IMPROVEDistress Tolerance DBT Tool

IMPROVE the Moment Skill


Definition


IMPROVE the Moment is a Distress Tolerance skill in DBT that helps you cope with crisis situations by shifting your mindset or environment to temporarily make the present moment more bearable. Each letter stands for a specific strategy to “improve” your experience.


Purpose


Used to:

  • Survive intense emotional pain without making the situation worse.
  • Prevent impulsive or self-destructive behaviors.
  • Soothe yourself and foster a sense of hope and meaning.

When to Use


Use IMPROVE when:

  • You’re in an emotional crisis and can’t immediately change the situation.
  • You feel urges to engage in problematic coping (e.g., self-harm, substance use).
  • You need tools to get through the next few minutes or hours.

When Not to Use


Avoid using this skill if:

  • Immediate problem-solving or safety planning is required.
  • You are avoiding urgent responsibilities indefinitely.
  • You are using it to deny or minimize real problems.

How-To


I – Imagery

  • Visualize a peaceful, safe place or successful coping.

M – Meaning

  • Find or create meaning in the crisis (e.g., personal growth, values).

P – Prayer

  • Engage in prayer or spiritual connection (if relevant to you).

R – Relaxation

  • Practice deep breathing, muscle relaxation, or stretching.

O – One Thing in the Moment

  • Focus all attention on just one small task or sensation.

V – Vacation

  • Take a short break from stress (e.g., step outside, unplug briefly).

E – Encouragement

  • Use self-encouraging phrases (e.g., “I can handle this,” “This will pass”).

Tips & Variations


  • You don’t have to do every letter—pick what fits.
  • Create a list of go-to strategies under each letter.
  • Combine IMPROVE with Self-Soothing for extra support.

Example


Aaron felt panicked after a breakup.

  1. Imagery: Closed his eyes and pictured hiking in the mountains.
  2. Meaning: Reminded himself this experience helps him grow stronger.
  3. Prayer: Silently asked for strength from a higher power.
  4. Relaxation: Focused on slow, steady breaths.
  5. One Thing: Paid attention only to the feeling of his feet on the floor.
  6. Vacation: Took a 30-minute walk alone.
  7. Encouragement: Repeated, “I will get through this.”

Inventor / Origin


Developed by Marsha Linehan, PhD as part of DBT’s Distress Tolerance skills module, blending Eastern mindfulness practices with cognitive-behavioral strategies.


Related Skills


  • Self-Soothing
  • Radical Acceptance
  • TIPP Skill
  • Pros and Cons

Limitations


May not be effective if:

  • You expect it to fix the underlying problem.
  • You are in immediate danger and need urgent action.
  • You use it exclusively as an avoidance strategy.

Evidence Base


Research shows:

  • Imagery and relaxation reduce physiological stress.
  • Finding meaning and self-encouragement build resilience.
  • Consistent use improves emotional regulation over time.

Further Reading


  • DBT Skills Training Handouts and Worksheets by Marsha Linehan
  • IMPROVE the Moment Worksheet
  • The Dialectical Behavior Therapy Skills Workbook by McKay, Wood, and Brantley

References


  • Linehan, M.M. (2015). DBT Skills Training Manual, Second Edition. New York: Guilford Press.
  • Neacsiu, A.D., Rizvi, S.L., & Linehan, M.M. (2010). "Dialectical Behavior Therapy Skills Use as a Mediator and Outcome of Treatment for Borderline Personality Disorder." Behaviour Research and Therapy, 48(9), 832–839.