DBT Mind States Handout Form
Reflect on your current DBT mind states, their use, and plan your next step.
Your Name
First Name
Last Name
Which DBT mind state(s) are you focused on?
*
Wise Mind
Emotional Mind
Rational Mind
Other
When do you typically use Wise Mind?
When do you typically use Emotional Mind?
When do you typically use Rational Mind?
Describe a recent situation where you used one of these mind states.
*
What did you notice about your thoughts, feelings, or actions in that situation?
What is one practical next step you will take to apply this handout?
*
Additional comments or reflections
Submit
Should be Empty: