What to do when you're too upset to think straight

你悲痛欲绝时该怎么办

Life Kit

2026-07-23

22 分钟
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单集简介 ...

Stressed, anxious, or angry? Distress tolerance tools — from dunking your head in a bowl of ice water to imagining yourself in a calm setting — can help. In this episode, clinical psychologist Shireen Rizvi shares dialectical behavior therapy skills from the recent book she co-authored, Real Skills for Real Life. These physical and mental exercises can help you care for yourself, so you can think more clearly, problem solve and make it through life's painful and frustrating moments. Follow us on Instagram: @nprlifekitSign up for our newsletter here.Have an episode idea or feedback you want to share? Email us at lifekit@npr.orgSupport the show and listen to it sponsor-free by signing up for Life Kit+ at plus.npr.org/lifekit See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy
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  • Support comes from UC Berkeley's Online Master of Public Health program.

  • Now, more than ever, public health needs bold, informed leaders.

  • Berkeley's flexible online degree helps professionals advance their careers.

  • Learn more at publichealth.berkeley.edu slash online.

  • Distress is inevitable.

  • Pain is an inevitable part of life.

  • And so much of what we do are attempts to avoid distress and pain.

  • We drink when we're anxious or we lash out at people when we're angry.

  • Those behaviors are the result of not knowing how to tolerate what feels intolerable in that moment,

  • which is that emotional experience.

  • You're listening to Life Kit.

  • I'm Mariel Segarra.

  • And you just heard from Shireen Rizvi.

  • She's a professor of psychiatry and behavioral sciences at Montefiore Einstein.

  • She co-wrote a book called Real Skills for Real Life.

  • And it's filled with distress tolerance skills that come from dialectical behavior therapy.

  • That's a form of therapy that helps people understand the connections between their thoughts, their behaviors,

  • and their emotions.

  • She says, according to this framework, in moments of distress, we have these two options.

  • We could try to change the situation that's causing us distress,