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A useful understanding of impulsive behaviour is the tendency for clients to “do” their feelings as actions in the outside world. This means that their impulsive behaviours are discharged emotions rather than actions that are able to address or communicate thoughts and feelings. This is the result of problems in regulating the intensity of feelings, and also the ability to experience them as an inside experience. In combination this means that clients have more intense emotional experiences combined with less ability to tolerate them. In order to reduce impulsive behaviour, clients would need to be able to tolerate intense and distressing feelings without acting on urges. This is because acting impulsively tends to have consequences that in turn make the situation even more distressing and difficult for clients to tolerate. Therefore, once in the Emotion Mind the priority becomes to resist the urge to act impulsively, in order to prevent difficult situations becoming even more difficult to face. The Distress Tolerance Skills are those skills that prevent distressing situations becoming worse. It is often the consequences of impulsive behaviour, such as using substances, self-harm, reckless driving, and so on, that make life more unbearable for clients than caused by their initial emotional distress. If clients are able to experience the distressing feelings without acting on urges, the distress is able to ebb and flow without long term damage being done, to the self, relationships, and work. Distress Tolerance can be divided into the skills needed to survive acute crises where no immediate solution is possible, and acceptance skills needed to tolerate profoundly difficult life situations that can result in long term suffering.
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