness Goals Figure (by Seth Axelrod)
DEARMAN GIVE FAST Worksheet (by Seth Axelrod
Managing Interpersonal Anger Handout and Worksheet (by Seth Axelrod)

Emotion Regulation

Emotion Myths Worksheet (by Rachel Gill)
Check the Facts Handout & Worksheet (by Rachel Gill)
Opposite Action Handout & Worksheet (by Rachel Gill)
Working with Primary and Secondary Emotions Worksheet & Handout  (by Rachel Gill)
Guided Mindfulness Script for Practicing Mindfulness to Emotion (by Rachel Gill)
Emotion Regulation Model – Visual (Posted by ML Rollins)
Emotion Regulation Model – Narrative (Posted by ML Rollins)
Model for Describing Emotions Handout and Worksheet (by Seth Axelrod)
Function of Emotions Worksheet (by Seth Axelrod)
Letting go of Emotional Suffering Worksheet (by Seth Axelrod)
DBT Target Behavior Chain Analysis Worksheet (by Rachel Gill)
DBT Behavior Chain & Solution Analysis Worksheet [fillable] (by Rachel Gill)
DBT Behavior Chain Analysis Flowchart Worksheet (by Rachel Gill)

Distress Tolerance

Pros and Cons Worksheet (by Seth Axelrod)
DBT Skills Training Pros and Cons Worksheet (by Rachel Gill)
Ways to Manage Distress RIGHT NOW Handout (by Seth Axelrod)
Distress Tolerance worksheet (by Randy Wolbert)
Distress Tolerance Sample – (Shared by Cindy Gronert and Susan Smith)

DBT Protocols, Manuals, and Specific Task Worksheets

DBT Multi-purpose Pros & Cons Worksheet (by Rachel Gill)
DBT Secondary Behavior Targets Handout & Worksheets (by Rachel Gill)
Dialectical Dilemmas and Secondary Targets (by Seth Axelrod)
Group Therapy (shared by George H Davis)
DBT Group Therapy Guidelines (shared by George H Davis)
Emotion Regulation, Interpersonal Effectiveness, & Distress Tolerance Skills for Adolescents: A Treatment Manual(Charles Bonner)
Postvention Standards Manual: A Guide for a School’s Response in the Aftermath of a Sudden Death, Revised 11/03(Kerr, Brent, McKain, McCommons)

DBT Diary Cards

DBT Diary Card, Fillable with Skills Tracking (by Rachel Gill)
DBT Diary Card adapted, includes TIP DBT Diary Card (provided by Cindy Smith
DBT Diary Card (posted on DBT-L 1-5-11 by Joan Russo)
DBT Adolescent Diary Card FrontBack (posted by nancy)
Bank Statement Diary Card Excel File (by Gloria Whelchel)
Mindfulness – Bank Statement Diary Card Excel File (by Gloria Whelchel)
PIC DBT Card Excel File (Posted on DBT-L 1-4-11 by Gloria Whelchel)

DBT Handouts for Substance Use Disorders

DBT-SUD Skills Outline and Handouts (Posted on DBT-L 11-1-09 by Astrid Katzur)
DBT and the 12-Steps (Posted on DBT-L 12-14-10 by Corinne Young)
Urge Surfing (Posted on DBT-L 12-14-10 by Corinne Young)

Client Learning Activities

DBT Jeopardy – File 1File 2File 3 (Posted on DBT-L 12-7-10 by Yvonne McAneny)
DBT Jeopardy – File 1File 2File 3 (Posted on DBT-L 12-9-10 by Paula Mendenhall)
Distress Tolerance Millionaire Game – File 1File 2 (Posted on DBT-L 12-9-10 by Paula Mendenhall)
Mindfulness Quiz (Posted on DBT-L 1-10-12 by Lynn Elwood)
Distress Tolerance Quiz (Posted on DBT-L 1-10-12 by Lynn Elwood)
ER Skills Quiz (Posted on DBT-L 1-10-12 by Lynn Elwood)
DBT Quiz Study Guide (Posted on DBT-L 1-10-12 by Lynn Elwood)

Treatment Forms and Training Aids

Adolescent Diary Card
Adolescent Secondary Treatment Targets
Adolescent Skills Training
Behavioral Analysis
Chain Analysis Instructions
Chain Analysis Worksheet
Consultation Team Attendance Log
Consultation Team Check List
Consultation Team Meeting Agenda
Consultation Team Observer Tasks
DBT Commitment Session for New Members
DBT Consultation Team Agreements
DBT Consultation Team Format and Tasks
DBT Consultation Team Member Tasks 
Defining Problems Behaviorally
Diary Card Examples
Diary Card Instructions
Handouts and Practice Exercises

Supervision and Consultation

Self-Assessment of DBT Strategies – DBTTreatmentStrategies.xlsx

More Free DBT Learning Materials on the Web

Clinician Assessment Instruments (Behavioral Research & Therapy Clinics)
DBT Therapist Study Guide (Work group for DBT Certification and Accreditation)
Free Downloadable Therapy Worksheets & CBT Tools (CBT Self Help & Therapist Resources)
DBT Self Help (Client oriented site maintained by Lisa Dietz)


Borderline Personality Disorder Facts Sheet
DBT Assumptions about Clients
DBT Frequently Asked Questions
Diagnosing BPD
DSM-IV-TR Diagnostic Criteria for BPD
Manuals for Empirically Supported Treatments
Relevant Assessments

Recommended Reading

Adolescent DBT Reference List
Recommended Reading – DBT Basics Pt.1
Recommended Reading – DBT Basics Pt.2
Recommended Reading – Addictions and Problem Drinking
Recommended Reading – Mindfulness Pt.1
Recommended Reading – Mindfulness Pt.2
Research Articles List
Article – Rathus & Miller, DBT Adpated for Suicidal Adolescents

Readings to Supplement the Text and Skills Manual:

Craske et al. (2009). Computer-assisted delivery of cognitive behavioral therapy for anxiety disorders in primary-care settings
Lindenboim, Chapman, Linehan (2007) BPD. In Handbook of Homework Assignments in Psychotherapy
Linehan, M.M, & Schmidt, H. (1995). The dialectics of effective treatment of borderline personality disorder
Linehan, M.M. (1997) Validation and psychotherapy. In Bohart & L. Greenberg, Empathy Reconsidered
Swenson, C.R., Sanderson, C., Dulit, R.A., & Linehan, M.M. (2007) DBT for Inpatient Units
Linehan, Bohus, Lynch (2007) DBT for Pervasive Emotion Dysregulation

DBT for Adolescents:

Adolescent DBT Reference List
Adolescent Dialectical Dilemmas
Adolescent Diary Card
Adolescent DBT Handouts
Adolescent Skills Training
DBT Adapted for Suicidal Adolescents

Research Resources

Annotated Bibliography of Assessments Used in DBT Research
Archives of General Psychiatry
Assessment Instruments Developed by Linehan and Colleagues
DBT at a Glance
DBT for Substance Abuse: Implementation and Long-term Effectiveness
DBT Suggested Reading List
Diary Card Examples
Diary Card Instructions
EBBP Annual Newsletter (Summer 2011)
Entrez (PubMed Literature Search Engine)Gallery of Data Visualization
Grand Round Slides
Marsha Linehan, Ph.D.
Mock Emergency Room List
National Institute of Mental Health
National Library of Medicine
NIMH Suicide Research Consortium: Suicide Statistics
Pharmacotherapy and Borderline Personality Disorder

Clinical Resources

BPD Fact Sheet
DBT at a Glance
DBT Frequently Asked Questions (FAQ)
DBT Suggested Reading List
Frequently Asked Questions About Suicide
Marsha Linehan, Ph.D.
Mental Health: A Report of the Surgeon General
National Education Alliance for Borderline Personality Disorder
National Institute of Mental Health National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Reasons for Living Scale – long
Reasons for Living Scale – short
Resources for Evidence Based Practice
Sleep Protocol
Society of Clinical Psychology
Suicidal.com (for hope when feeling or thinking about suicide)
Suicide Attempt Self-Injury Interview
The Surgeon General’s Call to Action to Prevent Suicide, 1999Web of Addictions

7 thoughts on “Dialectical Behavior Therapy Handouts & Worksheets

  1. Some items I am unable to access such as worksheets that I would like to use for myself. Please advise.


  2. Broken Links maybe? “Not Found” is the error message I get for most or all of the items listed under “DBT Therapist “Tool Kit”


    • Yes, this is because I linked directly rather than from my own server. I have all the worksheets and more though and am in the process of gettibng them organized, uploaded, and linked, thanks for bringing it to my attention, was there something specific that you wanted, if so let me know and I will see if I jave it on hand


  3. Is there a community forum on this site where users interact by posting topics, questions, comments, etc.? Or is this it?


  4. Is there a forum where members of this community discuss interact directly by posting topics, comments, questions about DBT, etc.?
    Or is this it right here?


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