Dialectical Behavior Therapy Printables: DBT Worksheets and DBT Handouts


Dialectical Behavior Therapy (frequently referred to as “DBT”) are therapeutic skills created by Dr. Marsha Linehan. DBT skills teach people to manage their emotions and emotional crises (without making them worse), and strategies to get along better with others. DBT has four modules or sets of skills: mindfulness, emotion regulation, distress tolerance, and interpersonal dbt bookeffectiveness. In each of these four modules, exist numerous hands-on tools for kids, teens, and adults to use to create a wise, well balanced life. To read a more details about DBT, see my post titled, “DBT Skills: A Life in Balance.” 

This page houses FREE handouts and worksheets corresponding to Linehan’s DBT skills. In addition, they are samples to the DBT worksheets and DBT handouts found in my book, DBT Therapeutic Activity Ideas for Working with Teens. 


  1. Mindfulness
     a. Thankful & Grateful– a DBT worksheet to be mindfully aware, in the moment, of things, people, places that bring gratitude and thankfulness into your life. On the blank spaces, write what comes to mind as you practice mindfulness.
  2. Emotion Regulation
     a. Gratitude– this DBT worksheet coordinates with the ABC skill, Accumulate Positive Emotions: Long Term. Practicing gratitude helps us to work on our self-development and build a life worth living.
  3. Distress Tolerance
    a. Quote Wall – this DBT worksheet and it’s example sheet coordinate with the skill, IMPROVE the Moment, and Self-Validation (see Interpersonal Effectiveness skills).  The worksheet is used alongside the “E” in IMPROVE, and encourages self-encouragement. The DBT worksheet has several blank spaces for the individual to add uplifting quotes, song lyrics, comments or reality acceptance statements to encourage the individual. At difficult times, the individual can look at his or her completed worksheet.
  4. Interpersonal Effectiveness
    a. Quote Wall– this DBT worksheet and it’s example sheet coordinates with the skill, Self-Validation, and IMPROVE the Moment (see Distress Tolerance skills). The “Quote Wall” is an option for the individual to practice writing compassionate and self supportive statements, quotes, song lyrics, and reality acceptance statements. At difficult times, the individual can look at his or her completed worksheet.
  5. General Skills 





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