Turning the MindDistress Tolerance DBT Tool

Turning the Mind Skill


Definition


Turning the Mind is a DBT Distress Tolerance skill that involves making a conscious, internal commitment to accept reality as it is, over and over again. It is the moment when you turn your mind toward willingness and away from resistance.


Purpose


Used to:

  • Bridge the gap between recognizing reality and fully accepting it.
  • Counteract avoidance, denial, or bitterness.
  • Choose to engage with reality rather than fighting it.
  • Move into more effective action.

When to Use


Use Turning the Mind when:

  • You notice you are rejecting reality (“I refuse to accept this”).
  • You feel stuck in anger or resentment.
  • You’ve acknowledged something painful but keep slipping into non-acceptance.
  • You need to recommit to acceptance moment by moment.

When Not to Use


Avoid using if:

  • You are in active danger that requires immediate problem-solving.
  • Acceptance would reinforce passivity in harmful situations.
  • You need to take action first to ensure safety.

How-To


  1. Observe that you are not accepting reality.

    • “I can feel myself clenching, fighting this.”
  2. Notice the urge to reject reality.

    • Label it: “Resistance.”
  3. Turn your mind toward acceptance.

    • It is an internal shift—you are choosing willingness.
  4. Do it again, and again.

    • Every time you drift back to rejection, recommit.
  5. Use supportive self-statements:

    • “I am choosing to accept this reality as it is.”
    • “Acceptance is the only way through.”

Tips & Variations


  • Use visual imagery: picture yourself turning a wheel or opening a door.
  • Pair with deep breathing and mindful observation.
  • Expect to turn the mind many times—it’s not a one-time event.
  • Practice with small frustrations before tackling big challenges.

Example


Marisol’s partner ended their relationship.

  • Initial Reaction: “I can’t accept this. It’s too unfair.”

  • Turning the Mind: “I am choosing to accept that this relationship is over.”

  • Follow-Up: She repeated this phrase whenever the urge to reject reality came back.


Inventor / Origin


Developed by Marsha Linehan, PhD, Turning the Mind is grounded in:

  • Zen mindfulness principles
  • Behavioral commitment strategies
  • Acceptance-based approaches to distress tolerance

Related Skills


  • Radical Acceptance
  • Willingness
  • Mindfulness of Current Emotion

Limitations


May not be effective if:

  • You expect it to remove emotional pain instantly.
  • You confuse acceptance with approval or resignation.
  • You have not first clearly identified what you are resisting.

Evidence Base


Research shows:

  • Repeated practice of acceptance reduces suffering.
  • Mindful commitment enhances psychological flexibility.
  • Turning the Mind supports better coping during crises.

Further Reading



References


  • Linehan, M.M. (2015). DBT Skills Training Manual, Second Edition. New York: Guilford Press.
  • Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (2011). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change.