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The bundle reflects Linehan's premise that emotional dysregulation often has real causes in real life conditions — not just faulty cognition — and that changing those conditions is a legitimate and necessary part of building a life worth living.", "furtherReading": [ { "sourceId": "linehan-manual-529p", "chapter": 9, "section": "XIII", "page": 382 } ] }, "sourceId": "linehan-manual-529p", "sourceLabel": "Linehan Manual", "sourceLocator": "Chapter 9", "sourceCategory": "Foundation-oriented", "sourceType": "Manual", "sourceTrustSignal": "Primary source-close", "sourceAuthorityWeight": "high", "sourcePracticeWeight": "medium", "sourceAudienceFit": "Professional", "sourceNote": "Linehan Manual · Chapter 9", "whenToUse": "When several emotional protective factors have to be built up in parallel for long-term stabilization.", "whenToUseSource": "editorial", "situationsSource": "explicit", "skillComplexity": "core", "interventionMode": "behavioral", "evidenceLevel": "clinical_consensus", "module": "emotion-regulation", "secondaryModules": [ "distress-tolerance" ], "moduleBridgeContexts": [ { "moduleId": "distress-tolerance", "contextText": "People who are more physically vulnerable experience crises more often and more intensely - ABC PLEASE reduces this baseline vulnerability and thereby lowers crisis frequency as well." } ], "relatedIds": [ "build-mastery-and-cope-ahead" ], "components": [ "accumulating-positive-emotions", "build-mastery", "cope-ahead", "please-skills" ], "situations": [ "belastung-vorbereiten", "schuld", "freude-glueck", "neid", "interesse", "albtraeume-belastende-naechte" ], "practiceNodeIds": [ "exercise-putting-abc-skills-together-day-by-day", "daily-practices-for-emotional-health" ], "comparisonTitle": "Related content", "comparisonBullets": [], "comparisonAxes": [], "comparisonNodeIds": [ "build-mastery", "cope-ahead" ], "learningPathType": "bundle-to-steps", "learningPathTitle": "From skill bundle to steps", "learningPathDescription": "Start with the central building blocks of this skill bundle before jumping to broader connection nodes.", "learningPathNodeIds": [ "accumulating-positive-emotions", "build-mastery", "cope-ahead", "please-skills" ], "learningPathSteps": [ { "nodeId": "accumulating-positive-emotions", "label": "Open as the first step", "description": "This element is the most direct entry point into the internal structure of the skill bundle.", "pathType": "bundle-to-steps" }, { "nodeId": "build-mastery", "label": "Continue within the skill bundle", "description": "This turns the acronym or container into a concrete sequence of action steps.", "pathType": "bundle-to-steps" }, { "nodeId": "cope-ahead", "label": "Continue within the skill bundle", "description": "This turns the acronym or container into a concrete sequence of action steps.", "pathType": "bundle-to-steps" }, { "nodeId": "please-skills", "label": "Continue within the skill bundle", "description": "This turns the acronym or container into a concrete sequence of action steps.", "pathType": "bundle-to-steps" } ], "situationLinks": [ { "situationId": "freude-glueck", "label": "Joy or happiness", "entryType": "emotion", "pathSegment": "emotionen", "relationRole": "prepare", "fit": "primary", "strength": 0.9, "isPreferred": true }, { "situationId": "belastung-vorbereiten", "label": "Prepare for Stress", "entryType": "prevention", "pathSegment": "situations", "relationRole": "prepare", "fit": "primary", "strength": 0.9, "isPreferred": true }, { "situationId": "albtraeume-belastende-naechte", "label": "Nightmares or difficult nights", "entryType": "prevention", "pathSegment": "situations", "relationRole": "prepare", "fit": "primary", "strength": 0.84, "isPreferred": true }, { "situationId": "neid", "label": "Envy", "entryType": "emotion", "pathSegment": "emotionen", "relationRole": "prepare", "fit": "secondary", "strength": 0.74, "isPreferred": true }, { "situationId": "schuld", "label": "Guilt or guilt feelings", "entryType": "emotion", "pathSegment": "emotionen", "relationRole": "prepare", "fit": "secondary", "strength": 0.7, "isPreferred": true }, { "situationId": "interesse", "label": "Interest or curiosity", "entryType": "emotion", "pathSegment": "emotionen", "relationRole": "prepare", "fit": "secondary", "strength": 0.7, "isPreferred": true } ] } ], "situations": [ { "id": "belastung-vorbereiten", "label": "Prepare for Stress", "shortLabel": "Prepare", "entryType": "prevention", "isDraft": false, "description": "For anticipated stress, relapse prevention or planned difficult situations.", "bodySensation": "Anticipatory tension, sleep problems before stressful events, increased excitability in the days before, body is already preparing", "impulse": "Over-planning or over-thinking, avoiding the situation, wanting to control all eventualities, using cope-ahead exercise as a safety anchor", "intensityNotes": "Preparing for stress has a prophylactic effect and reduces the impact of the crisis. Most effective time: when the situation is not yet acute. However, preparing too early and intensively can also increase fear.", "longDescription": { "text": "Preparing for strain is a prevention-oriented situation in DBT — the goal is to reduce vulnerability before stress accumulates, rather than managing a crisis in progress. This distinguishes it sharply from crisis and acute emotion regulation situations. The relevant skill categories are PLEASE (Physical illness, Eating balanced, Avoiding mood-altering substances, Sleep, Exercise), ABC (Accumulating positive emotions, Building mastery, Coping ahead), and mindfulness for maintaining awareness of current vulnerability. The most common mistake is treating preparation as optional or deferring it until conditions are already difficult. Coping ahead is particularly underused: mentally rehearsing how to handle expected stressors makes the actual skills more available when needed." }, "preferredNodeIds": [], "conceptLinks": [ { "conceptId": "cope-ahead", "relationRole": "prepare" }, { "conceptId": "build-mastery-and-cope-ahead", "relationRole": "entry" }, { "conceptId": "please-skills", "relationRole": "prepare" }, { "conceptId": "ending-relationships", "relationRole": "prepare" }, { "conceptId": "contingency-management", "relationRole": "prepare" }, { "conceptId": "exposure-based-cognitive-rehearsal", "relationRole": "prepare" }, { "conceptId": "abc-please-skills", "relationRole": "prepare" }, { "conceptId": "clear-mind", "relationRole": "prepare" }, { "conceptId": "daily-mindfulness-regimen", "relationRole": "prepare" }, { "conceptId": "daily-practices-for-emotional-health", "relationRole": "prepare" }, { "conceptId": "weekly-regulator", "relationRole": "prepare" }, { "conceptId": "build-mastery", "relationRole": "prepare" }, { "conceptId": "question-what-helps-now-vs-long-term", "relationRole": "prepare" }, { "conceptId": "exercise-problem-solving-worksheet", "relationRole": "prepare" }, { "conceptId": "exercise-build-mastery-and-cope-ahead-worksheet", "relationRole": "prepare" }, { "conceptId": "exercise-practicing-please-skills", "relationRole": "prepare" }, { "conceptId": "exercise-steps-for-reducing-vulnerability", "relationRole": "prepare" }, { "conceptId": "exercise-putting-abc-skills-together-day-by-day", "relationRole": "prepare" }, { "conceptId": "exercise-sleep-hygiene-practice-sheet", "relationRole": "prepare" }, { "conceptId": "exercise-getting-from-values-to-specific-action-steps", "relationRole": "prepare" }, { "conceptId": "cognitive-vulnerability", "relationRole": "orient" }, { "conceptId": "dbt-diary", "relationRole": "prepare" }, { "conceptId": "problem-solving", "relationRole": "apply" }, { "conceptId": "sleep-hygiene", "relationRole": "prepare" } ], "bundleLinks": [ { "bundleId": "abc-please-skills", "role": "prepare" } ], "pathSegment": "situations" }, { "id": "angst-panik", "label": "Fear or panic", "shortLabel": "Fear", "entryType": "emotion", "isDraft": false, "description": "For anxiety peaks, near panic, fear of loss of control or massive concern.", "bodySensation": "Racing heart, tightness in the chest and throat, shallow breathing, muscle tension, sweating, trembling, dizziness", "impulse": "Flee or leave the situation, freeze and freeze, seek and secure control, avoid the next contact", "intensityNotes": "Course from chronic background worry to acute panic attack. Physical symptoms increase quickly and subside more slowly. Often wave character.", "longDescription": { "text": "Anxiety and panic form a continuum in DBT, with chronic background worry at one end and full panic with physiological symptoms at the other. DBT does not treat anxiety as intrinsically pathological — it treats it as a signal whose intensity has become dysregulating. The relevant skill categories are emotion regulation (check-the-facts, opposite action to anxiety, vulnerability reduction), distress tolerance for peak moments, and mindfulness for observing the wave without amplifying it. A key clinical distinction: anxiety justifies avoidance behaviors, which maintain anxiety — a common failure mode when skills are used to suppress rather than process the emotion. 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