A woman learns to fill out a DBT diary card to improve her therapy experience.

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This DBT Diary Card Could Improve Your Therapy Experience

Clinically Reviewed By: Meghan Jensen

September 13, 2024

4 min.

DBT diary cards are a simple yet powerful tool for tracking emotions, behaviors, and coping strategies. Learn more about them, and download one today, below.

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Dialectical behavioral therapy (DBT) was initially designed to help people, particularly those with borderline personality disorder, manage intense emotions, improve relationships, and reduce self-destructive behaviors. It has since expanded to treat conditions like depression, anxiety, and substance use disorders, along with tools like the DBT diary card. This daily guide helps people track emotions, behaviors, and daily DBT skill usage. By tracking these elements, people get a clearer picture of their emotional patterns and how well their coping strategies work. In this piece, we’ll explore DBT and the DBT diary card. We’ll cover its benefits, explore how it helps with emotion regulation, and offer a PDF to download. 

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What is a DBT diary card and how does it help?

A DBT diary card is a crucial tool used in DBT to help people track their emotions, behaviors, and use of DBT skills daily. It plays a vital role in self-monitoring, allowing individuals to observe emotional and behavioral response patterns, which can inform more effective coping strategies. It usually covers the core components of DBT, including mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. The diary card also aids in therapy by providing data that helps therapists tailor their approach and guide treatment based on the individual’s specific challenges.

How to fill out a DBT diary card effectively

Filling out a DBT diary card correctly is essential for making the most out of DBT. Here’s a step-by-step guide:

1. Track daily emotions

Record your emotions throughout the day, noting their intensity and duration. Use a scale (e.g., 1-10) to quantify how strong emotions like sadness, anger, or anxiety feel at different times. Documenting emotions helps manage them better, and during crises, the diary card shows which coping strategies are most effective. It supports mindfulness and emotional validation, making it a vital tool for mental health journaling and self-awareness in therapy.

2. Document behaviors and urges

Keep track of any specific behaviors, especially those you’re trying to change, like impulsive actions or self-harm. Also, note urges for those behaviors, even if you don’t act on them.

3. Note skill use

Write down the DBT skills (like mindfulness, distress tolerance, or emotional regulation) you used during the day. This helps reinforce these strategies and allows you to reflect on their effectiveness in various situations.

4. Mark crises

Identify any crises or distressing moments that occurred and note how you handled them. This can provide insights into how well your coping skills are working under pressure.

5. Summarize overall well-being

At the end of the day, provide an overall rating of your well-being based on how balanced or out of control you felt emotionally.

Young female in a striped blazer with a white shirt and headphones on. She is virtual dialectical behavior therapy (DBT).

DBT Pros and Cons

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Benefits of using a DBT diary card

Using a DBT diary card offers several benefits, particularly for individuals working on managing their emotions and behaviors. Key advantages include:

  • Increased self-awareness
  • Accountability
  • Skill reinforcement
  • Progress tracking
  • Structured reflection
  • Targeted treatment

The diary card is a valuable tool for enhancing emotional regulation, developing DBT skill use, and promoting accountability in the therapeutic process.

What role does the DBT diary card play in daily emotion regulation?

The DBT diary card plays a crucial role in daily emotion regulation by providing a structured method for tracking emotional experiences and behaviors. By regularly recording emotions, and urges, and the use of DBT skills, individuals can gain valuable insights into their emotional patterns and triggers. This process helps them identify effective coping strategies and areas for adjustments. The diary card also encourages ongoing reflection, which supports better understanding and management of emotions.

Additionally, the diary card serves as a practical tool for guiding therapy. The information recorded helps therapists tailor their interventions based on the individual’s specific challenges and progress. It promotes accountability by encouraging individuals to actively engage in their treatment and take responsibility for their emotional well-being. Overall, the diary card enhances both self-awareness and skill application, contributing to more effective daily emotion regulation and overall therapeutic success.

A woman fills out a DBT diary card.

How Charlie Health can help

If you or a loved one are struggling with your mental health, Charlie Health is here to help. Charlie Health’s virtual Intensive Outpatient Program (IOP) provides more than once-weekly mental health treatment for dealing with serious mental health conditions. Our expert clinicians incorporate evidence-based therapies, including dialectical behavior therapy skills, into individual counseling, family therapy, and group sessions. With treatment, managing your mental health is possible. Fill out the form below or give us a call to start healing today.

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