Focus onOne Thingat a Time(IMPROVE)Self-Soothewith theFiveSensesImprove theMoment withPrayer orMeditationEncouragement,Affirmations, orCheerleadingStatements(IMPROVE theMoment)SquareBreathing Turningyour Mind  DistractwithActivities Create a SafeSpace in yourimagination(IMPROVEthe Moment)ProgressiveMuscleRelaxation(TIPP)Snuggle witha pet orfavoriteblanket(Self-Soothe)Temperature(TIPP)Comparisons -thinking of a timeyou’ve tolerated asimilar situationor emotion(ACCEPTS)Journal,draw, color(ACCEPTS)Take a briefvacation, break,self-compassionbreak(IMPROVE theMoment)WillingnessIntense,BriefExercise(TIPP)Half-Smile(RadicalAcceptance)Count toTen(ACCEPTS) DistractwithThoughts Distractwith acts ofcontributingDistract witha puzzle,word search,crossword,sudokuActivities that illicit(opposite) emotions –Ex: watching acomedy movie whenfeeling down,listening to an upbeatsong (ACCEPTS)Read aBook(ACCEPTS) Listen to aMindfulnessExercise(ACCEPTS) PracticeRadicalAcceptance Use PhysicalSensationsto GroundYourself(ACCEPTS) PacedBreathing(TIPP)  List thePros andCons Play "I spy..."(Self-Soothewith 5Senses)Focus onOne Thingat a Time(IMPROVE)Self-Soothewith theFiveSensesImprove theMoment withPrayer orMeditationEncouragement,Affirmations, orCheerleadingStatements(IMPROVE theMoment)SquareBreathing Turningyour Mind  DistractwithActivities Create a SafeSpace in yourimagination(IMPROVEthe Moment)ProgressiveMuscleRelaxation(TIPP)Snuggle witha pet orfavoriteblanket(Self-Soothe)Temperature(TIPP)Comparisons -thinking of a timeyou’ve tolerated asimilar situationor emotion(ACCEPTS)Journal,draw, color(ACCEPTS)Take a briefvacation, break,self-compassionbreak(IMPROVE theMoment)WillingnessIntense,BriefExercise(TIPP)Half-Smile(RadicalAcceptance)Count toTen(ACCEPTS) DistractwithThoughts Distractwith acts ofcontributingDistract witha puzzle,word search,crossword,sudokuActivities that illicit(opposite) emotions –Ex: watching acomedy movie whenfeeling down,listening to an upbeatsong (ACCEPTS)Read aBook(ACCEPTS) Listen to aMindfulnessExercise(ACCEPTS) PracticeRadicalAcceptance Use PhysicalSensationsto GroundYourself(ACCEPTS) PacedBreathing(TIPP)  List thePros andCons Play "I spy..."(Self-Soothewith 5Senses)

Distress Tolerance Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Focus on One Thing at a Time (IMPROVE)
  2. Self-Soothe with the Five Senses
  3. Improve the Moment with Prayer or Meditation
  4. Encouragement, Affirmations, or Cheerleading Statements (IMPROVE the Moment)
  5. Square Breathing
  6. Turning your Mind
  7. Distract with Activities
  8. Create a Safe Space in your imagination (IMPROVE the Moment)
  9. Progressive Muscle Relaxation (TIPP)
  10. Snuggle with a pet or favorite blanket (Self-Soothe)
  11. Temperature (TIPP)
  12. Comparisons - thinking of a time you’ve tolerated a similar situation or emotion (ACCEPTS)
  13. Journal, draw, color (ACCEPTS)
  14. Take a brief vacation, break, self-compassion break (IMPROVE the Moment)
  15. Willingness
  16. Intense, Brief Exercise (TIPP)
  17. Half-Smile (Radical Acceptance)
  18. Count to Ten (ACCEPTS)
  19. Distract with Thoughts
  20. Distract with acts of contributing
  21. Distract with a puzzle, word search, crossword, sudoku
  22. Activities that illicit (opposite) emotions – Ex: watching a comedy movie when feeling down, listening to an upbeat song (ACCEPTS)
  23. Read a Book (ACCEPTS)
  24. Listen to a Mindfulness Exercise (ACCEPTS)
  25. Practice Radical Acceptance
  26. Use Physical Sensations to Ground Yourself (ACCEPTS)
  27. Paced Breathing (TIPP)
  28. List the Pros and Cons
  29. Play "I spy..." (Self-Soothe with 5 Senses)