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DBT for Addiction: Skills for Intense Emotions and Urges

4 min read · By Dr Shadaab · Updated 23 Oct 2026

Some people drink, smoke or use drugs mainly to switch off overwhelming feelings. Dialectical Behaviour Therapy (DBT) gives you other ways to cope.

Four DBT skill areas

  • Mindfulness: noticing thoughts and urges without reacting
  • Distress tolerance: getting through a crisis without making it worse
  • Emotion regulation: understanding and softening intense feelings
  • Interpersonal effectiveness: asking for what you need and setting boundaries

When DBT helps most

DBT is useful for people whose emotions feel overwhelming, who act on impulse, or who use substances to switch feelings off. It is often combined with other treatment.

A simple idea to try: urge surfing

When a craving hits, notice it, name it, and watch it rise and fall like a wave. Most urges peak and pass within minutes. Breathe slowly and stay with it until it eases.

Getting support

See DBT for addiction or book a confidential consultation. If you ever feel unsafe, call 112 or Tele-MANAS 14416.

This article is educational information and not a substitute for medical advice. In an emergency go to the nearest hospital. Tele-MANAS: 14416.

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