TIP Skills

TIP Skills is a DBT distress-tolerance plan and practice record for practitioners helping clients reduce physiological arousal during crisis or intense distress. It helps select body-based TIP components, capture before-and-after arousal or distress ratings, and review whether safer next coping became possible.

DBTPlanSkill practiceIntervention planningCrisis responseCoping

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Tool guide

Learn more about this tool

Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.

Low-Burden Crisis Entry

The client flow should stay brief: select skill, rate before, rate after, and note what happened.

Component Availability

Practitioners can limit available components based on what has been agreed as appropriate; the product does not explain contraindications or make medical decisions.

History

Repeated practice records can show descriptively which components were used and what rating changes were reported.

Does TIP Skills provide medical clearance?

No. The practitioner controls component availability; the product does not provide medical advice or clearance.

Can a client record TIP use after the crisis?

Yes. If crisis use is too urgent for full entry, retrospective recording is supported.

What happens if the after-rating is missing?

The practice record remains incomplete for outcome; notes can still be reviewed.

Does the tool decide the client is safe?

No. It shows reported ratings, selected components, and observations; safety decisions remain outside the automated tool.