"Distress tolerance skills include distraction, ways to self-soothe, and learning to ""bear the moment"" through the use of ""core mindfulness"" skills such as relaxation training, meditation, prayer or whatever technique the client feels drawn to and is likely to use. Skills to increase interpersonal effectiveness include deciding on goals, practicing assertion training and limit setting, modeling, and role playing. Emotional regulation skills involve learning how to identify and label affect by becoming more aware of body cues, reducing vulnerability to hyper-emotionality through the use of stress reduction techniques, increasing the frequency of positive emotional events, and developing an ability to experience emotion without judging, rejecting, or fearing a loss of control.  When everyone in the group has been able to eliminate suicidal ideation and self-injury, the therapist then moves on to other behaviors that interfere with therapy,  including things like coming late or missing sessions, not paying in timely fashion, etc."
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