DBT Tools
DBT Tools
DBT Tools
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Dear Friends
We made this card game in recognition of the stress and pain that are inevita-
ble parts of life. In light of COVID-19, the therapeutic skills taught in The Game
are that much more critical.
If you’re able to purchase the download, please do. If you are not, please enjoy
The Game anyway and share our Kickstarter with members of your community.
https://www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
The Game
Life is hard. Conflict with loved ones, managing money, existential angst,
climate change - we all have plenty of reasons to feel stressed out. Luckily,
there are skills available that can help us stay present and manage these
problems effectively.
The Game of Real Life is a fun way to cultivate these life living skills. The game
is based on the principles of Dialectical Behavior Therapy (DBT). The goal of
DBT is to help us live in the moment, cope healthily with stress, regulate our
emotions, and improve our relationships.
In playing the game, we hope that these DBT skills will help you find wise and
healthy ways to navigate life, through the good and the bad.
page 1
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
How to Pay
3 to 6 players, ges 14 and up
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
The Wise Mind takes a Conflict Card from the top of the deck and reads the
Conflict out loud. The Wise Mind then places the Conflict Card in front of
all the players to read. The game starts clockwise from the first Wise Mind.
pa scu ate lativ No ss tead r w
Conflict
di ler ipu ds. pre ins ette
infu sion “n ” s hre nge of en
To an wor . Ex ed b
l.
.
It’s been 10 years on this
th op
Pe
e t a
/
be rd en se o ally
h d plishm ke
e
give
Ma
t
it’s the
c
ay t
is getting restless. fi
om
pli e dif
u
o
o
acc ease th
h
c
In
s
te
ge
rp
e
a
incr
on
e
al
one
fe
Ef
u
fe
o
ct
y
ive
ne
ss
Each player picks one Skill card from their hand and has 30 seconds to
persuade the Wise Mind why their Skill Card is most suitable to resolve or
alleviate the Conflict. The Wise Mind has 30 seconds to pick the winning
Skill Card.
The winner takes the Conflict Card and There is no RIGHT or WRONG
gains points towards their Life Goal. Skill for a Conflict. Your job is
to convince the Wise Mind
Each player takes turns being the Wise why your Skill most effective.
Mind, starting counterclockwise from the
first Wise Mind played. page 3
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
About
DBT DBT is an evidence-based treatment
for borderline personality disorder (BPD). Dr.
Marsha Linehan developed DBT in the 1980s, and
the therapy has since been evaluated in
numerous research trials and disseminated
around the world.
Jesse Finkelstein Jesse created and illustrated the game. Jesse is a Doctoral
Student of Clinical Psychology at the Rutgers Graduate School of Applied and
Professional Psychology. He is currently working at DBT-RU as a training
clinician and researcher.
page 4
Dialectical behavior therapy: Skills Quick Sheet
www.talkgood.org
www.dbt.rutgers.edu
i n d f u l n e ss
M
Adapted from DBT Skills Training Manual Second Edition by Marsha Linehan © 2014
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Quiet the mind by observing Notice what you’re experiencing, Participate completely in the
things as they are, without labels feeling, and thinking, e.g. my present moment. Avoid judging
or judgement. Notice your hands are sweating, I feel the activity, like questioning how
environment, feelings, thoughts, sadness, “I can’t do this.” Avoid well you’re participating in the
and bodily sensations without interpreting these thoughts: just task. Become one with the
judging them. Don’t try to change stick with the facts. Describe the activity, completely letting
or push any feelings away. Just who, what, when, and where, yourself go.
observe. that’s all.
One-mindfully is being fully Acting effectively means doing Nonjudgement means being
present in the moment, not lost what works. Know your goals, open to all possibilities. Focus
in the past or thinking about the and what’s necessary to achieve on the “what,” not the “good” or
future. Do one thing at a time. them. Focus on what works, the “bad.” Accept each moment
Notice the desire to be rather than “fair” vs. “unfair.” as the ground accepts both the
somewhere else, and then come This is the situation you’re in, rain and the sun. You’re simply
back to the one thing that’s your not the one you wish you were taking in data and making sense
focus. One thing at a time. in. of the world.
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
D
Mindfulness Mindfulness Interpersonal Effectiveness
Repeat the phrase: May you be Wise Mind is where Emotion Mind Just state the facts. At this point,
happy. May you be at peace. May and Reasonable Mind overlap. In you’re not expressing feelings or
you be healthy. May you be safe. Wise Mind we integrate opposites asking for anything. For example,
Think of a loved one, then a and embrace reality in all of its “I’ve already said no, but you
friend, then an enemy, and then complexity. Breathe in and silently keep asking me again and again.”
the entire world. Lastly, direct ask Wise Mind a question. Breathe Not: “If you actually cared about
this loving-kindness toward out and listen for the answer. me, you would’ve listened to me
yourself. Don’t tell yourself the answer, the first time I said no.”
listen for it.
Express how you feel using “I” Assert by asking for what you Make sure the other person
statements. An “I” statement need or by saying “no” firmly knows what they gain by granting
means you’re taking responsability (depending on the situation). your request. For example, “Let’s
and prevents the other person Speak simply and clearly. For figure out a way that will make
from going on the defensive. For example, “I need your help with you more willing to do what I
example, “I feel uncomfortable this project, can you give me a ask.” Not: “If you don’t do what I
with this conversation.” Not, hand?” Not, “Why are you so want, I’ll never talk to you again.
“Please shut the f*ck up.” useless?” Ever.”
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Stay mindful and focused on the Regardless of how you feel You aren’t demanding anything,
conversation. If the person starts inside, appear confident. Keep you’re ASKING. If the person isn’t
acting defensive, keep the your head up, stand or sit up on board, remember that you
conversation on point. Be a straight, make direct eye have to “give to get.” Maybe
broken record: keep asking for contact, and speak loudly and modify your request to make it
what you want, saying no, or clearly. No stammering, more appealing. Try solving the
expressing your opinion over and whispering or staring at the problem together and asking for
over and over again. floor. their thoughts.
People respond better when Act interested by listening to the other Show that you understand the
they feel loved instead of person and not interrupting. other person’s perspective. Let
attacked. Express anger only them know that you hear what
Convey this interest with words and
with words. No threats and/or they’re saying. Imagine the world
body language: face them, maintain
“manipulative” statements. eye contact, and lean towards them from their point of view. Say
Tolerate a “no” and stay in the rather than away. Don’t interrupt. Ask things like: “I can see that this is
discussion even if/when it’s questions. Use simple phrases like “oh difficult for you,” or “I understand
painful.
really?” or “uh-huh” to validate their why this topic is so important to
experience. you.”
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
E
Interpersonal Effectiveness Interpersonal Effectiveness Interpersonal Effectiveness
A smile and a little humor can go Be fair to yourself and others. Don’t apologize when you
a long way to reduce a tense When you’re fair, you’re not haven’t done anything wrong.
situation. Try softening your using dramatic or judgemental Apologizing can be very
approach instead of using a hard statements. Instead, you’re powerful to heal conflict. But
sell. Don’t make demands, finding the truth in your own you don’t need to apologize for
harass, or nag. Try saying feelings and wishes AS WELL AS having an opinion or for
something nice or offering a the other person’s. disagreeing. Don’t invalidate
compliment. your valid feelings!
Ending Relationships
Interpersonal Effectiveness Interpersonal Effectiveness Interpersonal Effectiveness
Stand up for what you believe in. We often lie when we want to To protect yourself physically and
If you’re not sure, take some avoid an awkward conversation, emotionally you may need to end a
time to determine what you conflict, or feelings of guilt or relationship. Consult Wise Mind, “Is
value. You may want to make a shame. Be honest with yourself it time to end things?” If yes, plan
list of your current values, and and others. Try not to exaggerate ahead for how you’ll end the
future goals. And once you’ve or minimize the situation. relationship. Before leaving a highly
Consider if your words feel true abusive relationship, contact a local
decided, stick to them.
to yourself and the situation. or national domestic hotline
(1-800-799-7233).
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
A
Emotion Regulation Emotion Regulation Emotion Regulation
The more positive experiences Do one thing each day that gives Prepare in advance for a difficult
you have the better shape you’ll you a sense of accomplishment. situation. Describe the difficult
be when sh*t hits the fan. In the It can be a hobby or job. Make situation. Decide the skill that you
short-term do one thing that sure it’s hard enough that you want to use. Imagine the situation
brings you joy each day. In the feel an actual sense of in your mind. Imagine coping
long-term, identify values and accomplishment. Gradually effectively. Imagine the worst
goals that make your life worth increase the difficulty over time. outcome. Practice some
relaxation after all that imagining.
living.
It’s hard to feel good emotionally Slow things down. Check if your When emotions don’t fit the facts
when we feel bad physically. Treat emotions fit the facts of the act opposite. Ask yourself: What’s
Physical iLlness. Eat balanced the emotion I want to change? Do
situation. Ask yourself: “What’s
meals. Avoid mood-altering drugs. the facts fit the emotion? What
Try to get 7-9 hours of Sleep a causing me to feel this way?”
“How am I interpreting this are the opposite actions to this
night. Do some form of Exercise response? Act opposite all the
every day, ideally 20 minutes. cause?” “Am I assuming the
worst?” “What’s the emotion I way. Repeat acting opposite until
you feel differently.
want to change?”
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
How to problem solve: 1) Describe Relax fast by exercising your When emotions are running
the facts. 2) Check the facts. 3) diver’s reflex. Bend over. Dunk high, exercise to release that
Identify your goals. 4) Brainstorm your face in a bowl of cold energy. Run, walk fast, jump, play
potential solutions. 5) Pick a water, or hold a cold pack on basketball, lift weights, dance for
solution that fits your goal. 6) Put your eyes and cheeks. Hold your 20 minutes. Exercise releases
your solution into action. 7) breath for at least 30 seconds. endorphins which help combat
Evaluate the results. Make sure to keep the water negative emotions like anxiety
above 50°F. and sadness.
P
Distress Tolerance Distress Tolerance Distress Tolerance
Breathe deeply into your belly. Breathe deeply into your belly When distress is high try S.T.O.P.
Slow the pace of your inhale and and tense your muscles (not so Stop! Your emotions may cause
exhale (on average, five to six much that you get a cramp). you to act without thinking. Take a
breaths per minute). Breathe While breathing out, say the step back from the situation.
out more slowly than you word “relax” in your mind. Let go Observe what’s going on in your
breathe in (for example, 5 of the tension. Start with your body. Proceed mindfully.
feet and move up your body. Consider your thoughts and
seconds in and 7 seconds out).
feelings, and those of others.
the Game of real life
©
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Tolerate distress until you’re ready to Imagine relaxing scenes. Find Observe that you’re fighting
tackle the problem. Engage in an Meaning in pain. Pray to a reality. Practice accepting the
Activity that keeps you busy. supreme being or your own Wise
Contribute to a cause. Gain
situation with mind, body, and
perspective by Comparing yourself to
Mind. Relax with a hot bath. spirit. Contact the resistance in
others. Evoke the opposite Emotion. Focus attention on One thing. your body. Allow yourself to feel
Push the problem out of your mind. Go on a brief Vacation. With the sadness and grief.
Replace negative Thoughts with an self-Encouragement rethink the Acknowledge that life is worth
activity. Self-soothe with the 5 situation. living even when there’s pain.
Senses.
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Conflicts Page 12
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Conflicts Page 13
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Conflicts Page 14
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
Conflicts Page 15
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life
www.kickstarter.com/projects/thegameofreallife/the-game-of-real-life