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

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