Distress Tolerance Gambling
Distress Tolerance (Dialectical Behavior Therapy)
Addiction is a complex brain disorder that doesn’t have a single, obvious cause. Dopamine plays a role, but it’s one small piece of a larger puzzle.
When people “cope” with stress and crisis, they find out ways (behaviors) that relieve stress, however, some of these ways come with heavy consequences. Examples of ineffective behaviors are drug and alcohol use, self-injury, gambling, spending money, and overeating.
We can learn distress tolerance skills to effectively manage the stress and crisis. These skills are more helpful than dealing with the consequences of the ineffective behaviors that make life worse.
- The DBT distress tolerance acronym ACCEPTS is a group of skills to help you tolerate a negative emotion until you are able to address and eventually resolve the situation. In an early season of the 90’s sitcom Friends, Monica is dating Pete Becker.
- Gambling addiction is a debilitating condition, causing depression and distress. For someone with a gambling addiction, the feeling of gambling is equivalent to taking a drug or having a drink.
Try it out
Make two lists, one is your ineffective coping behaviors, and the second is your healthy coping behaviors. If you’re struggling coming up with the healthy ones, keep thinking, because everyone has at least a few.
The goal is to work on eliminating the ineffective coping behaviors on the first list while developing the behaviors on the second.
This process is “doing more of what works”, replacing the ineffective with the healthy and effective.
Guidelines to improve distress tolerance skills
1. Practice the skills daily, even when you’re not feeling distressed. The skills tend to be enjoyable, so practicing shouldn’t feel like work.
2. Diversify the skills, try new ones, and practice every skill more than once because you don’t know which ones will “click” for you.
3. Organize a distress tolerance plan for when you’re in crisis and choose to follow the plan. It will keep you focused. Write down your organized plan on an index card. This would be your coping behaviors and any people who can provide support. Keep this card with you.
This index card plan works well for children while they’re away from home. Example: at school.
Distress tolerance skills to learn
• Wise Mind: ACCEPTS acronym
• IMPROVE acronym
• Self-Soothe skills: vision, hearing, smell, taste, and touch.
• Radical Acceptance
• Everyday Acceptance
• Willingness
• Bridge-Burning
• Ride the Wave: Urge-Surfing
• Grounding
• Pros and Cons
This is general information on distress tolerance and the skills to learn to better cope with stress and crisis, the next step is to learn the skills themselves, practice applying them, watch for improvements, and make necessary adjustments.
Wise Mind: ACCEPTS
Resource
Lane Pederson, PsyD, LP, DBTC
Distress Tolerance Bingo
How do you know if DBT is right for you?
Do you suffer from any of the following?
- Repeated suicide threats or attempts.
- Self-harm behavior such as cutting, burning, and picking.
- Self-destructive behaviors such as alcohol or drug abuse, binge eating and purging, sexual promiscuity, and other impulsive behaviors like gambling, gaming, or spending sprees.
- Hypersensitivity to criticism, rejection, and disapproval, fear of abandonment, and a pattern of unstable interpersonal relationships.
- Intense and volatile emotional reactivity and difficulty returning to stable mood.
- Chronic problems with depression, anxiety, and anger.
- Unstable self-image and sense of emptiness.
- Detached thinking that ranges from difficulty maintaining attention to episodes of complete disassociation.
- Feelings of paranoia and victimization.
Distress Tolerance Gambling Definition
If you experience one or more of these issues, DBT can help. DBT, or Dialectical Behavior Therapy, is a treatment specifically designed for individuals like you. By focusing on Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotional Regulation – the core tenants of DBT – you will learn the skills you need to decrease emotional suffering and build a sustainable, more fulfilling life.