The Dialectical Behavior Therapy Skills Workbook for Anxiety

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Advanced Emotion Regulation Skills 165

As you look back over your Emotion Log, we’d like you to pay attention to two things. First,
identify the emotions that seem chronic, that show up over and over. Second, notice what coping
or blocking mechanisms you typically use and their outcome. Do they work? Do you feel better or
worse a few hours after you use them?
Emotions that show up repeatedly or have blocking strategies that create more pain than they
relieve will be good targets for emotion exposure. Emotions with ineffective or destructive block-
ing strategies require exposure because you need practice facing and feeling them—without your
traditional methods of avoidance. Those don’t work and often just get you in more trouble.
Linda, after reviewing her log, realized that the things she did to cope with feelings of rejec-
tion (attacking or criticizing people, being cold and rejecting) were only digging her into a deeper
emotional pit. She ended up with overwhelming feelings of guilt and self-hate and seemed even
more alienated from her family.
Linda needed to learn how to be with her feelings and how to observe them without the
traditional avoidance strategies. Emotion exposure would prove to be a tremendously important
skill for her. Here’s how it works.


Exercise: Emotion Exposure


As soon as you start feeling the emotion you’ve chosen to work on, do the following procedure.
You can either read the instructions to yourself or record and listen to them.


Instructions


Take three or four deep diaphragmatic breaths. Notice how the breath feels in your throat, as it fills
your lungs, and as it stretches your diaphragm. While breathing slowly, notice how you feel inside your
body, particularly your stomach and chest. Notice your neck and shoulders and face. [Pause here for a
few seconds if you are recording the instructions.]
Now notice how you feel emotionally. Just keep your attention on the feeling till you have a sense
of it. Describe that feeling to yourself. Label it. Notice the strength of the feeling. Find words to describe
the intensity. Notice if the emotion is growing or diminishing. If the emotion were a wave, at what point
of the wave are you now—ascending on the leading edge, on the crest, beginning to slide down the far
side? [Pause here for a few seconds if you are recording the instructions.]
Now notice any changes in the feeling. Are there other emotions beginning to weave into the first
one? Describe to yourself any new emotions that have appeared. Just keep watching and looking for words
to describe the slightest change in the quality or intensity of your feelings. [Pause here for a few seconds
if you are recording the instructions.]
As you continue to watch, you may notice a need to block the emotion, to push it away. That’s
normal, but try to keep watching your emotions for just a little while longer. Just keep describing to
yourself what you feel and noticing any changes. [Pause here for a few seconds if you are recording
the instructions.]

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