Life Kit Life Kit

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

Jul 23, 2026 · 22m

Summary

Host Mariel Cigarra interviews psychiatrist Shereen Risby about distress tolerance skills from dialectical behavior therapy. They discuss the TIP acronym for immediate physiological calming, the IMPROVE framework for making difficult moments bearable, and the concept of willingness to accept reality. These research-backed tools help listeners manage intense emotions without trying to solve problems instantly.

Topics discussed

Intro: Plastic surgery, AI, and beauty standards Introduction to distress tolerance and DBT TIP Skill: Temperature and the mammalian dive reflex TIP Skills: Intense exercise, paced breathing, and muscle relaxation Ad breaks and Fresh Air promo IMPROVE Skills: Imagery, meaning, prayer, relaxation, one thing, vacation, encouragement Willingness vs. Willfulness and body posture Recap of distress tolerance tools and credits Outro promos for Fresh Air and Are We Doomed
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