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DBT for School Stress

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Lesson Plan

DBT for School Stress

Students will learn and practice foundational Dialectical Behavior Therapy (DBT) skills to identify and manage anxiety and depressive symptoms effectively within the school environment.

Learning to manage anxiety and depressive symptoms is crucial for academic success and overall well-being. DBT strategies provide concrete tools to navigate challenging emotions, improving focus and engagement in school.

Audience

10th Grade Students

Time

30 minutes

Approach

Direct instruction, guided practice, and independent reflection.

Prep

Teacher Preparation

15 minutes

Step 1

Warm-Up: My Mood Meter

5 minutes

  1. Distribute the Warm-Up: My Mood Meter activity.
    2. Instruct students to quickly check-in with their current emotional state without needing to elaborate.
    3. Briefly discuss common feelings experienced at school to normalize the range of emotions.

Step 2

Introduction to DBT for School Stress

5 minutes

  1. Use the DBT for School Stress Slide Deck to introduce the concept of emotional regulation and how DBT skills can help.
    2. Explain that DBT offers practical strategies for managing intense emotions like anxiety and sadness, especially in a school environment.

Step 3

DBT Quick Skills Exploration

10 minutes

  1. Distribute the DBT Quick Skills Handout.
    2. Go through the handout using the DBT for School Stress Slide Deck, explaining each skill (STOP, ACCEPTS, Pros & Cons) with a focus on how it can be used at school.
    3. Provide a brief example for each skill relevant to a school situation (e.g., anxiety before a test, frustration with a group project, feeling overwhelmed by homework).

Step 4

Practice & Application

5 minutes

  1. Ask students to choose one skill from the DBT Quick Skills Handout that resonates most with them.
    2. Encourage them to think about a specific school situation where they could use this skill.
    3. Facilitate a brief, voluntary share-out or ask students to jot down their thoughts privately.

Step 5

Cool-Down: One Thing I'll Try

5 minutes

  1. Distribute the Cool-Down: One Thing I'll Try activity.
    2. Ask students to write down one DBT skill they plan to try or remember the next time they feel anxious or down at school.
    3. Collect the cool-down slips as an exit ticket.
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Slide Deck

Feeling Stressed or Down at School?

We all feel anxious or sad sometimes, especially at school.

Learning to manage these feelings can help you:

  • Focus better in class
  • Feel more confident
  • Enjoy school more

Today, we'll explore some quick and effective skills from something called DBT!

Welcome students and introduce the topic. Emphasize that managing emotions is a life skill and that DBT provides concrete tools. Connect to common school stressors.

What is DBT?

DBT stands for Dialectical Behavior Therapy.

It's a way of learning skills to help you:

  • Understand your emotions
  • Manage intense feelings like anxiety, stress, or sadness
  • Improve your relationships

Think of it as a toolkit for your feelings!

Explain what DBT is simply – a set of skills to help you handle tough emotions, especially when things feel overwhelming. Highlight the 'both/and' concept briefly if it feels appropriate for the group, but focus on practical skills.

Quick Skill 1: S.T.O.P.

Feeling overwhelmed? Need a pause?

Stop: Freeze! Don't react impulsively.
Take a Step Back: Breathe. Observe.
Observe: What's happening inside and outside of you?
Proceed Mindfully: Think about what to do next. What's effective?

Example: Before blurting out an answer or hiding in the bathroom.

Introduce the STOP skill. Go through each letter and provide a brief, school-relevant example. Emphasize that this is for impulsive reactions or when you feel overwhelmed and need a moment.

Quick Skill 2: A.C.C.E.P.T.S.

When emotions are super intense, sometimes you need a distraction.

Activities: Go for a walk, listen to music.
Contributing: Help a friend, do a chore.
Comparisons: How are things better now than before?
Emotions: Do something to create a different emotion (watch a funny video).
Pushing Away: Gently push away disturbing thoughts.
Thoughts: Focus on something else (read, puzzle).
Sensations: Hold an ice cube, take a warm shower.

Example: During a stressful study hall or after a tough conversation.

Introduce ACCEPTS. Explain it as a list of things you can do to distract yourself in a healthy way when emotions are too strong to deal with directly. Give school-appropriate examples for each letter.

Quick Skill 3: Pros & Cons

Feeling stuck about a decision or an urge?

Think about the Pros and Cons of:

  • Acting on an urge (e.g., skipping class, avoiding homework)
  • Not acting on an urge

Example: Should I talk to my teacher about my grade, or just worry about it?

Introduce Pros & Cons. Explain that this skill helps with making difficult decisions or when you are stuck feeling conflicted. Focus on school-related decisions that might bring anxiety or sadness.

Your DBT Toolkit for School

You now have three powerful skills:

  • S.T.O.P. when you need a pause.
  • A.C.C.E.P.T.S. when emotions are overwhelming.
  • Pros & Cons when you're facing a tough decision.

Remember: These are tools to help you! Find what works best for you and practice, practice, practice!

Summarize the skills and encourage students to find one that works for them. Reiterate that practice is key and that it's okay to try different things.

What Will You Try?

Take a moment to reflect:

Which DBT skill from today might you try next time you feel anxious or down at school?

(Get ready for our Cool-Down activity!)

Transition to the cool-down activity and thank students for their participation.

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Reading

DBT Quick Skills for School Stress

Sometimes school can feel overwhelming, bringing on feelings of anxiety, stress, or sadness. Dialectical Behavior Therapy (DBT) offers practical skills you can use right away to help manage these tough emotions.

Here are three powerful skills to add to your emotional toolkit:


1. S.T.O.P. Skill: Take a Pause When You Need It

This skill is great for when you feel an intense emotion building up or an urge to do something impulsive (like lash out, hide, or avoid).

  • Stop: Freeze! Don't react immediately. Just stop whatever you are doing or thinking.
  • Take a Step Back: Take a deep breath. Move away from the situation physically if you can, or mentally if you can't. Observe your thoughts and feelings from a distance.
  • Observe: Notice what is happening around you. What are you seeing, hearing, feeling? What is happening inside you? What are your thoughts, emotions, and physical sensations?
  • Proceed Mindfully: After you've stopped, stepped back, and observed, think about what you want to do. What is the most effective way to handle this situation? What will make things better in the long run, not just right now?

When to use it at school:

  • When you feel a panic attack starting before a presentation.
  • When you get an overwhelming urge to yell at a classmate or teacher.
  • When you feel completely frozen by a tough assignment.





2. A.C.C.E.P.T.S. Skill: Distract Yourself from Intense Emotions

When emotions are extremely strong and you can't deal with the problem right away, sometimes a healthy distraction is the best option. ACCEPTS gives you different ways to shift your focus until your emotions are less intense.

  • Activities: Engage in something you enjoy or that requires your focus. (e.g., read a book, draw, play a game on your phone, go for a quick walk).
  • Contributing: Do something helpful for someone else or your environment. (e.g., offer to help a classmate, pick up trash, organize your backpack).
  • Comparisons: Think about how things could be worse or how you've handled similar tough situations in the past. Compare yourself to those less fortunate.
  • Emotions (opposite): Do something that creates an opposite emotion. If you're sad, watch a funny video. If you're angry, listen to calm music.
  • Pushing Away: Gently push away disturbing thoughts or situations from your mind for a little while. Imagine putting them in a box for later.
  • Thoughts: Engage your mind in a task that requires concentration. (e.g., do a puzzle, count things around the room, recite song lyrics, read an article).
  • Sensations (intense): Do something that creates a strong physical sensation. (e.g., hold an ice cube, splash cold water on your face, take a quick cold shower if at home, squeeze a stress ball very tightly).

When to use it at school:

  • During a long, stressful study hall.
  • After a difficult conversation with a friend or teacher.
  • When you feel an overwhelming sense of sadness that makes it hard to focus in class.





3. Pros & Cons Skill: Make Mindful Decisions

This skill helps you consider the bigger picture when you're faced with an urge or a difficult decision, especially one that could have negative consequences.

To use it, simply list the Pros (positives) and Cons (negatives) of:

  1. Acting on an urge (e.g., skipping class, avoiding homework, yelling at someone)
  2. Not acting on that urge

By writing it down or thinking it through, you can see the potential short-term and long-term impacts of your choices more clearly.

When to use it at school:

  • When you're debating whether to complete a challenging assignment or procrastinate.
  • When you're considering skipping a class or avoiding a school event due to anxiety.
  • When you feel a strong urge to engage in an argument with a peer or teacher.




Remember, these skills take practice! Start with one, try it out, and see how it helps you navigate the ups and downs of school life.

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Activity

Warm-Up: My Mood Meter

Instructions: Take a moment to check in with yourself. On the scale below, circle the number that best represents how you are feeling right now. There are no right or wrong answers, just an honest check-in.

Then, briefly write down one word to describe why you chose that number.


How are you feeling today?

1 - Very Down/Anxious (Feeling really sad, worried, or overwhelmed)

2 - A Little Down/Anxious (Feeling some sadness or worry, but manageable)

3 - Okay/Neutral (Feeling pretty balanced, neither particularly up nor down)

4 - A Little Good/Energized (Feeling a bit happy, calm, or energetic)

5 - Very Good/Energized (Feeling really happy, calm, or full of energy)




I chose this number because:













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Activity

Cool-Down: One Thing I'll Try

Instructions: Take a moment to reflect on the DBT skills we discussed today (S.T.O.P., ACCEPTS, Pros & Cons).

Think about one specific skill you might try to use the next time you feel anxious, stressed, or down at school. Write it down below.


The DBT skill I will try is:












I will try to use this skill when:












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