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NICABM – How to Help Clients Develop Tolerance for Emotional Distress

How to Help Your Client Build Their Tolerance for Distress (with Practical Skills They Can Use in Real Time).

Emotional distress – it’s messy, it’s painful, even overwhelming. Most of us will do anything to just not feel it. But here’s the thing . . .

When a client can’t tolerate difficult emotions, it can cost them dearly.

It can trap them in fear and loneliness. It can wreak havoc on their most precious relationships. And it can lead them to “numb out” and try to escape the pain through substance abuse, binge-eating, excessive sleeping, and even self-harm.

Not only that, but when a crisis hits, the inability to tolerate painful emotions can send your client spiraling even further into avoidant behaviors that only ramp up their distress.

But how do you “sell” clients on the idea that usually, the way out of distress is through it?

And beyond that, how do you help them lean in to the experience of distress so they can learn to tolerate it – instead of relying on harmful coping strategies that only make their lives worse?

We turned to 21 of the world’s top experts to hear how they work with clients to help them develop greater distress tolerance. Here are their best strategies that you can start using with your clients today.

Expert Strategies to Help Clients Develop Tolerance for Emotional Distress

Understanding Difficult Emotions at the Level of the Nervous System

Christine Padesky, PhD Deb Dana, LCSW
Rick Hanson, PhD Janina Fisher, PhD

What’s Going On In the Nervous System When Your Client Seems Unable to Tolerate Distress
Two Common Missteps in Working with Hypoarousal (and How to Avoid Them)

Expert Strategies to Help Clients Build Distress Tolerance in the Aftermath of Trauma

Christine Padesky, PhD Ron Siegel, PsyD
Janina Fisher, PhD Laurel Parnell, PhD

Three Priorities When Helping Traumatized Clients Learn to Tolerate Distress – and How to Achieve Them
The Counterintuitive First Step to Building Distress Tolerance After Trauma
Three Strategies to Help Your Client Regain a Sense of Control After Trauma

How to Help Clients Tolerate What Feels Intolerable (and Why This Critical Skill Is Key for Healing)

Peter Levine, PhD Shelly Harrell, PhD Kelly Wilson, PhD
Christine Padesky, PhD Ron Siegel, PsyD Miguel Gallardo, PsyD
Deany Laliotis, LICSW Charles Ridley, PhD

The Go-To Strategy Many Clients Use to Manage Distress (and What It’s Costing Them)
Four Specific Factors That Can Transform Your Client’s Ability to Tolerate Distress
A 2-Step Approach to Help Your Client Cultivate Resilience

How to “Sell” Clients on the Benefits of Tolerating Distress (When It’s the Last Thing They Want to Feel)

Shelly Harrell, PhD Miguel Gallardo, PsyD
Bill O’Hanlon, LMFT Ron Siegel, PsyD Christine Padesky, PhD

The Four Specific Costs of Avoiding Distress
One Idea That Can Challenge Your Client’s Impulse to Avoid Feeling Distress
Key Questions to Help Clients Connect to a Different Future and Spur Life-Changing Action

How to Help Clients Recognize Whether They’re Experiencing Stress or Distress (and Why This Distinction Can Be So Important)

Kelly Wilson, PhD Michael Yapko, PhD
Rick Hanson, PhD Joan Borysenko, PhD Ron Siegel, PsyD

What We Really Mean When We Talk About “Healthy Stress”
Two Cognitive Skills That Can Be Critical for Building Distress Tolerance
The Crucial Link Between Decision-Making and Distress Tolerance (and How to Frame It for Your Client)

How to Create a Personalized Plan to Boost Your Client’s Distress Tolerance Skills

Christopher Willard, PsyD Zindel Segal, PhD Shelly Harrell, PhD
Ron Siegel, PsyD Bill O’Hanlon, LMFT
Christine Padesky, PhD Rick Hanson, PhD

One Way to Shift Your Client Out of a Hyper-Focus on Their Distress
A 4-Step Exercise to Help Your Client Break Down Exactly What They’re Feeling When Distress Takes Over
Specific Grounding and Anchoring Skills Clients Can Use to Pull Themselves Out of Emotional Distress
Contraindications for Using Grounding Strategies

How to Grow Your Client’s Capacity to Manage Distress

Peter Levine, PhD Joan Borysenko, PhD Bonnie Goldstein, PhD

Three “Containment” Exercises to Help Your Client Build Endurance in the Face of Distress
How to Help Your Client Create Strategies They Can Use to Ease Distress (Even Outside of Sessions)
Two Ways to Help Clients Develop Tools to Self-Regulate

How to Help Clients Co-Regulate to Dial Down Distress That’s Wreaking Havoc on Their Relationships

Ron Siegel, PsyD Christine Padesky, PhD Stan Tatkin, PsyD, MFT

How an Overreliance on This One Specific Habit Can Cause Relationship Problems
A 3-Step Approach to Help Your Client Shift into Co-Regulation (and Why This Shift Is So Essential)
Two Experiential Approaches to Help Couples Learn to Work Through Distress Together

Creative Interventions to Transform Your Client’s Ability to Tolerate Distress

Joan Borysenko, PhD Christine Padesky, PhD
Ron Siegel, PsyD Lynn Lyons, LICSW

An Incremental Approach to Help Clients Use Imagery to Relieve Distress
One Powerful (But Often Overlooked) Resource That Can Boost Your Client’s Distress Tolerance Skills
Two Ways to Help Your Client Recognize Their Distress Is Temporary (Even When It Might Not Feel That Way)

Here’s What You’ll Get:

Everything is yours to keep forever in your professional library

–	Downloadable videos so you can watch at your convenience, on any device
–	Audio recordings you can download and listen to at home, in the car, at the gym or wherever you like
–	TalkBack Segments to distill key ideas (this is where we “land” the session)
–	Next Week in Your Practice sessions to give you concrete strategies to use with clients
–	Professionally-formatted transcripts of the sessions, to make review and action simple
–	Five downloadable bonus videos to help clients develop tolerance for emotional distress

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NICABM – How to Help Clients Develop Tolerance for Emotional Distress

Unlock Your Potential with the NICABM – How to Help Clients Develop Tolerance for Emotional Distress Course on CoursesGB.

NICABM – How to Help Clients Develop Tolerance for Emotional Distress

How to Help Your Client Build Their Tolerance for Distress (with Practical Skills They Can Use in Real Time).

Expert Strategies to Help Clients Develop Tolerance for Emotional Distress

Understanding Difficult Emotions at the Level of the Nervous System

Christine Padesky, PhD Deb Dana, LCSW Rick Hanson, PhD Janina Fisher, PhD

Expert Strategies to Help Clients Build Distress Tolerance in the Aftermath of Trauma

Christine Padesky, PhD Ron Siegel, PsyD Janina Fisher, PhD Laurel Parnell, PhD

How to Help Clients Tolerate What Feels Intolerable (and Why This Critical Skill Is Key for Healing)

Peter Levine, PhD Shelly Harrell, PhD Kelly Wilson, PhD Christine Padesky, PhD Ron Siegel, PsyD Miguel Gallardo, PsyD Deany Laliotis, LICSW Charles Ridley, PhD

How to “Sell” Clients on the Benefits of Tolerating Distress (When It’s the Last Thing They Want to Feel)

Shelly Harrell, PhD Miguel Gallardo, PsyD Bill O’Hanlon, LMFT Ron Siegel, PsyD Christine Padesky, PhD

How to Help Clients Recognize Whether They’re Experiencing Stress or Distress (and Why This Distinction Can Be So Important)

Kelly Wilson, PhD Michael Yapko, PhD Rick Hanson, PhD Joan Borysenko, PhD Ron Siegel, PsyD

How to Create a Personalized Plan to Boost Your Client’s Distress Tolerance Skills

Christopher Willard, PsyD Zindel Segal, PhD Shelly Harrell, PhD Ron Siegel, PsyD Bill O’Hanlon, LMFT Christine Padesky, PhD Rick Hanson, PhD

How to Grow Your Client’s Capacity to Manage Distress

Peter Levine, PhD Joan Borysenko, PhD Bonnie Goldstein, PhD

How to Help Clients Co-Regulate to Dial Down Distress That’s Wreaking Havoc on Their Relationships

Ron Siegel, PsyD Christine Padesky, PhD Stan Tatkin, PsyD, MFT

Creative Interventions to Transform Your Client’s Ability to Tolerate Distress

Joan Borysenko, PhD Christine Padesky, PhD Ron Siegel, PsyD Lynn Lyons, LICSW

Here’s What You’ll Get:

Everything is yours to keep forever in your professional library

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Christine Padesky, PhD Deb Dana, LCSW
Rick Hanson, PhD Janina Fisher, PhD

Christine Padesky, PhD Ron Siegel, PsyD
Janina Fisher, PhD Laurel Parnell, PhD

Peter Levine, PhD Shelly Harrell, PhD Kelly Wilson, PhD
Christine Padesky, PhD Ron Siegel, PsyD Miguel Gallardo, PsyD
Deany Laliotis, LICSW Charles Ridley, PhD

Shelly Harrell, PhD Miguel Gallardo, PsyD
Bill O’Hanlon, LMFT Ron Siegel, PsyD Christine Padesky, PhD

Kelly Wilson, PhD Michael Yapko, PhD
Rick Hanson, PhD Joan Borysenko, PhD Ron Siegel, PsyD

Christopher Willard, PsyD Zindel Segal, PhD Shelly Harrell, PhD
Ron Siegel, PsyD Bill O’Hanlon, LMFT
Christine Padesky, PhD Rick Hanson, PhD

Joan Borysenko, PhD Christine Padesky, PhD
Ron Siegel, PsyD Lynn Lyons, LICSW