3x3x3 Planning

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Burlingame-Lee, DBT 3X3X3 Plan 1

Distress Tolerance/Coping Ahead: 3X3X3 Plan


Part of coping ahead and tolerating distress is developing a plan ahead of time
that you can use in a crisis or distressing situation. An easy way to develop this
plan that will last approximately ½ hour is to use a 3X3X3 plan. The idea here is to
plan on using 3 different skills, 3 different times, for at least 3 minutes. A sample
3X3X3 plan might look like this:

DT - Distract, ACCEPTS: CM/Dialectical Thinking: DT - Self-soothe: Notice


Watch a funny YouTube ID “myths”(cognitive everything I can about
Video distortions) and come up the taste of a piece of
with healthy challenges candied ginger

Repeat DT – ACCEPTS: CM/ Dialectical Thinking: Repeat DT – Self-soothe:


Read something funny in Try to analyze the Notice everything I can
an ironic and/or comic situation by thinking about the sensory aspects
way about it from the of my favorite pillow or
perspective of an alien blanket
from another planet

Repeat DT ACCEPTS: CM/Dialectical Thinking: Repeat DT – TIP skills:


Think about a nice Fully participate in Ice-cold water, intense
surprise you could plan something different, like movement for 1-5 full
for a friend or family blowing bubbles minutes without
member stopping, paired
breathing and muscle
relaxation

A 3X3 plan can include whatever skill set you want. Other ideas might include
ways to practice opposite action, thinking about options you have if you radically
accept, planning out a DEAR MAN, drawing out the Wise Mind or the Describing
Burlingame-Lee, DBT 3X3X3 Plan 2

Emotions diagrams and analyzing your situation from a more logical point of view.
Try to practice a skill that you haven’t used before. You could journal, draw, write
a poem or story, listen to music (which can be a form of opposite action too),
bake cookies, design a sanctuary space, take a walk, drink some cold water or
have a hot cup of tea or coffee…the possibilities are endless.

The key idea here is to plan ahead. I’ve found that distress tolerance and coping
usually work best if there is something you can go to right away. Needing to think
about what to do while you’re in crisis is very difficult, and that the less you have
to do means that you’re more likely to be able to cope effectively. You have to
fully participate in doing these, too – a half-hearted effort likely won’t have the
effect you want. You need to fully throw yourself into doing these.

Another key element here is to make sure you take a full three minutes on any
one exercise. That’s the third “3” – 3 things, 3 times, for at least 3 minutes each.
This gives your mind and body enough time to ride the wave of emotion and
maximize your chances of being effective.

The next two page includes a planning sheet and a blank 3X3X3 grid for you to use
in planning. Before you jump into filling out the grid, consider ideas from each of
the 4 skill sets that you might find useful; when you have that, begin putting them
in place in your 3X3X3 plan.
Burlingame-Lee, DBT 3X3X3 Plan 3

Plan Ideas: Come up with as many ideas as you can from each category. Feel free
to add more sheets if you need to.

Core Mindfulness:

1.

2.

3.

Distress Tolerance:

1.

2.

3.

Emotion Regulation:

1.

2.

3.

Interpersonal Effectiveness:

1.

2.

3.
Burlingame-Lee, DBT 3X3X3 Plan 4

3X3X3 Grid: Pick out ideas from three categories, and put them in each box. If you
think you’ll need it, print out or make a second grid for a second plan. Make sure
that you have what you need in order to carry out your plan. For example, if your
plan includes watching YouTube, make sure you have access to the internet
where you plan on watching.

Skill Set: ___________ Skill Set: ___________ Skill Set: ___________


Tool: Tool: Tool:

Skill Set: ___________ Skill Set: ___________ Skill Set: ___________


Tool: Tool: Tool:

Skill Set: ___________ Skill Set: ___________ Skill Set: ___________


Tool: Tool: Tool:

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