Distress Tolerance Gambling

A comprehensive 12-month evidence-based program providing clarity, precision and compassion with skills group sessions teaching:

DISTRESS TOLERANCE Focus on Radical Acceptance (Should vs. The-way- it-is worlds) RA starts with the therapist- must be non-judgmental, describing behavior without giving it a value, teaching client to do the same Acknowledging transient nature of emotions Use of empathy helps turning of the mind Is this distress danger or discomfort? Distress Tolerance Skills Author: Therapist Aid LLC Created Date: 5/18/2018 5:15:47 PM. Identify value/utility of distress tolerance for changing gambling behaviours Connection between mood and propensity to gamble 15 min Use of distress tolerance skills to manage urges to gamble 5. Introduce crisis survival skills Definition of crisis survival skills 10 min Utility of crisis survival skills for tolerating distress 6. Distress Tolerance Distress Tolerance skills are used when we are unable, unwilling, or it would be inappropriate to change a situation. It's important to use the right skills at the right time. In order to change a situation or emotion, we would use Emotion Regulation skills (page 21). Distress Tolerance skills are used to help us cope.

Gambling for money is a global phenomenon with a long history in human societies. Severe forms of gambling behaviour are diagnosed as gambling disorder, a persistent and recurrent maladaptive gambling behaviour, which leads to clinically significant impairment and distress 1 – 4.

Distress Tolerance

Cope with distressing thoughts, emotions, impulses or urges to self-harm

Emotional Regulation

Skills to identify emotions and prevent them from becoming overwhelming

Interpersonal Effectiveness

Improve relationships and balance your own needs/wants with others


Skills to increase awareness and reduce suffering

Distress Tolerance Bingo


The DBTBrisbane Intensive Therapy Program is suitable for clients with:

  • Intense and fluctuating emotions.

  • Deliberate self-harm

  • Suicide attempts or suicidal thoughts.

  • Gambling

  • Substance abuse

  • Unsafe sexual practices

  • Drink driving

  • Speeding

  • Over-spending

  • Shop-lifting

  • Binge eating

  • Poor interpersonal skills including aggression

What's Involved?

Initially you will be allocated an Individual Therapist. Your Individual Therapist will provide information about the DBTBrisbane program and answer questions about its suitability for you.

DBTBrisbane Intensive Therapy

The program involves attending Individual Therapy and Skills Group and utilising phone support. This will provide you with over 3 ½ hours of Therapy per week.

Distress Tolerance Gambling

Individual Therapy
Commitment of 1 hour per week

Distress tolerance gambling rules

You will be allocated an Individual Therapist for the duration of the DBT Program.

Distress Tolerance Gambling Rules

DBT Individual Therapy focuses on enabling you to overcome the specific difficulties that you identified as the reason that you wanted to attend DBT.

You will receive further information about how this works when you meet with us.

Individual Therapy is held at a time arranged between you and your therapist, at a Brisbane location convenient to you.

Skills Group

Commitment of 2.5 hours per week

In Skills Group you will be provided with information and practical exercises to enable you to learn new skills for managing emotions, distress, conflict and coping with life.

Distress tolerance gambling definition

Skills Group is taught by Two Trained Therapists and limited to a maximum of 10 clients.

NIght Skills Group for adults is held weekly on Thursday evenings in Toowong.
Limited to a maximum of 10 clients.

Phone Coaching

Phone support (Phone Coaching) is provided to enable you to practicing skills in a crisis or difficult situation. Phone Coaching is different to some other styles of therapy in that it is not phone counselling or a crisis driven service but rather it is coaching in skill usage.

Phone Coaching is available during office hours, after hours and on weekends.

Consult Group

DBTBrisbane Therapists meet together on a weekly basis to ensure that each clinician is offering their clients the highest quality of adherent DBT treatment. The focus is on clinician skill rather than the specific details of the clients.

'In order to do DBT to fidelity, you must be on a DBT consultation team. Providers without a DBT team may choose to integrate DBT skills and strategies, but they should not present themselves as full DBT therapists.'

An additional benefit is that each Consult Group member does obtain a reasonable idea of the issues for each of the clients. This means that when an individual therapist is away, (holidays, sickness, etc.) we can cover for each other without the client having to start from scratch. Whilst each client will have a particularly strong relationship with their individual therapists, we are a community of therapists treating a community of clients.


You would only need a referral from a GP if you wish to claim rebates under a mental health care plan. Referrals can be to DBTBrisbane for Focused Psychological Therapies under the Better Access Scheme.

See our FAQs to find more answers to common questions.