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Doorways of Choice — Clinician dialogue

Guide a collaborative conversation about doorways of choice while checking fit and participant choice.

15 minutes · Clinician script · Mental health professionals

Download printable PDFPreview / add to packet

Fictional example: Riley pauses before sending a reactive message.

Use within your training and assessment of readiness. A doorway can represent a pause before acting.

Invite and obtain permission

Offer: "Would it be useful to explore doorways of choice using an ordinary or fictional example? We can adapt it, observe, or stop." Ask what the person wants from the conversation.

Elicit before teaching

Ask: "How does this show up, if at all, in your own words?" Offer this idea tentatively: A doorway can represent a pause before acting. Ask what fits and what does not.

Guide the task

Map one ordinary choice point, a pause strategy, and a next action consistent with a current goal. Ask for permission before giving an example. Use this fictional illustration if useful: Riley pauses before sending a reactive message.

Reflect and check accuracy

Reflect only what was offered: "I heard you describe ___. What did I miss?" Ask: What helps you notice the doorway in time? Avoid assigning motives or interpreting silence as agreement.

Respond to a mismatch

If the person rejects the frame, say: "Thank you for correcting it. What would be more useful?" Return to their language or choose a different approach.

Close with agency

Ask which observation, question, or support request the person wants to keep. Confirm a manageable ending and appropriate follow-up; do not turn a tentative possibility into a homework obligation.

Prompts for this resource

  1. Readiness, permission, cultural context, and access needs to check:
  2. What helps you notice the doorway in time?
  3. What would tell me to adapt, stop, or seek supervision?

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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