21/11/2025
On the outside, everything looks normal. You can be sitting in your living room, watching something ordinary on TV, and suddenly your body behaves as if the worst moment of your life is happening all over again. That is the reality of PTSD, especially for those who have survived trauma in high-risk roles such as military service, emergency medicine or frontline work. When a trigger hits, the thinking part of the brain can go completely offline, which is why logic or self talk becomes useless.
People who join DBT skills training, whether online or in person, often describe the same thing: “My body reacts before I even understand what’s happening.” When the body goes into crisis, emotional pain can become so overwhelming that harmful coping strategies feel like the only release. Crisis skills exist for this reason, and some DBT tools are designed to change physiology first, not thoughts. The TIP skill is one of the most powerful.
Why the Nervous System Hijacks You Before You Notice the Trigger
On the anniversary of one of his traumatic events, Ben, a 34 year old veteran and now a paramedic, spent the entire day braced against a feeling he could not name. This is incredibly common for people living with PTSD. Even before the trigger appears, the nervous system is already overloaded. When a sudden noise in a film activated a vivid flashback, his mind vanished into past danger. His heart raced, his vision blurred, and he felt detached from reality. The urge to self harm returned instantly, because for years it had been his only way of interrupting unbearable emotion.
Your body is not betraying you, it is trying to protect you using outdated survival strategies.
How to Regain Control Faster Using TIP
Ben’s therapist had helped him prepare a crisis plan using the DBT TIP skill, a body first intervention that rapidly shifts physiology during PTSD episodes or severe emotional dysregulation. Because TIP targets the nervous system rather than the thinking mind, it is especially effective for people who “disappear”, dissociate or “can’t think straight” during panic or flashbacks.
Halfway through the crisis, Ben forced himself to follow the plan:
• Cold water to trigger the mammalian diving reflex
• Intense exercise to burn off adrenaline
• Paced breathing to activate the parasympathetic nervous system
These steps are practised repeatedly in DBT skills training because repetition increases recall during overwhelming episodes.
If you live with PTSD and feel your emotions take over before thought is possible, learning crisis skills through structured DBT skills training online gives you a plan that works in the moment, not just in theory.
What Changes When TIP Is Used Correctly
Within minutes, the combination of cold water, exertion and controlled breathing pulled Ben back into the present. His heart rate slowed, dissociation reduced and the self harm urge dropped sharply. Most importantly, he regained access to his thinking mind. From there he could message his therapist, use self soothing strategies and apply other DBT skills. TIP did not cure the trauma, but it created the internal conditions that made coping possible.
Progress in DBT is built on tiny physiological shifts that reopen access to your wiser, calmer self.
What Happens If You Do Nothing
Without TIP, the crisis would have escalated. The flashback would have intensified, dissociation would have deepened and the familiar destructive cycle of self harm would have taken over. For many people with PTSD, this pattern becomes a trap they fear they will never escape. Skills like TIP interrupt that cycle before it becomes dangerous.
When TIP Does Not Work Perfectly
TIP is powerful, but not effortless. It requires practice, a clear crisis plan and a willingness to use a skill that might feel uncomfortable. People with mobility limitations may need adapted versions. Some freeze entirely and forget the steps, which is why DBT skills training emphasises rehearsal during calm moments. It is not about perfection. It is about having a plan that works often enough to keep you safe.
If you recognise yourself in Ben’s story and need structured support to manage intense emotions or PTSD flashbacks, DBT skills training offered online can teach you TIP and many other life stabilising tools. These skills exist because nobody should face these moments alone or without a plan. For clients and for practitioners inside a coaching franchise, learning DBT builds emotional resilience that influences every part of life.
The DBT Skills Training 2026 programme provides the methods, worksheets and structure to help practitioners guide clients through issues such as: BPD, Depression, Adult neurodiversity, Self harming, Suicidal ideation, Adolescents with emotional intensity, Addictions
Full prospectus:https://peoplebuilding.s3.us-east-1.amazonaws.com/DBT+Training+Info+2026.pdf
Early Bird Prices (until 2026): £180 per module (10 weeks each)
👉 Book a single module: https://peopleb.infusionsoft.app/app/orderForms/DBT-Modules
£594 for the full four module course
👉 Book the full training: https://peopleb.infusionsoft.com/app/orderForms/DBT-Full-Training
2026 Prices: £250 per module £849 full course
DBT is more than a therapeutic toolkit. It is a philosophy of living that sharpens emotional regulation, strengthens professional identity and deepens the impact you can make as a practitioner inside a coaching franchise.
by Gemma Bailey (with the help of Ai)
https://www.peoplebuilding.co.uk/franchise
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