Page 11 - EAP Manual
P. 11

Early Adolescent DBT Program
MY COPING PLAN FOR INTENSE EMOTIONS
DBT skills I can use when feeling upset:
1. 2. 3. 4. 5.
Team members, members in my support system, & crisis numbers I will call for help are:
1. Name & Phone:
2. Name & Phone:
3. Name & Phone:
4. COPE LINE @ (612) 596-1223
5. Child Crisis Mobile Team @ (612) 348-2233
The coping skills and people listed above will help keep me and others safe when I’m feeling intense emotions. I will use these skills and reach out to my supports before acting on my feelings or urges.
             Client Signature: Parent/caregiver Signature: Therapist Signature:
Date: Date: Date:
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