Land of OZ

Support for People Affected by BPD

Coping Skills & Strategies

Developing healthy coping skills is essential for managing emotions and maintaining well-being. Here are evidence-based strategies that can help both people with BPD and their loved ones.

Crisis Management

STOP Skill

  • Stop what you're doing
  • Take a step back
  • Observe your emotions
  • Proceed mindfully

PLEASE Skill

  • Treat Physical iLlness
  • Eat balanced meals
  • Avoid mood-altering substances
  • Sleep well
  • Exercise regularly

Emotional Regulation

Temperature Change

  • Cold water on face
  • Ice pack on eyes
  • Cold shower
  • Activates diving response

Intense Exercise

  • Running
  • Fast walking
  • Jump rope
  • Swimming

Mindfulness Techniques

Observe

  • Notice without reacting
  • Use your senses
  • Watch your breath

Describe

  • Put words to experience
  • Stick to facts
  • Avoid judgments

Participate

  • Engage fully
  • Be in the moment
  • Act intuitively

Distress Tolerance Skills

ACCEPTS Strategy

  • Activities - Engage in hobbies
  • Contributing - Help others
  • Comparisons - Perspective taking
  • Emotions - Create different ones
  • Pushing away - Temporary distance
  • Thoughts - Focus elsewhere
  • Sensations - Safe physical feelings

Self-Soothing

  • Vision: Look at beautiful things
  • Hearing: Listen to calming sounds
  • Smell: Use pleasant scents
  • Taste: Enjoy favorite foods mindfully
  • Touch: Wear comfortable clothes

Interpersonal Effectiveness

DEAR MAN Technique

  • Describe the situation
  • Express your feelings
  • Assert your wishes
  • Reinforce positive outcomes
  • Mindful of the goal
  • Appear confident
  • Negotiate when needed

Daily Practice

  • • Morning mindfulness
  • • Emotion tracking
  • • Gratitude journal
  • • Evening reflection

Emergency Kit

  • • Crisis phone numbers
  • • Comfort objects
  • • Coping cards
  • • Safety plan

Support Network

  • • Therapist contact
  • • Trusted friends
  • • Support group
  • • Family members

Create Your Plan

Download our worksheet to create your personalized coping plan: