Crisis Resources
If you are in crisis or having thoughts of self-harm, please call: US 988 (Suicide & Crisis Lifeline), China 400-161-9995, or contact your local emergency services immediately.
TIPP Skill: An Interactive DBT Emergency Kit for Instant Calm
The TIPP Crisis Kit - A DBT Skill for Rapidly Calming a Crisis
Try the TIPP Skills
Choose a TIPP Skill to Try
What Is the TIPP Skill?
When you're in the middle of an emotional crisis, it can feel like your mind and body have been hijacked. Your heart pounds, your thoughts race, and it's impossible to think clearly. In these moments, you need a powerful, fast-acting tool to regain control. Welcome to the interactive TIPP Skill toolkit. This guide, based on a core component of Dialectical Behavior Therapy (DBT), is your emotional first-aid kit. It uses your body's own biology to rapidly bring down the intensity of overwhelming emotions, giving you the space you need to cope effectively.
When Should I Use This Tool?
- The overwhelming physical symptoms of an anxiety or panic attack.
- Intense urges to engage in impulsive or self-destructive behaviors.
- A feeling of being 'flooded' by anger, sadness, or fear.
- A sense of derealization or dissociation.
The Science Behind It: Why TIPP Works
This technique is powerful because it's based on physiology, not just psychology. The Temperature skill, for example, activates a biological phenomenon called the 'mammalian dive reflex.' When cold water hits the nerves around your nose and eyes, your body instinctively slows its heart rate to conserve oxygen. This directly counteracts the racing heart of a panic attack. Similarly, Intense Exercise burns off stress hormones like adrenaline and cortisol, while Paced Breathing and Paired Muscle Relaxation activate the parasympathetic nervous system—your body's natural 'brake' pedal that promotes rest and calm.
This tool is for educational and skill-building purposes only. It is not a substitute for professional medical advice, diagnosis, or therapy. Important safety note: the cold-water step triggers a reflex that slows your heart rate — do not use it if you have a heart condition, low blood pressure, or a very low resting heart rate, and ask your doctor first if you are pregnant. The intense-exercise step is not suitable if you have a heart or respiratory condition, are pregnant, or have a history of an eating disorder with compensatory exercise. Stop immediately if you feel dizzy, unwell, or in pain, and use a gentler alternative (such as holding a cold pack to your face, or walking slowly) instead.
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