The ABC PLEASE skill is a distress tolerance technique used in
Dialectical Behavior Therapy (DBT). It is an acronym that
stands for:
A - Accumulating positive emotions (or Activities)
B - Building mastery
C - Coping thoughts
P - Treating Physical illness
L - Balancing Sleep
E - Eating a balanced diet
A - Avoiding mood-altering substances
S - Situational planning
E - Getting Emergency help
The ABC PLEASE skill is designed to help individuals cope with
intense emotions, distress, or crisis situations by addressing
various aspects of self-care and emotional regulation.
Here's an example of how the ABC PLEASE skill can be used:
Imagine you're a student who just failed an important exam,
and you're feeling overwhelmed with emotions like
disappointment, anxiety, and self-doubt.
A - Accumulating positive emotions (or Activities): Engage in
an activity that brings you joy or a sense of accomplishment,
such as listening to your favorite music, going for a walk, or
spending time with a friend who uplifts you.
B - Building mastery: Identify a task or skill you can work on to
build a sense of competence and self-efficacy, such as
practicing a hobby or learning a new skill.
C - Coping thoughts: Challenge negative thoughts or self-
criticism with more balanced and realistic perspectives, such
as "One exam doesn't define my abilities" or "I can learn from
this experience and do better next time."
P - Treating Physical illness: If you're experiencing any
physical symptoms related to stress or illness, seek
appropriate medical attention or engage in self-care activities
like taking prescribed medication or getting enough rest.
L - Balancing Sleep: Ensure you're getting adequate and
consistent sleep, as lack of sleep can exacerbate emotional
distress.
E - Eating a balanced diet: Nourish your body with a balanced
diet, as proper nutrition can help regulate mood and energy
levels.
A - Avoiding mood-altering substances: Refrain from using
substances like alcohol or drugs, as they can worsen
emotional distress in the long run.
S - Situational planning: Develop a plan for addressing the
situation that caused the distress, such as studying more
effectively for the next exam or seeking academic support.
E - Getting Emergency help: If the distress becomes
overwhelming or you have thoughts of harming yourself or
others, seek immediate professional help or reach out to a
crisis hotline.
By incorporating the ABC PLEASE skill, you can address
various aspects of self-care and emotional regulation, which
can help you cope more effectively with intense emotions or
distressing situations.