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 and any references to professional organizations are generally made and not indicative of any formal affiliation with said organizations. Any 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 in which the information herein is utilized and agrees to not hold the author or any other third-party that may be referred to on the website liable for any claims or injury that may arise as a result of information furnished on this website. Lastly, the author is not a qualified mental health professional, but a person who is in recovery from borderline personality disorder, has had four years of ongoing dialectical behavior therapy, and means only to share the knowledge gained from a peer perspective. The author is not claiming to be an expert or authority on dialectical behavior therapy or aiming to solicit good or services for personal profit. If you have any questions or concerns regarding this notice, you may direct your inquiries to Rachel Gill via ilovedbt@gmail.comDBT Skills at a Glance by Rachel Gill

DBT Skills at a Glance

Core Mindfulness
Interpersonal Effectiveness

DEAR MAN 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

Check the Facts Worksheet (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)

Distress Tolerance

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)
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 Secondary Behavior Targets Handout & Worksheets (by Rachel Gill)
Dialectical Dilemmas and Secondary Targets (by Seth Axelrod)
DBT Behavior Chain & Solution Analysis Worksheet [fillable] (by Rachel Gill)
DBT Behavior Chain Analysis Flowchart Worksheet (by Rachel Gill)
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 TIPDBT 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 1, File 2, File 3 (Posted on DBT-L 12-7-10 by Yvonne McAneny)
DBT Jeopardy – File 1, File 2, File 3 (Posted on DBT-L 12-9-10 by Paula Mendenhall)
Distress Tolerance Millionaire Game – File 1, File 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)

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)

DBT Therapist “Tool Kit”
UW work group for DBT Certification and Accreditation


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

Treatment Forms and Training Aids

Adolescent Diary Card
Adolescent Secondary Treatment Targets
Adolescent Skills Training
Behavioral Analysis
Chain Analysis Instructions
Chain Analysis Worsheet
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

DBT Supportive Learning Materials

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 settingsLindenboim, Chapman, Linehan (2007) BPD. In Handbook of Homework Assignments in PsychotherapyLinehan, M.M, & Schmidt, H. (1995). The dialectics of effective treatment of borderline personality disorderLinehan, M.M. (1997) Validation and psychotherapy. In Bohart & L. Greenberg, Empathy ReconsideredSwenson, C.R., Sanderson, C., Dulit, R.A., & Linehan, M.M. (2007) DBT for Inpatient UnitsLinehan, Bohus, Lynch (2007) DBT for Pervasive Emotion Dysregulation

DBT for Adolescents:

Adolescent DBT Reference ListAdolescent Dialectical DilemmasAdolescent Diary CardAdolescent DBT HandoutsAdolescent Skills Training
DBT Adapted for Suicidal Adolescents

DBT® Resources: Tools for Clinicians (Behavioral Tech)

Research Resources

Annotated Bibliography of Assessments Used in DBT ResearchArchives of General PsychiatryAssessment Instruments Developed by Linehan and ColleaguesDBT at a GlanceDBT for Substance Abuse: Implementation and Long-term EffectivenessDBT Suggested Reading ListDiary Card ExamplesDiary Card InstructionsEBBP Annual Newsletter (Summer 2011)Entrez (PubMed Literature Search Engine)Gallery of Data VisualizationGrand Round SlidesMarsha Linehan, Ph.D.Mock Emergency Room ListNational Institute of Mental HealthNational Library of MedicineNIMH Suicide Research Consortium: Suicide StatisticsPharmacotherapy and Borderline Personality Disorder Reasons for Living Scale – longReasons for Living Scale – shortSleep ProtocolSuicidal.com (for hope when feeling or thinking about suicide)Suicide Attempt Self-Injury InterviewSuicide in the U.S.: Statistics and PreventionSummary of DBT® Data to DateVassarStats

Clinical Resources

BPD Fact SheetDBT at a GlanceDBT Frequently Asked Questions (FAQ)DBT Suggested Reading ListFrequently Asked Questions About SuicideMarsha Linehan, Ph.D.Mental Health: A Report of the Surgeon GeneralNational Education Alliance for Borderline Personality DisorderNational Institute of Mental HealthNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Reasons for Living Scale – longReasons for Living Scale – shortResources for Evidence Based PracticeSleep ProtocolSociety of Clinical PsychologySuicidal.com (for hope when feeling or thinking about suicide)Suicide Attempt Self-Injury InterviewTARAThe Surgeon General’s Call to Action to Prevent Suicide, 1999Web of Addictions

4 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


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