Combines your emotional mind and rational mind into balanced inner wisdom.

# Wise Mind

---

## Definition

---

Wise Mind is a core concept in Dialectical Behavior Therapy (DBT) that represents the integration of **Emotion Mind** and **Reasonable Mind**. It is the inner wisdom that arises when you balance logic and emotion. Rather than denying feelings or ignoring facts, Wise Mind allows you to access a deeper, intuitive knowing.

Other names: *Centered Self*, *Inner Knowing*, *Balanced Mind.*

---

## Purpose

---

Used to help you:

- Make effective decisions when overwhelmed by intense feelings or overthinking.
- Access clarity and calm in emotionally charged situations.
- Improve self-trust and self-awareness.
- Regulate emotional responses without suppressing them.

---

## When to Use

---

Turn to Wise Mind when you:

- Feel torn between strong emotions and logical reasoning.
- Need to respond thoughtfully rather than react impulsively.
- Are unsure about how to handle conflict or crisis.
- Want to validate both your feelings and the facts of a situation.

---

## When *Not* to Use

---

Avoid relying on Wise Mind if:

- You are in immediate physical danger—safety first.
- You are severely dissociated or unable to stay grounded (seek stabilization first).
- You are using it as a way to avoid action or accountability.

---

## How-To

---

1. **Pause.** Take a moment to stop reacting.
2. **Notice your Emotion Mind.** What are you feeling? Where in your body?
3. **Notice your Reasonable Mind.** What are the facts and logical considerations?
4. **Visualize them meeting.** Imagine a Venn diagram where they overlap.
5. **Sit quietly and wait.** Often, a sense of “knowing” emerges.
6. **Name your Wise Mind decision.** What does your inner wisdom suggest?
7. **Act with intention.** Follow through mindfully.

---

## Tips & Variations

---

- **Visualization:** Picture a calm lake or a quiet center within your chest.
- **Mantra:** Repeat “Wise Mind” while breathing slowly.
- **Journal Prompt:** “What does my Wise Mind say about this?”
- **Watch out for:** Confusing impulse or avoidance with wisdom—true Wise Mind feels grounded, not frantic.

---

## Example

---

*Anna felt overwhelmed after a fight with her partner. Her Emotion Mind wanted to yell. Her Reasonable Mind said to ignore it completely. She closed her eyes, took deep breaths, and imagined a wise elder inside her. Her Wise Mind told her to wait until morning to have a calm conversation.*

---

## Inventor / Origin

---

Developed by **Marsha M. Linehan, PhD**, creator of Dialectical Behavior Therapy in the late 1980s. The Wise Mind concept draws from Zen Buddhist philosophy and Western psychology.

---

## Related Skills

---

- **Observe:** Noticing thoughts and feelings without judgment.
- **Describe:** Labeling internal experiences accurately.
- **Participate:** Engaging fully in the present moment.
- **Mindfulness of Current Emotion:** Allowing emotions to rise and fall naturally.

---

## Limitations

---

May not be effective if:

- You are actively under the influence of substances.
- You have untreated psychosis.
- You are in life-threatening crisis requiring immediate action.

---

## Evidence Base

---

Research shows that accessing Wise Mind as part of DBT mindfulness:

- Reduces emotional reactivity.
- Increases distress tolerance.
- Supports decision-making in BPD and other emotional dysregulation disorders.
- Linehan’s studies report improvements in emotion regulation and reduction in self-harm.

---

## Further Reading

---

- [Marsha Linehan's official DBT site](https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/)
- *DBT Skills Training Handouts and Worksheets, Second Edition* by Marsha M. Linehan
- [Wise Mind Guided Meditation](https://www.youtube.com/watch?v=Ksz5GZQh8uE)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

Wise Mind

Notice your thoughts, sensations, and feelings without trying to change them.

# Observe

---

## Definition

---

Observe is the first mindfulness skill in Dialectical Behavior Therapy (DBT). It means **noticing your experience without trying to change it**. You simply watch thoughts, sensations, and feelings as they arise, like watching clouds drift across the sky.

It is also called *bare attention* or *noticing mind*.

---

## Purpose

---

Used to:

- Build awareness of internal experiences.
- Reduce automatic or impulsive reactions.
- Create space between trigger and response.
- Strengthen the ability to stay present without judgment.

---

## When to Use

---

Use Observe when:

- You feel overwhelmed by emotions and want to ground yourself.
- You want to learn about patterns in thoughts or feelings.
- You need to de-escalate reactivity in stressful moments.
- Practicing any mindfulness or acceptance skill.

---

## When *Not* to Use

---

Avoid using Observe if:

- You are in immediate danger and need to act quickly.
- You feel highly dissociated or detached (you may need grounding first).
- You are using it to avoid necessary action (e.g., procrastination).

---

## How-To

---

1. **Anchor attention:** Choose what to observe (breath, body sensation, thought, external sound).
2. **Notice:** Watch carefully as each sensation, thought, or feeling arises.
3. **Let go of judgment:** Don’t label the experience as good or bad.
4. **Return attention:** If your mind wanders, gently bring it back.
5. **Stay present:** Keep observing, moment by moment.

---

## Tips & Variations

---

- **Imagery:** Imagine you are a scientist studying your own mind.
- **Labeling:** Use simple mental notes: “thinking,” “feeling,” “sensing.”
- **Five Senses:** Observe sounds, smells, tastes, sights, and touch to stay grounded.
- **Watch out for:** Getting caught in analysis rather than observation.

---

## Example

---

*Carlos was anxious before a job interview. He sat quietly and observed the tightness in his chest, the thoughts about failure, and the urge to leave. He didn’t judge or try to change anything, just noticed the flow of experience.*

---

## Inventor / Origin

---

Observe was adapted into DBT by **Marsha M. Linehan, PhD**. The skill draws heavily on Zen Buddhist mindfulness practices and behavioral psychology.

---

## Related Skills

---

- **Describe:** Labeling what you observe.
- **Participate:** Fully engaging in the moment.
- **Nonjudgmental Stance:** Accepting what is without evaluation.

---

## Limitations

---

May not be effective if:

- You are in a highly dissociative state and unable to focus.
- You use observation as a way to ruminate or obsess.
- You expect it to immediately remove discomfort.

---

## Evidence Base

---

Research has shown that learning Observe as part of DBT:

- Increases mindfulness and attention control.
- Decreases emotional reactivity.
- Supports distress tolerance and emotion regulation in BPD and mood disorders.
- Improves outcomes in DBT treatment programs.

---

## Further Reading

---

- [Mindfulness in DBT (Behavioral Tech)](https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/)
- *DBT Skills Training Handouts and Worksheets* by Marsha Linehan
- [Observe Skill Guided Practice (YouTube)](https://www.youtube.com/watch?v=sMG3QdFttJ4)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

Observe

Put words to your observations to clarify and label your experience.

# Describe

---

## Definition

---

Describe is the second core mindfulness skill in Dialectical Behavior Therapy (DBT). It means **putting words to your experience without adding interpretations or judgments**. You name what you observe precisely and factually.

This skill builds on Observe by adding language, but still requires nonjudgmental awareness.

---

## Purpose

---

Used to:

- Clarify what you are experiencing.
- Separate facts from opinions.
- Reduce reactivity by accurately labeling thoughts and feelings.
- Enhance mindful awareness.

---

## When to Use

---

Use Describe when:

- You notice an emotion or thought and want to understand it.
- You are preparing to communicate your experience to someone else.
- You want to practice nonjudgmental awareness.
- You feel confused by internal experiences and need clarity.

---

## When *Not* to Use

---

Avoid using Describe if:

- You are in immediate danger and need to act rather than reflect.
- You feel overwhelmed and describing increases distress.
- You are tempted to start analyzing or criticizing instead of observing.

---

## How-To

---

1. **Observe first:** Notice the experience without labels.
2. **Apply words:** Use simple, factual statements.

   - Example: “I am noticing tightness in my chest.”
   - Not: “I am pathetic for feeling anxious.”

3. **Stick to facts:** Avoid evaluations and interpretations.
4. **Stay present:** Keep describing as the experience unfolds.
5. **Be concise:** Use clear, neutral language.

---

## Tips & Variations

---

- **Use “just the facts” language.**
- **Pair with Observe:** Observe first, then describe.
- **Practice describing with an external object** (e.g., describe a leaf) before applying it to thoughts.
- **Watch out for:** Slipping into judgments disguised as descriptions.

---

## Example

---

*Rina felt anger rising during a disagreement. She said silently to herself: “I notice my jaw is clenched. My heart is beating fast. I am thinking he doesn’t care about me. I feel anger.” This helped her respond calmly.*

---

## Inventor / Origin

---

Describe was integrated into DBT by **Marsha M. Linehan, PhD**, inspired by Zen mindfulness practices and behavioral strategies for labeling internal experiences.

---

## Related Skills

---

- **Observe:** Watching without words.
- **Participate:** Engaging fully in the moment.
- **Nonjudgmental Stance:** Avoiding evaluation of what is described.

---

## Limitations

---

May not be effective if:

- You tend to overanalyze or ruminate.
- You confuse describing with storytelling or judging.
- You expect it to remove emotions instantly.

---

## Evidence Base

---

Research shows that practicing Describe:

- Increases emotional clarity and regulation.
- Supports mindfulness and distress tolerance.
- Decreases impulsivity.
- Is associated with improvements in BPD symptoms and mood stability.

---

## Further Reading

---

- [Mindfulness in DBT (Behavioral Tech)](https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/)
- *DBT Skills Training Handouts and Worksheets* by Marsha Linehan
- [Guided Mindfulness Practice - Describe (YouTube)](https://www.youtube.com/watch?v=KSlA4M7PN2E)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

Describe

Fully engage in the present activity with openness and awareness.

# Participate

---

## Definition

---

Participate is the third core mindfulness skill in Dialectical Behavior Therapy (DBT). It means **entering fully into the present activity with awareness and wholehearted engagement**, letting go of self-consciousness or overthinking.

This skill allows you to be immersed in what you are doing, rather than observing yourself from the outside.

---

## Purpose

---

Used to:

- Feel connected to the moment.
- Act with authenticity and spontaneity.
- Reduce avoidance and dissociation.
- Increase mastery and enjoyment of activities.

---

## When to Use

---

Use Participate when:

- You are practicing mindfulness and ready to move from observing to engaging.
- You want to strengthen your connection to valued activities.
- You are doing something important but feel disconnected or distracted.
- You need to build confidence in being fully present.

---

## When *Not* to Use

---

Avoid using Participate if:

- You are in a dangerous situation requiring careful observation.
- You feel emotionally dysregulated and need to step back first.
- You are likely to lose control in a triggering environment.

---

## How-To

---

1. **Observe and Describe:** Begin by noticing and labeling what is happening.
2. **Let go of self-consciousness:** Stop worrying about how you look or whether you’re doing it right.
3. **Throw yourself into the experience:** Engage with your whole self—mind, body, and emotion.
4. **Stay present:** If your mind drifts, gently return to the activity.
5. **Act intuitively:** Trust yourself rather than overanalyzing.

---

## Tips & Variations

---

- **Imagine stepping into the role fully, like an actor in a play.**
- **Combine with Observe and Describe to maintain awareness.**
- **Practice in low-stakes situations first.**
- **Watch out for:** Getting caught up in judgment or rumination while participating.

---

## Example

---

*During a group drumming circle, Tony noticed feeling anxious about looking awkward. He reminded himself to Participate. He let go of the thought “I’m doing it wrong,” felt the rhythm, and joined in fully. His anxiety decreased as he immersed himself in drumming.*

---

## Inventor / Origin

---

Participate was developed as a DBT mindfulness skill by **Marsha M. Linehan, PhD**, combining Zen practice (wholehearted engagement) and behavioral activation concepts.

---

## Related Skills

---

- **Observe:** Watch your experience.
- **Describe:** Put words to what you notice.
- **Nonjudgmental Stance:** Let go of evaluations.
- **One-Mindfully:** Focus on one thing at a time.

---

## Limitations

---

May not be effective if:

- You are in crisis and need to pause to assess safety.
- You struggle with impulsivity that increases when fully immersed.
- You have unprocessed trauma that makes being fully present overwhelming.

---

## Evidence Base

---

Research suggests that practicing Participate:

- Increases mindfulness and distress tolerance.
- Decreases dissociation and emotional avoidance.
- Improves engagement in valued activities.
- Contributes to emotion regulation and well-being.

---

## Further Reading

---

- *DBT Skills Training Handouts and Worksheets* by Marsha Linehan
- [Participate Mindfulness Exercises](https://dialecticalbehaviortherapy.com/mindfulness/participate/)
- [Mindfulness in DBT (Behavioral Tech)](https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

Participate

Focus on one thing at a time with your full attention.

# One-Mindfully

---

## Definition

---

One-Mindfully is a core mindfulness skill in Dialectical Behavior Therapy (DBT). It means **focusing your attention on one thing at a time**, fully immersing yourself in the present moment without distraction.

It teaches you to be fully engaged in what you’re doing rather than dividing your awareness between multiple activities or thoughts.

---

## Purpose

---

Used to:

- Reduce overwhelm and stress.
- Improve concentration and effectiveness.
- Break patterns of multitasking or dissociation.
- Promote a sense of calm and clarity.
- Help with emotion regulation by anchoring in the present.

---

## When to Use

---

Use One-Mindfully when:

- You are distracted or scattered.
- You notice you’re doing several things at once without awareness.
- You want to savor an experience.
- You feel anxious and need to ground yourself.
- You are practicing any other DBT skill and need to focus.

---

## When *Not* to Use

---

Avoid using One-Mindfully if:

- You are in an emergency requiring divided attention.
- You are dissociating severely and need to reorient with grounding first.
- You feel unsafe and need to be aware of multiple factors.

---

## How-To

---

1. **Pick One Activity:** Choose something to focus on (e.g., washing dishes, eating, breathing).
2. **Direct Your Attention:** Bring your mind fully to the chosen activity.
3. **Let Go of Distractions:** If your mind wanders, gently return focus without judgment.
4. **Repeat as Needed:** Every time you drift away, come back to the present.

---

## Tips & Variations

---

- **Use your senses:** Notice sights, sounds, textures, smells, and tastes.
- **Pair with Describe:** Put words to what you’re experiencing to anchor your attention.
- **Practice during routine tasks:** Walking, showering, eating.
- **Watch out for:** Criticizing yourself when your mind drifts—wandering is normal.

---

## Example

---

*While drinking her morning coffee, Priya decided to practice One-Mindfully. She focused on the warmth of the mug, the aroma, and the taste of each sip. Each time she thought about her to-do list, she gently brought her attention back to the coffee.*

---

## Inventor / Origin

---

One-Mindfully is part of the DBT mindfulness module created by **Marsha M. Linehan, PhD**. It integrates Zen Buddhist principles of single-pointed concentration and cognitive-behavioral strategies for focus.

---

## Related Skills

---

- **Observe:** Notice what’s happening.
- **Describe:** Put experiences into words.
- **Nonjudgmental Stance:** Avoid labeling experiences as good or bad.
- **Participate:** Immerse yourself fully.

---

## Limitations

---

May not be effective if:

- You are in a highly stimulating or unsafe environment.
- You are emotionally dysregulated and need grounding before focusing.
- You feel compelled to avoid the present due to trauma triggers.

---

## Evidence Base

---

Research indicates practicing One-Mindfully:

- Increases attention and working memory.
- Reduces rumination and anxiety.
- Enhances emotion regulation and distress tolerance.
- Improves daily functioning and overall well-being.

---

## Further Reading

---

- *DBT Skills Training Handouts and Worksheets* by Marsha Linehan
- [One-Mindfully Practice Exercises](https://dialecticalbehaviortherapy.com/mindfulness/one-mindfully/)
- [Mindfulness Skills in DBT (Behavioral Tech)](https://behavioraltech.org/resources/faqs/dialectical-behavior-therapy-dbt/)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

One-Mindfully

Do what works instead of what feels right or fair in the moment.

# Effectiveness

---

## Definition

---

Effectiveness in DBT refers to **acting skillfully to get what you want and need, while maintaining relationships and self-respect**. It means choosing behaviors that work toward your goals instead of getting caught up in emotion-driven reactions.

This is often taught using the DEAR MAN acronym for assertive communication.

---

## Purpose

---

Used to:

- Increase the chances of getting your needs met.
- Maintain healthy relationships.
- Preserve your self-respect.
- Reduce interpersonal conflicts.
- Communicate assertively rather than passively or aggressively.

---

## When to Use

---

Use Effectiveness skills when:

- You want to ask for something.
- You need to say “no.”
- You need to negotiate or problem-solve.
- You’re in conflict with someone.
- You feel the urge to explode or shut down.

---

## When *Not* to Use

---

Avoid using Effectiveness if:

- Safety is at risk and immediate action is needed.
- The other person is unable or unwilling to engage (e.g., intoxicated, violent).
- You are too dysregulated to communicate calmly (in which case, use distress tolerance first).

---

## How-To

---

1. **Define Your Goal:** What do you want from this interaction?
2. **Use DEAR MAN:**

   - **D – Describe** the situation factually.
   - **E – Express** your feelings and opinions.
   - **A – Assert** by asking clearly or saying no.
   - **R – Reinforce** by explaining benefits of your request.
   - **M – Mindful:** Stay focused, don’t be distracted.
   - **A – Appear Confident:** Use a steady voice and body language.
   - **N – Negotiate:** Be willing to give and take.

3. **Maintain Self-Respect:** Stick to your values.
4. **Balance Relationship Needs:** Be fair and considerate.

---

## Tips & Variations

---

- **Rehearse ahead of time** to build confidence.
- **Use a calm tone** even if you feel upset.
- **Be concise and clear.**
- **Watch out for:** passive-aggression, blaming, or threats.
- Pair with **FAST** skills to preserve self-respect.

---

## Example

---

*Jamal needed his roommate to clean up shared spaces. He practiced DEAR MAN:*

- **Describe:** “I’ve noticed dishes are left in the sink overnight.”
- **Express:** “I feel frustrated because I can’t use the kitchen in the morning.”
- **Assert:** “I’d like you to please clean up by the end of the day.”
- **Reinforce:** “That way, it’s more comfortable for both of us.”

He stayed calm and confident, repeating his request when his roommate tried to change the topic.

---

## Inventor / Origin

---

Effectiveness skills are part of **Interpersonal Effectiveness** in DBT, developed by **Marsha M. Linehan, PhD**, combining assertiveness training, cognitive-behavioral therapy, and principles from dialectics.

---

## Related Skills

---

- **DEAR MAN:** For assertiveness.
- **GIVE:** To maintain relationships.
- **FAST:** To maintain self-respect.
- **Mindfulness:** To stay present during interactions.

---

## Limitations

---

May not be effective if:

- The other person is abusive or dangerous.
- You cannot access your skills due to intense emotion.
- The situation requires immediate action over discussion.

---

## Evidence Base

---

Research shows that Effectiveness skills:

- Improve interpersonal functioning.
- Reduce conflict and resentment.
- Increase self-confidence.
- Are associated with better outcomes in BPD and mood disorders.

---

## Further Reading

---

- *DBT Skills Training Handouts and Worksheets* by Marsha Linehan
- [DEAR MAN Skill (Therapistaid)](https://www.therapistaid.com/worksheets/dear-man.pdf)
- [Interpersonal Effectiveness Overview](https://dialecticalbehaviortherapy.com/interpersonal-effectiveness/)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

Effectiveness

See experiences as they are without labeling them as good or bad.

# Non-Judgmental Stance

---

## Definition

---

Non-Judgmental Stance is the practice of **observing thoughts, feelings, and situations without labeling them as good or bad, right or wrong**. It is about seeing reality clearly and describing events factually rather than reacting with criticism or evaluation.

---

## Purpose

---

Used to:

- Reduce emotional suffering created by judgments.
- Improve mindfulness and acceptance.
- Decrease reactivity and shame.
- Promote clarity and effective action.

---

## When to Use

---

Use Non-Judgmental Stance when:

- You feel overwhelmed by self-criticism.
- You are caught up in blaming others.
- You are experiencing painful emotions.
- You want to observe thoughts and feelings objectively.

---

## When *Not* to Use

---

Avoid using Non-Judgmental Stance if:

- You are in immediate danger (judgments may signal a threat).
- A situation requires you to make quick safety decisions.
- You are using it to avoid accountability for harmful behavior.

---

## How-To

---

1. **Observe** what is happening internally and externally.
2. **Describe** the facts without adding evaluations.
   - Instead of “This is terrible,” say “This is happening.”
   - Instead of “I’m a failure,” say “I feel disappointed.”
3. **Notice judgments when they arise.**
4. **Let judgments go**—return to describing.
5. **Practice self-compassion** rather than criticism.

---

## Tips & Variations

---

- Use a neutral tone when describing.
- Practice by narrating an activity without adjectives.
- Remind yourself: “A judgment is just a thought, not a fact.”
- Pair with Radical Acceptance when judgments are strong.
- Keep a **Judgment Log** to track common judgmental thoughts.

---

## Example

---

*Sara thought, “I’m worthless because I made a mistake.” She paused and replaced the judgment with description:*

- “I notice tightness in my chest.”
- “I made a mistake at work.”
- “I feel regret.”

By doing this, her shame decreased, and she could problem-solve more effectively.

---

## Inventor / Origin

---

Non-Judgmental Stance is a core part of **Mindfulness in DBT**, developed by **Marsha M. Linehan, PhD**, based on principles of Zen practice and cognitive-behavioral therapy.

---

## Related Skills

---

- Observe
- Describe
- Radical Acceptance
- Self-Compassion
- One-Mindfully

---

## Limitations

---

May not be effective if:

- You are in acute crisis needing immediate action.
- You confuse acceptance with approval of harmful behavior.
- You use it to avoid setting healthy boundaries.

---

## Evidence Base

---

Research indicates that practicing Non-Judgmental Stance:

- Reduces emotional intensity.
- Increases distress tolerance.
- Improves psychological flexibility.
- Helps manage shame and self-criticism.

---

## Further Reading

---

- *DBT Skills Training Handouts and Worksheets* by Marsha Linehan
- [Mindfulness Skills (Therapistaid)](https://www.therapistaid.com/therapy-worksheet/mindfulness-skills)
- *Radical Acceptance* by Tara Brach
- [Non-Judgmental Stance Overview](https://dialecticalbehaviortherapy.com/mindfulness/)

---

## References

---

- Linehan, M.M. (1993). *Cognitive-Behavioral Treatment of Borderline Personality Disorder*. New York: Guilford Press.
- Linehan, M.M. (2015). *DBT Skills Training Manual, Second Edition*. New York: Guilford Press.

Mindfulness DBT Tools