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      "DBT Diary",
      "DBT-Tagebuch"
    ],
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    "description": "Skill integration · Weekly log · Practice tracking",
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      "text": "The DBT Diary Card is the primary self-monitoring tool in DBT: a structured daily record of emotions, urges, behaviors, skill use, and treatment targets. It is filled out daily and reviewed at the start of every individual therapy session. The diary card serves multiple functions: it increases awareness of emotional patterns and their connections to behavior; it creates accountability for skill use between sessions; it provides the therapist with a current picture of what has been happening; and the act of recording itself is reactive — meaning that simply tracking a behavior tends to change it. Target behaviors (both behaviors to increase and behaviors to decrease) are identified collaboratively and tracked on the card, making the diary card a direct link between session work and daily life.",
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        {
          "sourceId": "linehan-manual-529p",
          "chapter": 6,
          "section": "II"
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        "contextText": "Filling out the diary card every day is a mindfulness practice - self-observation as a daily ritual."
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        "moduleId": "distress-tolerance",
        "contextText": "Documenting crisis patterns and skill use makes patterns visible that enable crisis prevention."
      },
      {
        "moduleId": "emotion-regulation",
        "contextText": "Systematically tracking emotions, triggers, and regulation attempts is applied emotion regulation as a learning process."
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        "moduleId": "interpersonal",
        "contextText": "Documenting interpersonal patterns makes relationship dynamics visible that would otherwise remain unseen."
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    ],
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        "nodeId": "turning-the-mind",
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      },
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        "nodeId": "clear-mind",
        "label": "Clarify the guiding idea",
        "description": "This connection reveals the underlying stance or logic that supports the application.",
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      },
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        "nodeId": "radical-acceptance",
        "label": "Move directly into application",
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      "id": "distress-tolerance",
      "title": "Distress Tolerance",
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      "id": "emotion-regulation",
      "title": "Emotion Regulation",
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      "purpose": "Make daily micro-practices for emotional health visible so that stabilization is anchored not just in crises, but in routine and self-care.",
      "applicationContext": "When emotional health depends less on individual interventions and more on regular, small everyday practices.",
      "longDescription": {
        "text": "Daily Practices for Emotional Health is a McKay Workbook framework for building a sustainable daily routine that supports emotional regulation across all skill modules. It integrates mindfulness practice, physical care (exercise, sleep, nutrition), pleasurable activities, mastery activities, and social connection into a coherent daily structure. The premise is identical to DBT's PLEASE skills and ABC framework: emotional health is not achieved in moments of crisis but through the accumulated effect of daily choices that either increase or decrease vulnerability to emotional dysregulation. The framework translates the skills into concrete daily commitments that can be tracked and maintained.",
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          {
            "sourceId": "workbook-mckay-357p",
            "chapter": 7
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      "sourceNote": "McKay Workbook · Chapter 12",
      "whenToUse": "If you want to build an everyday life that regularly nourishes emotional stability instead of just reacting to crises.",
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        "mindfulness",
        "distress-tolerance",
        "emotion-regulation",
        "interpersonal"
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        {
          "moduleId": "mindfulness",
          "contextText": "Daily micro-practices for emotional health often begin with mindfulness - this overview shows which routines have mindfulness as their quiet foundation."
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        {
          "moduleId": "distress-tolerance",
          "contextText": "Daily stabilizing practices are the long-term counterpart to acute crisis intervention - they reduce the frequency and intensity of crises."
        },
        {
          "moduleId": "emotion-regulation",
          "contextText": "Maintaining emotional health in everyday life is the theme of the ABC PLEASE block - daily practices for emotional health are emotion regulation as a way of life."
        },
        {
          "moduleId": "interpersonal",
          "contextText": "Many everyday practices for emotional health are interpersonal - tending relationships, seeking connection, using social routine as a source of stabilization."
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        "abc-please-skills"
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        "dbt-diary",
        "exposure-based-cognitive-rehearsal",
        "mindfulness-how-skills",
        "wise-mind"
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      "comparisonDescription": "Daily practice brings several tasks together: the DBT diary records skill use, and cognitive rehearsal prepares responses to difficult situations. The How skills describe the mindful attitude; Wise Mind integrates emotion and reason.",
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      "learningPathTitle": "Explore and apply",
      "learningPathDescription": "These nodes deliberately lead into a second DBT module space when the current content must be carried across modules.",
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        "abc-please-skills",
        "mindfulness-how-skills",
        "wise-mind",
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          "nodeId": "abc-please-skills",
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        {
          "nodeId": "mindfulness-how-skills",
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          "description": "This connection opens the higher-level structure in which the current node is embedded.",
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        {
          "nodeId": "wise-mind",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
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          "nodeId": "dbt-diary",
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          "description": "This connection translates the current knowledge into a directly usable tool or protocol.",
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          "nodeId": "exposure-based-cognitive-rehearsal",
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      "title": "Missing-Links Analysis",
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        "Missing-Links Analysis",
        "Fehlglieder-Analyse"
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      "description": "Behavioral analysis · Missing behavior links · Missing effective behavior analysis",
      "priorityRank": 23,
      "priorityLabel": "More foundational",
      "priorityDescription": "This node is more about preparation, stabilization, or later deepening around orientation and understanding.",
      "cardPreview": "If it is not clear which effective step has been missing in a difficult situation.",
      "purpose": "Make missing links in a problematic process visible so that it is understood where important intermediate steps lie between the trigger and the result.",
      "applicationContext": "When a chain is described too roughly, incompletely or too quickly and relevant starting points for change remain hidden.",
      "longDescription": {
        "text": "Missing-Links Analysis is the complement to Chain Analysis: where Chain Analysis examines why a harmful behavior occurred, Missing-Links Analysis examines why an effective behavior did not occur when it was needed or expected. It asks a structured set of questions: Was the effective behavior in the person's repertoire? Did they know what to do? Did something get in the way of doing it? Were there insufficient consequences for doing it? Missing-Links Analysis is particularly useful for examining therapy non-compliance, missed homework, and other instances where effective behavior was absent rather than replaced by a problem behavior.",
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          {
            "sourceId": "linehan-manual-529p",
            "chapter": 6,
            "section": "VII"
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      "sourceId": "linehan-manual-529p",
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        "emotion-regulation",
        "interpersonal"
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        {
          "moduleId": "distress-tolerance",
          "contextText": "Sometimes crisis prevention fails not because of a lack of knowledge, but because of a missing intermediate step - Missing Links Analysis finds these gaps in the distress-tolerance repertoire."
        },
        {
          "moduleId": "emotion-regulation",
          "contextText": "If an emotion-regulation skill is known in theory but unavailable in the moment, that is a Missing Links gap - what is needed is not more knowledge but a missing transition."
        },
        {
          "moduleId": "interpersonal",
          "contextText": "Failed interpersonal attempts often reflect less of a knowledge problem than a transition problem - Missing Links identifies what is missing between intention and execution."
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      "comparisonDescription": "The focus here is helpful behaviour that did not occur: what prevented it? Chain analysis examines the other question: which sequence led to problem behaviour that actually occurred?",
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      "learningPathDescription": "These nodes translate behavioral understanding into the next effective change choice.",
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          "nodeId": "opposite-action",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
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        {
          "nodeId": "check-the-facts",
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          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
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        {
          "nodeId": "wise-mind",
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          "nodeId": "dear-man",
          "label": "Open the structure behind it",
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          "nodeId": "fast",
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          "description": "This connection opens the higher-level structure in which the current node is embedded.",
          "pathType": "analysis-to-change"
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        {
          "nodeId": "give",
          "label": "Open the structure behind it",
          "description": "This connection opens the higher-level structure in which the current node is embedded.",
          "pathType": "analysis-to-change"
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      ],
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      "id": "turning-the-mind",
      "type": "skill",
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        "Turning the Mind",
        "Den Geist wenden"
      ],
      "description": "Reality acceptance · Return to acceptance",
      "priorityRank": 6,
      "priorityLabel": "Situationally important",
      "priorityDescription": "This node becomes especially important when shame describes the actual situation.",
      "cardPreview": "When you know acceptance, but inside you keep tipping back into rejection.",
      "purpose": "Make the repeated inner decision to accept when non-acceptance is already active.",
      "applicationContext": "When defiance, bitterness or rejection keep coming back and acceptance is not yet stable.",
      "longDescription": {
        "text": "Turning the mind is the active, repeated choice to accept reality as it is — not a one-time decision, but a commitment that must be renewed again and again, sometimes many times within a single hour. Radical acceptance tends to slip: anger returns, bitterness reasserts itself, the mind drifts back into 'why me?' Turning the mind means noticing that drift — through emotional cues like irritability, tense shoulders, or renewed fighting — and making the inner commitment to acceptance once more. It does not require fully accepting right away; it only requires turning. The more painful the reality to be accepted, the longer and more often the turning must be practiced. Turning the mind works together with radical acceptance: while radical acceptance defines the destination, turning the mind is the ongoing action of moving toward it.",
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            "sourceId": "linehan-manual-529p",
            "chapter": 10,
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        ]
      },
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        "mindfulness"
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          "moduleId": "emotion-regulation",
          "contextText": "Defiance and bitterness grow as emotions when nonacceptance is repeated - Turning the Mind interrupts this emotional escalation process."
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        {
          "moduleId": "mindfulness",
          "contextText": "Choosing acceptance again internally means noticing when you have slipped back into resistance - that is mindfulness as a practice of returning."
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      "practiceNodeIds": [
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          "label": "Primary question",
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            "willingness": "Am I willing to go along effectively and cooperatively?"
          }
        },
        {
          "label": "Typical starting point",
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            "radical-acceptance": "Loss, pain, or a lasting fact that remains.",
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          }
        }
      ],
      "comparisonNodeIds": [
        "radical-acceptance",
        "willingness"
      ],
      "comparisonDescription": "Three closely related acceptance skills with different functions: Radical Acceptance fully accepts facts, Turning the Mind guides the repeated inner decision toward acceptance, and Willingness translates acceptance into cooperative action.",
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        "dbt-diary"
      ],
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      ],
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      ]
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      "id": "radical-acceptance",
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        "Radical Acceptance",
        "Radikale Akzeptanz"
      ],
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      "priorityRank": 6,
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      "priorityDescription": "This node becomes especially important when shame describes the actual situation.",
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      "applicationContext": "When a painful situation is real and cannot be negotiated away and inner resistance increases the suffering.",
      "longDescription": {
        "text": "Radical acceptance is complete and total openness to the facts of reality as they are — accepting with mind, body, and spirit, not just intellectually. It is not approval, not passivity, and not giving up. It is the recognition that reality is what it is, that it has causes, and that refusing to accept it does not change it — it only adds suffering on top of pain. Linehan distinguishes pain from suffering: pain is unavoidable; suffering is pain plus non-acceptance. Rejection of reality may temporarily feel like resistance or control, but it prevents clear problem-solving, sustains avoidance, and amplifies emotional reactivity. Radical acceptance requires accepting facts — not distortions, exaggerations, or judgments — and it often brings a wave of sadness before a sense of liberation. That sadness is part of the process, not a sign that acceptance has failed. Acceptance does not come once; it must often be renewed repeatedly, which is the work of Turning the Mind.",
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          {
            "sourceId": "linehan-manual-529p",
            "chapter": 10,
            "section": "XI",
            "page": 452
          },
          {
            "sourceId": "workbook-mckay-357p",
            "chapter": 4
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        ]
      },
      "sourceId": "linehan-manual-529p",
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        "mindfulness"
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        },
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          "moduleId": "mindfulness",
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      ],
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        "improving-the-moment",
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        "exposure-based-cognitive-rehearsal",
        "beginners-mind",
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        "akzeptanz-vs-veraenderung",
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        "scham",
        "ekel",
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        "exercise-middle-path-calendar",
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      ],
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        "fits loss, pain, dead ends, or lasting unchangeable realities",
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      ],
      "comparisonAxes": [
        {
          "label": "Primary question",
          "current": "What do I have to accept as an unchangeable fact?",
          "candidates": {
            "turning-the-mind": "How do I turn myself back toward acceptance now?",
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          }
        },
        {
          "label": "Typical starting point",
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          }
        }
      ],
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        "turning-the-mind",
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      "learningPathTitle": "Explore and apply",
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        "exercise-middle-path-calendar",
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        "dbt-diary",
        "improving-the-moment"
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        {
          "nodeId": "validation",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
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        {
          "nodeId": "dbt-diary",
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      ],
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          "situationId": "trauer-verlust",
          "label": "Grief or loss",
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        },
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        }
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    },
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        "Clear Mind",
        "Klarer Geist"
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      "applicationContext": "If, after initial successes, periods of abstinence or relief, there is a risk of trivializing warning signals or feeling too confident.",
      "longDescription": {
        "text": "Clear Mind is DBT's conception of the optimal mental state for recovery from addiction: the synthesis of addict mind and clean mind. Addict mind is ruled by urges and cravings, making no real effort to resist. Clean mind is abstinent but dangerously overconfident — believing the addiction is defeated and dropping vigilance against relapse triggers. Clear mind maintains abstinence while staying aware of the ongoing risk of relapse and actively using relapse prevention strategies. Like Wise Mind in the general DBT framework, Clear Mind holds opposing realities simultaneously: I am currently not using, and I am still at risk. The danger of clean mind — believing the battle is over — is treated as a distinct and serious relapse risk.",
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          {
            "sourceId": "linehan-manual-529p",
            "chapter": 10,
            "section": "XVII",
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        ]
      },
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        "emotion-regulation"
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        {
          "moduleId": "emotion-regulation",
          "contextText": "Inappropriate relaxation after success is itself an emotional state - Clear Mind shows how positive feelings can cloud awareness of risk."
        }
      ],
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        "belastung-vorbereiten",
        "akzeptanz-vs-veraenderung",
        "rueckfall-suchtimpuls"
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        "dbt-diary"
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      "comparisonTitle": "Abstinence, awareness and environment",
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        "dialectical-abstinence",
        "community-reinforcement"
      ],
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      "learningPathTitle": "Explore and apply",
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        "community-reinforcement",
        "dbt-diary"
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      ]
    }
  ],
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        "Daily Practices for Emotional Health",
        "Tägliche Praxis für emotionale Gesundheit"
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      ],
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      "priorityLabel": "More foundational",
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      "applicationContext": "When emotional health depends less on individual interventions and more on regular, small everyday practices.",
      "longDescription": {
        "text": "Daily Practices for Emotional Health is a McKay Workbook framework for building a sustainable daily routine that supports emotional regulation across all skill modules. It integrates mindfulness practice, physical care (exercise, sleep, nutrition), pleasurable activities, mastery activities, and social connection into a coherent daily structure. The premise is identical to DBT's PLEASE skills and ABC framework: emotional health is not achieved in moments of crisis but through the accumulated effect of daily choices that either increase or decrease vulnerability to emotional dysregulation. The framework translates the skills into concrete daily commitments that can be tracked and maintained.",
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          {
            "sourceId": "workbook-mckay-357p",
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        ]
      },
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        "distress-tolerance",
        "emotion-regulation",
        "interpersonal"
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      "moduleBridgeContexts": [
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          "moduleId": "mindfulness",
          "contextText": "Daily micro-practices for emotional health often begin with mindfulness - this overview shows which routines have mindfulness as their quiet foundation."
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        {
          "moduleId": "distress-tolerance",
          "contextText": "Daily stabilizing practices are the long-term counterpart to acute crisis intervention - they reduce the frequency and intensity of crises."
        },
        {
          "moduleId": "emotion-regulation",
          "contextText": "Maintaining emotional health in everyday life is the theme of the ABC PLEASE block - daily practices for emotional health are emotion regulation as a way of life."
        },
        {
          "moduleId": "interpersonal",
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      ],
      "relatedIds": [
        "abc-please-skills"
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      "situations": [
        "belastung-vorbereiten"
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        "dbt-diary",
        "exposure-based-cognitive-rehearsal",
        "mindfulness-how-skills",
        "wise-mind"
      ],
      "comparisonDescription": "Daily practice brings several tasks together: the DBT diary records skill use, and cognitive rehearsal prepares responses to difficult situations. The How skills describe the mindful attitude; Wise Mind integrates emotion and reason.",
      "learningPathType": "cross-module-transfer",
      "learningPathTitle": "Explore and apply",
      "learningPathDescription": "These nodes deliberately lead into a second DBT module space when the current content must be carried across modules.",
      "learningPathNodeIds": [
        "abc-please-skills",
        "mindfulness-how-skills",
        "wise-mind",
        "dbt-diary",
        "exposure-based-cognitive-rehearsal"
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      "learningPathSteps": [
        {
          "nodeId": "abc-please-skills",
          "label": "Open the structure behind it",
          "description": "This connection opens the higher-level structure in which the current node is embedded.",
          "pathType": "cross-module-transfer"
        },
        {
          "nodeId": "mindfulness-how-skills",
          "label": "Open the structure behind it",
          "description": "This connection opens the higher-level structure in which the current node is embedded.",
          "pathType": "cross-module-transfer"
        },
        {
          "nodeId": "wise-mind",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
          "pathType": "cross-module-transfer"
        },
        {
          "nodeId": "dbt-diary",
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          "description": "This connection translates the current knowledge into a directly usable tool or protocol.",
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        {
          "nodeId": "exposure-based-cognitive-rehearsal",
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          "pathType": "cross-module-transfer"
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      ],
      "situationLinks": [
        {
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          "isPreferred": true
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    {
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      "type": "tool",
      "title": "Chain Analysis",
      "searchAliases": [
        "Chain Analysis",
        "Verhaltenskettenanalyse"
      ],
      "description": "Behavioral analysis · Behavior chain · Behavior sequence analysis",
      "priorityRank": 23,
      "priorityLabel": "More foundational",
      "priorityDescription": "This node is more about preparation, stabilization, or later deepening around orientation and understanding.",
      "cardPreview": "If you want to understand a problematic pattern step by step backwards.",
      "purpose": "Make problematic behavior or an escalation understandable in its concrete sequence of steps so that triggers, vulnerabilities, decisions and consequences become visible.",
      "applicationContext": "When a relapse, conflict, impulsive behavior or other problematic course not only needs to be evaluated, but also needs to be understood in its actual origins.",
      "longDescription": {
        "text": "Chain Analysis is the core behavioral assessment tool in DBT: a structured series of questions that traces the chain of events leading to and following a problem behavior, link by link. Any behavior can be understood as a series of connected components — vulnerability factors, prompting events, internal responses, behavioral links, and consequences — and identifying these components is the first step in finding where the chain can be broken. Chain Analysis is used repeatedly in DBT because patterns only become visible across multiple analyses: what looks like a single impulsive act usually reveals a predictable sequence when examined carefully. The purpose is not blame but understanding — changing behavior requires knowing what actually causes it.",
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          {
            "sourceId": "linehan-manual-529p",
            "chapter": 6,
            "section": "VI",
            "page": 144
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        ]
      },
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      "situationsSource": "explicit",
      "skillComplexity": "core",
      "interventionMode": "cognitive",
      "evidenceLevel": "clinical_consensus",
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        "emotion-regulation",
        "interpersonal"
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        {
          "moduleId": "distress-tolerance",
          "contextText": "Crisis behavior does not arise out of nowhere - a chain analysis makes the sequence of steps that led into escalation visible and shows where distress-tolerance skills could have helped."
        },
        {
          "moduleId": "emotion-regulation",
          "contextText": "Emotional escalations are chains of triggers, appraisals, and impulses - chain analysis is the most important tool for retrospective emotion regulation."
        },
        {
          "moduleId": "interpersonal",
          "contextText": "Many interpersonal crises follow a repeatable pattern - chain analysis makes that pattern visible and shows where different communication strategies could have intervened."
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      ],
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        "wise-mind",
        "give",
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        "opposite-action",
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        "validation"
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        "orientierung-verstehen",
        "eskalation-verstehen"
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        "dbt-diary"
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        "missing-links-analysis",
        "dear-man",
        "problem-solving"
      ],
      "comparisonDescription": "Chain analysis examines how problem behaviour occurred; missing-links analysis asks why helpful behaviour did not occur. DEAR MAN and problem solving offer further approaches to communication problems and changeable situations, depending on what the analysis reveals.",
      "learningPathType": "analysis-to-change",
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          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
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        {
          "nodeId": "dbt-diary",
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        },
        {
          "nodeId": "opposite-action",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
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        },
        {
          "nodeId": "check-the-facts",
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          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
          "pathType": "analysis-to-change"
        },
        {
          "nodeId": "wise-mind",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
          "pathType": "analysis-to-change"
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        {
          "nodeId": "dear-man",
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        "text": "Clear Mind is DBT's conception of the optimal mental state for recovery from addiction: the synthesis of addict mind and clean mind. Addict mind is ruled by urges and cravings, making no real effort to resist. Clean mind is abstinent but dangerously overconfident — believing the addiction is defeated and dropping vigilance against relapse triggers. Clear mind maintains abstinence while staying aware of the ongoing risk of relapse and actively using relapse prevention strategies. Like Wise Mind in the general DBT framework, Clear Mind holds opposing realities simultaneously: I am currently not using, and I am still at risk. The danger of clean mind — believing the battle is over — is treated as a distinct and serious relapse risk.",
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          "situationId": "rueckfall-suchtimpuls",
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        "text": "Radical acceptance is complete and total openness to the facts of reality as they are — accepting with mind, body, and spirit, not just intellectually. It is not approval, not passivity, and not giving up. It is the recognition that reality is what it is, that it has causes, and that refusing to accept it does not change it — it only adds suffering on top of pain. Linehan distinguishes pain from suffering: pain is unavoidable; suffering is pain plus non-acceptance. Rejection of reality may temporarily feel like resistance or control, but it prevents clear problem-solving, sustains avoidance, and amplifies emotional reactivity. Radical acceptance requires accepting facts — not distortions, exaggerations, or judgments — and it often brings a wave of sadness before a sense of liberation. That sadness is part of the process, not a sign that acceptance has failed. Acceptance does not come once; it must often be renewed repeatedly, which is the work of Turning the Mind.",
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            "sourceId": "linehan-manual-529p",
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            "section": "XI",
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        "Emotionsregulation"
      ],
      "description": "Theoretical foundation · Regulation capacity · Emotion regulation capacity",
      "priorityRank": 23,
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      "priorityDescription": "This node is more about preparation, stabilization, or later deepening around orientation and understanding.",
      "cardPreview": "If you first have to understand how emotions change and where you can intervene.",
      "purpose": "Organize the regulatory space of emotions so that it becomes understandable how emotions arise, are maintained and can be influenced at different points.",
      "applicationContext": "When emotional reactions seem too violent, too long-lasting or difficult to control and a structuring classification is needed first.",
      "longDescription": {
        "text": "Emotion Regulation in DBT is not about eliminating emotions but about increasing the ability to influence them — to reduce their frequency when unwanted, decrease their intensity, shorten their duration, and reduce suffering caused by their secondary effects. The module begins with understanding: emotions have functions (motivating action, communicating to self and others) and are complex full-system responses involving biology, cognition, behavior, and expression. Changing any part of the system can change the whole. The practical skills fall into two broad categories: changing unwanted emotions through Check the Facts, Opposite Action, and Problem Solving; and building resilience through the ABC PLEASE skills that reduce biological vulnerability and increase positive experience over time.",
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          {
            "sourceId": "linehan-manual-529p",
            "chapter": 9,
            "section": "I",
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          }
        ]
      },
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      "sourceAuthorityWeight": "high",
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      "sourceAudienceFit": "Professional",
      "sourceNote": "Linehan Manual · Chapter 1",
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      "situationsSource": "explicit",
      "skillComplexity": "core",
      "interventionMode": "cognitive",
      "evidenceLevel": "clinical_consensus",
      "foundationalCategory": "understanding",
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        "mindfulness",
        "distress-tolerance",
        "interpersonal"
      ],
      "moduleBridgeContexts": [
        {
          "moduleId": "mindfulness",
          "contextText": "Emotional dysregulation often begins with a lack of awareness - mindfulness is the prerequisite for recognizing and naming emotional patterns at all."
        },
        {
          "moduleId": "distress-tolerance",
          "contextText": "When emotion regulation does not work or works too slowly, crisis skills take over - distress tolerance is the emergency backup for moments when regulation is not yet accessible."
        },
        {
          "moduleId": "interpersonal",
          "contextText": "Unregulated emotions are the most common reason interpersonal attempts fail - emotion regulation is the quiet prerequisite for effective communication."
        }
      ],
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      ],
      "practiceNodeIds": [
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      ],
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        "emotionsdysregulation"
      ],
      "comparisonDescription": "Emotion regulation describes the ability to influence emotions. Emotion dysregulation describes difficulties with this. Biosocial theory explains how emotional vulnerability and an invalidating environment interact in the development of these difficulties.",
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      "learningPathTitle": "Explore and apply",
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      ]
    },
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      "id": "daily-practices-for-emotional-health",
      "type": "protocol",
      "title": "Daily Practices for Emotional Health",
      "searchAliases": [
        "Daily Practices for Emotional Health",
        "Tägliche Praxis für emotionale Gesundheit"
      ],
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          "placement": "next",
          "reason": "To keep track of daily skill use, record your practice across the week in the DBT diary.",
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      ],
      "description": "Skill integration · Daily practice · Daily skill maintenance",
      "priorityRank": 21,
      "priorityLabel": "More foundational",
      "priorityDescription": "This node is more about preparation, stabilization, or later deepening around prepare for stress.",
      "cardPreview": "If you want to embed skills as a daily nursing practice rather than just a crisis response.",
      "purpose": "Make daily micro-practices for emotional health visible so that stabilization is anchored not just in crises, but in routine and self-care.",
      "applicationContext": "When emotional health depends less on individual interventions and more on regular, small everyday practices.",
      "longDescription": {
        "text": "Daily Practices for Emotional Health is a McKay Workbook framework for building a sustainable daily routine that supports emotional regulation across all skill modules. It integrates mindfulness practice, physical care (exercise, sleep, nutrition), pleasurable activities, mastery activities, and social connection into a coherent daily structure. The premise is identical to DBT's PLEASE skills and ABC framework: emotional health is not achieved in moments of crisis but through the accumulated effect of daily choices that either increase or decrease vulnerability to emotional dysregulation. The framework translates the skills into concrete daily commitments that can be tracked and maintained.",
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          {
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        ]
      },
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          "moduleId": "mindfulness",
          "contextText": "Daily micro-practices for emotional health often begin with mindfulness - this overview shows which routines have mindfulness as their quiet foundation."
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        {
          "moduleId": "distress-tolerance",
          "contextText": "Daily stabilizing practices are the long-term counterpart to acute crisis intervention - they reduce the frequency and intensity of crises."
        },
        {
          "moduleId": "emotion-regulation",
          "contextText": "Maintaining emotional health in everyday life is the theme of the ABC PLEASE block - daily practices for emotional health are emotion regulation as a way of life."
        },
        {
          "moduleId": "interpersonal",
          "contextText": "Many everyday practices for emotional health are interpersonal - tending relationships, seeking connection, using social routine as a source of stabilization."
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      ],
      "relatedIds": [
        "abc-please-skills"
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      "comparisonTitle": "Observing, understanding and practising",
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        "dbt-diary",
        "exposure-based-cognitive-rehearsal",
        "mindfulness-how-skills",
        "wise-mind"
      ],
      "comparisonDescription": "Daily practice brings several tasks together: the DBT diary records skill use, and cognitive rehearsal prepares responses to difficult situations. The How skills describe the mindful attitude; Wise Mind integrates emotion and reason.",
      "learningPathType": "cross-module-transfer",
      "learningPathTitle": "Explore and apply",
      "learningPathDescription": "These nodes deliberately lead into a second DBT module space when the current content must be carried across modules.",
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        "abc-please-skills",
        "mindfulness-how-skills",
        "wise-mind",
        "dbt-diary",
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        {
          "nodeId": "abc-please-skills",
          "label": "Open the structure behind it",
          "description": "This connection opens the higher-level structure in which the current node is embedded.",
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        },
        {
          "nodeId": "mindfulness-how-skills",
          "label": "Open the structure behind it",
          "description": "This connection opens the higher-level structure in which the current node is embedded.",
          "pathType": "cross-module-transfer"
        },
        {
          "nodeId": "wise-mind",
          "label": "Move directly into application",
          "description": "This connection leads from conceptual knowledge into a more concrete practical application.",
          "pathType": "cross-module-transfer"
        },
        {
          "nodeId": "dbt-diary",
          "label": "Continue with a tool",
          "description": "This connection translates the current knowledge into a directly usable tool or protocol.",
          "pathType": "cross-module-transfer"
        },
        {
          "nodeId": "exposure-based-cognitive-rehearsal",
          "label": "Continue with a tool",
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          "pathType": "cross-module-transfer"
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      ],
      "situationLinks": [
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      "impulse": "Understand first before acting, gather information or ask questions, pause and wait, get confirmation from others, ponder or analyze excessively",
      "intensityNotes": "Can range from a short orientation break to a longer clarification phase. Risk: analysis lameness or endless weighing. Helpful if a hasty action would cause more damage than stopping.",
      "longDescription": {
        "text": "The orientation situation applies when the primary need is not skill application but understanding — grasping what DBT is, how its components fit together, and why a particular module is clinically relevant. This distinguishes it clearly from all skill-application situations. Relevant skill categories are mindfulness at a meta-level, psychoeducation-facing skills (understanding the biosocial model, function of emotions, validation), and the DBT framework itself. A key clinical mistake is rushing past orientation toward skill application, which produces superficial skill use disconnected from the underlying rationale. Clinicians and clients who understand why a skill exists — not just what to do — demonstrate better generalization and more creative adaptation to new situations."
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        {
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          "relationRole": "orient"
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        {
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          "relationRole": "understand"
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          "conceptId": "skills-training-program-design",
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        {
          "conceptId": "skills-training-session-structure",
          "relationRole": "orient"
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        {
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          "relationRole": "orient"
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        {
          "conceptId": "strategies-in-skills-training",
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          "conceptId": "general-skills-orientation-and-behavior-analysis",
          "relationRole": "orient"
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          "relationRole": "understand"
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          "conceptId": "linehan-manual-structure",
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          "relationRole": "understand"
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        {
          "conceptId": "dbt-diary",
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          "relationRole": "orient"
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        {
          "conceptId": "question-what-is-the-difference-between-these-skills",
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        {
          "conceptId": "question-what-belongs-to-this-bundle",
          "relationRole": "orient"
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          "conceptId": "question-how-do-i-change-an-unwanted-emotion",
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          "conceptId": "exercise-getting-from-values-to-specific-action-steps",
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        {
          "conceptId": "beginners-mind",
          "relationRole": "orient"
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      "isDraft": false,
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      "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."
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          "conceptId": "ending-relationships",
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          "conceptId": "exposure-based-cognitive-rehearsal",
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          "conceptId": "abc-please-skills",
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          "conceptId": "clear-mind",
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          "conceptId": "daily-mindfulness-regimen",
          "relationRole": "prepare"
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          "conceptId": "weekly-regulator",
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        {
          "conceptId": "question-what-helps-now-vs-long-term",
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          "conceptId": "exercise-problem-solving-worksheet",
          "relationRole": "prepare"
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        {
          "conceptId": "exercise-build-mastery-and-cope-ahead-worksheet",
          "relationRole": "prepare"
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        {
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        {
          "conceptId": "exercise-getting-from-values-to-specific-action-steps",
          "relationRole": "prepare"
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        {
          "conceptId": "cognitive-vulnerability",
          "relationRole": "orient"
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        {
          "conceptId": "dbt-diary",
          "relationRole": "prepare"
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        {
          "conceptId": "problem-solving",
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          "conceptId": "sleep-hygiene",
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      "bodySensation": "Exhaustion after the event, pressure in the head, agitation when revisiting it, a mix of shame, anger, or confusion, strong need to make sense of it",
      "impulse": "Replay the scene, look for blame, oversimplify, defend yourself, avoid the details, or try to pinpoint where it tipped",
      "intensityNotes": "The point is not self-punishment but accurate understanding. Good analysis separates triggers, vulnerability factors, chain links, and the place where an effective alternative was missing.",
      "longDescription": {
        "text": "Looking back at an escalation in DBT is not an exercise in blame but in behavior analysis. In the manual, chain analysis follows a clear order: describe the problem behavior, identify the prompting event, name the vulnerability factors already present, reconstruct the links in as much detail as possible, and only then examine the consequences. Change work then adds replacement behaviors, prevention plans, and repair of important consequences. Missing-links analysis deepens the exact place where an effective step was absent. The clinically important stance is curious, exact, and nonpunitive. The most frequent error is focusing only on the dramatic endpoint and missing the smaller chain moments where a different outcome was still possible."
      },
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          "conceptId": "wise-mind",
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