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Dialectical behavior therapy / DBT-A10-2

Reality Acceptance with Boundaries — Practice worksheet

Separate what has happened, what you wish were different, and the actions still available.

15 minutes · Worksheet · Adults; supported use as appropriate

Download printable PDFPreview / add to packet

Fictional example: Taylor cannot undo a canceled appointment and can ask about another option.

Use an ordinary or fictional example, with a clinician when appropriate. Acknowledging reality does not require approval, forgiveness, or giving up advocacy.

1. Choose a workable example

Use the fictional example below or an ordinary situation of your choosing. Keep identifying details out of shared copies.

2. Try the practice

Separate what has happened, what you wish were different, and the actions still available.

3. Compare possibilities

Generate at least two interpretations or options. Mark what you know, what you are guessing, and what remains outside your control.

4. Decide together

What is true now, and what action remains possible? Choose one small action, a support request, or no action. Review the fit with your clinician when relevant.

Prompts for this resource

  1. My chosen or fictional situation, and what I know about it:
  2. My response to the practice task above:
  3. What is true now, and what action remains possible?
  4. An optional next step, support, adaptation, or reason to stop:

Conceptual background

Dialectical Behavior Therapy Skills Training: Fundamentals — Behavioral Tech Institute

Background on the approach only. Original exercises and wording are by More Than Therapy with AI assistance; the source does not validate or endorse these materials.

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