Coping Skills
5.0
TIPP is a DBT (Dialectical Behavior Therapy) skill designed for crisis moments when emotions are extremely intense—typically 8/10 or higher. These techniques work by directly changing your body's chemistry and physiology, which in turn changes your emotional state.
Unlike cognitive techniques that require clear thinking, TIPP works on a physical level. When you're in extreme distress, your thinking brain is offline—but your body still responds. TIPP takes advantage of this by using physical interventions to rapidly reduce emotional arousal.
T - Temperature
I - Intense Exercise
P - Paced Breathing
P - Paired Muscle Relaxation
Why TIPP is so effective:
• Bypasses thinking – Works on a physiological level when you can't think straight
• Changes chemistry fast – Affects heart rate, stress hormones, and nervous system within minutes
• The dive reflex – Cold on face triggers ancient survival response that calms the body
• Burns stress hormones – Intense exercise metabolizes adrenaline and cortisol
• Activates calm response – Slow breathing shifts from fight-or-flight to rest-and-digest
Use TIPP first to reduce intensity, then use other skills.
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