𩺠DBT Emotion Regulation Skills: PLEASE & ABC PLEASE
Why Self-Care Matters in Emotional Health
Emotions donāt exist in a vacuumātheyāre deeply connected to our physical state. Lack of sleep, skipping meals, illness, or substance use can make even small problems feel overwhelming. DBT teaches that caring for the body is caring for the mind.
Thatās where PLEASE and ABC PLEASE come in.
š§© PLEASE ā Taking Care of the Body
P ā PhysicaL illness: Treat illnesses. Donāt ignore doctorās visits or medications.
L ā Balance Eating: Regular, balanced mealsānot starving, not overeating.
E ā Avoid mood-Altering substances: Limit or avoid alcohol, nicotine, drugs.
A ā Balance Sleep: Maintain regular sleep, not too much, not too little.
S ā Get Exercise: Move your bodyāwalk, yoga, stretching, sports.
E ā (sometimes added): General self-care like hydration or hygiene.
š When your body is cared for, your emotions are more stable.
š± ABC PLEASE ā Building Positive Emotions
A ā Accumulate positive emotions: Do small enjoyable activities daily (hobbies, music, spending time with loved ones).
B ā Build mastery: Do things that give a sense of achievementālearning a skill, finishing a task.
C ā Cope ahead: Mentally rehearse for difficult situations, prepare instead of panicking.
Combined with PLEASE, this becomes ABC PLEASEāa toolkit for long-term emotional resilience.
Case Example: Miss. P and Mood Swings
Miss. P, a 30-year-old teacher, noticed she became irritable and anxious during school terms. On review, she was sleeping only 4ā5 hours, skipping meals, and relying on endless cups of coffee.
With PLEASE, she made simple changesāregular meals, fixed bedtime, and evening walks. With ABC, she added painting twice a week (Accumulate positives), completing small teaching projects (Build mastery), and rehearsing her responses before parentāteacher meetings (Cope ahead).
Her mood swings reduced significantly. She still had stress, but her baseline became steadier.
šļø Key Takeaway
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PLEASE = regulate your body to regulate your emotions.
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ABC PLEASE = add positivity and preparedness to strengthen resilience.
Emotional storms are harder to face if your foundation is shaky. These skills strengthen that foundation.
⨠About the Author
Iām Dr. Srinivas Rajkumar T., MD (AIIMS, New Delhi), DNB, MBA (BITS, Pilani), Consultant Psychiatrist.
š Apollo Clinic, Velachery, Chennai
š Kumar’s Healthcare, Chromepet
My areas of interest include:
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DBT and CBT for emotional regulation
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Addiction and de-addiction care
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Child and Adolescent Psychiatry (ADHD, Autism, Behavioural Issues)
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Geriatric Psychiatry (Dementia, Depression, Memory Clinics)
š 8595155808 for appointments
Through this series, my goal is to show how small, consistent self-care practices can stabilize emotions and build resilience.