Distress Tolerance: Learning to Stay Present When Everything Feels Too Much

Distress Tolerance: Learning to Stay Present When Everything Feels Too Much

Some moments feel unbearable: panic rising in the chest, racing thoughts, the urge to escape at any cost. This is where distress tolerance becomes vital.

Why It Matters

Distress tolerance doesn’t erase pain — it helps you stay afloat until the storm passes. It’s the bridge skill that lets you hold on without collapsing or acting in ways you regret.

Practical Tools

  • Paced breathing: Inhale for 4, exhale for 6.
  • Sensory grounding: Name five things you see, four you touch, three you hear, two you smell, one you taste.
  • Self-soothing: Warm tea, a weighted blanket, or calming music.

The Long View

When you practice these skills in non-crisis times, they become second nature when distress peaks.

Key Takeaway

You don’t need to love the storm. You just need skills to ride it until calmer waters return.

Rise: A Practical Guide to Emotion Regulation

Sign up for Dr. Shahrzad Jalali’s newsletter and receive RISE, a powerful, research-backed PDF designed to help you regulate your emotions, calm your nervous system, and restore balance.

Dr. Shahrzad Jalali