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Befriending the Body in DBT for Emotional Balance

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When emotions run high, our bodies often seem to betray us. A racing heartbeat, sweaty palms, a clenched jaw, or trembling knees can feel like physical proof that we’ve lost control. For many people, these bodily sensations become enemies—unwelcome reminders of stress, fear, or shame. But what if those same sensations could become allies instead of adversaries?

Person practicing mindfulness using DBT body awareness
Befriending the body in DBT through mindful grounding

Befriending the body in DBT is about shifting perspective. Instead of fighting our body’s reactions, we learn to listen to them, work with them, and use them as tools for grounding. Within Dialectical Behavior Therapy (DBT), distress tolerance skills teach us that our senses—sight, sound, smell, taste, touch, and movement—can be powerful gateways back to the present moment. By leaning into these tools, we can survive emotional storms, regain clarity, and open the door to problem-solving.

In this article, we’ll explore how DBT encourages us to use the body as a partner in emotional regulation. We’ll break down practical exercises, look at how to prepare for difficult situations, and highlight ways to integrate these practices into daily life. Along the way, you’ll also discover related resources such as DBT skills classes that provide structured support for developing these techniques.

Why the Body Feels Like the Enemy During Emotional Intensity

When emotions rise, the body responds almost instantly. These responses are part of our evolutionary survival system—an internal alarm meant to protect us. But in modern life, the body’s fight-or-flight reactions often feel overwhelming rather than helpful.

  • Physical signals of distress: racing heart, shortness of breath, blushing, tingling, sweating, shaky hands, or difficulty focusing.
  • Interpretation as threat: Instead of recognizing these as signals, many people interpret them as proof of weakness or failure.
  • Cycle of escalation: The more we fear these sensations, the stronger they become, fueling the emotional spiral.


This cycle is exhausting. It also reinforces the belief that the body cannot be trusted. DBT disrupts this narrative by teaching us that sensations are not enemies—they are information. With practice, we can reframe these signals as early warning systems and use them to ground ourselves in healthier ways.

How DBT Reframes the Body as an Ally

Dialectical Behavior Therapy is rooted in balancing acceptance with change. It recognizes that we cannot always control what we feel, but we can change how we respond. By incorporating the body into distress tolerance skills, DBT gives us practical tools to manage moments of overwhelm.

Here’s the core idea:

  • Acceptance: Our body is reacting for a reason. Sensations are part of being human.
  • Change: Instead of rejecting or suppressing these sensations, we use them as anchors.

For example:

  • A pounding heart can remind you to slow your breathing.
  • Sweaty palms can signal a moment to grip a grounding object.
  • Tight shoulders can invite a gentle stretch or movement.


This approach aligns with the broader dialectical principle of holding two truths at once. As explained in what dialectic means in DBT, we can accept the body’s discomfort and simultaneously use it as a resource for resilience.

The Six-Sense Grounding Framework

DBT often expands the traditional five senses by adding movement as a sixth. Together, these create a versatile toolkit for managing emotional intensity. Let’s explore how each sense can be used to restore balance.

1. Sight: Creating Visual Calm

  • Looking at photos of loved ones, nature scenes, or calming colors.
  • Keeping a vision board or artwork nearby.
  • Watching slow, rhythmic visuals such as waves or candlelight.

2. Sound: Anchoring Through Listening

  • Playing a calming playlist or instrumental music.
  • Using white noise or nature sounds for grounding.
  • Practicing mindful listening—paying full attention to the hum of a fan or the rhythm of footsteps.

3. Smell: Engaging the Olfactory Pathway

  • Essential oils like lavender or peppermint.
  • Freshly brewed coffee or herbal tea.
  • A favorite candle, hand lotion, or even a familiar spice jar.

4. Taste: Redirecting Focus

  • Savoring a strong mint, sour candy, or piece of dark chocolate.
  • Drinking cold water mindfully, noticing its texture and temperature.
  • Using small snacks to interrupt spiraling thoughts.

5. Touch: Comfort Through Texture

  • Holding a smooth stone, shell, or stress ball.
  • Wrapping up in a weighted blanket.
  • Running fingers over a textured surface like fabric or sand.

6. Movement: Regulating Energy

  • Gentle yoga or stretching.
  • Walking, dancing, or shaking out tension.
  • Using progressive muscle relaxation techniques.


The key is personalization. Not everyone will find the same senses equally effective. Some people are drawn to music, while others find more comfort in touch or movement. Exploring and experimenting allows you to build a customized sensory toolkit.

Preparing Ahead: Coping Before Crisis Hits

One of DBT’s most valuable strategies is coping ahead. Instead of waiting until emotions overwhelm you, you prepare in advance.

  1. Identify triggers: Think about situations or environments that tend to spark strong emotional reactions—conflict at work, family stress, social settings.
  2. Match sensory tools: Decide which grounding strategies are realistic in each environment.

    • At work, a lavender rollerball or small tactile object may be discreet.
    • At home, music, stretching, or cozy textures might be more accessible.

  3. Create a portable toolkit: Keep sensory items in a bag, desk drawer, or bedside table.
  4. Practice regularly: Use these tools even in low-stress moments so they feel natural during crises.


This proactive approach ensures that when emotions peak, you already have strategies at your fingertips. It transforms grounding into a habit rather than a scramble.

The Science Behind Sensory Grounding

Why does engaging the senses work so well during emotional storms? Research in psychology and neuroscience offers compelling explanations:

  • Interrupting the stress cycle: Focusing on sensory input shifts attention from racing thoughts to concrete experiences.
  • Activating the parasympathetic nervous system: Certain stimuli—like slow breathing, gentle touch, or calming sounds—activate the body’s natural “rest and digest” system.
  • Enhancing mindfulness: Sensory awareness keeps us anchored in the present, the only place where change can occur.
  • Building emotional regulation pathways: Repeated practice strengthens neural connections that make it easier to self-soothe over time.


In short, sensory grounding is not just a coping trick. It’s a neurobiological intervention that rewires how we respond to distress.

Practical Scenarios: Applying Befriending the Body in Real Life

DBT techniques helping build emotional balance
Finding stability through DBT for emotional balance

Let’s consider how this looks in daily situations.

  • Workplace stress: You feel criticized by a colleague. Instead of spiraling, you grip a smooth stone in your pocket, letting its texture steady you while you breathe.
  • Social anxiety: At a crowded event, your heart races. You discreetly apply lavender oil and focus on the scent until your nervous system begins to settle.
  • Family conflict: Tension builds during a heated conversation. You excuse yourself briefly, put on calming music in your room, and return more centered.
  • Bedtime rumination: Thoughts won’t stop racing. You place a weighted blanket over your body, noticing the pressure, and gradually drift toward rest.


Each example highlights that befriending the body doesn’t erase challenges, but it does provide footholds for resilience.

Common Misconceptions and Barriers

Some people hesitate to use sensory strategies because they seem “too simple” or even childish. But simplicity does not equal weakness. In fact, the most effective interventions are often the most straightforward.

Misconception 1: This won’t solve my problems.

Correct—grounding doesn’t solve problems directly. It creates space so you can think clearly enough to solve them afterward.

Misconception 2: I don’t have time for this.

Most sensory tools take less than a minute. Smelling an essential oil, sipping cold water, or stretching can all be done quickly.

Misconception 3: I should be stronger than this.

Strength is not about suppressing emotions. True resilience is about knowing how to support yourself when emotions arise. By reframing these beliefs, you give yourself permission to use effective, accessible tools without judgment.

Integrating Befriending the Body Into DBT Practice

Sensory grounding is just one piece of the DBT framework. When combined with mindfulness, emotion regulation, and interpersonal effectiveness, it becomes even more powerful.

At Oakland DBT and Mindfulness Center, these skills are taught in depth through both individual therapy and group settings. Clients learn not only how to cope in the moment but also how to build lives worth living by aligning daily choices with long-term values.

This integrated approach ensures that skills like befriending the body are not isolated tricks but part of a comprehensive pathway toward emotional health.

Reflection Prompts to Deepen Practice

To personalize this process, consider journaling around these questions:

  • Which senses feel most grounding for me right now?
  • What items or experiences reliably soothe me?
  • In which environments am I most likely to need sensory support?
  • How can I create a portable grounding toolkit that works across settings?
  • When I notice bodily distress signals, can I reframe them as cues rather than threats?


Writing down your answers not only clarifies your strategies but also reinforces them as actionable plans.

Conclusion 

Our bodies are often the first to tell us when emotions rise—and they can also be the first to help us return to balance. By befriending the body in DBT, we learn that sensations are not enemies but allies. Through the six senses and the practice of coping ahead, we gain practical tools to navigate distress with resilience and clarity.

When you practice these skills, you give yourself the gift of presence. You discover that while emotions may surge, they do not have to sweep you away. With preparation, compassion, and mindful attention to the body, you can survive the storm and return to the calm that makes problem-solving possible.

If you’re ready to take these skills further, consider exploring structured DBT skills classes where professional guidance and community practice bring these tools to life.

FAQs (Frequently Asked Questions)

What does “befriending the body” mean in DBT?

In DBT, “befriending the body” means learning to see physical sensations not as threats but as signals and tools for grounding. Instead of fighting reactions like a racing heart or sweaty palms, you use them as cues to engage distress tolerance skills. This shift turns the body into an ally during emotional storms.

How do the senses help with distress tolerance?

The five senses—plus movement—anchor us in the present moment, interrupting spirals of thought and emotional overwhelm. By focusing on sight, sound, touch, taste, smell, or gentle movement, we redirect attention away from stress. This creates space for calm and clarity to return.

Can sensory grounding techniques really make a difference?

Yes, even simple strategies like holding a grounding object or listening to calming music can be surprisingly powerful. These practices activate the body’s natural calming systems, reducing intensity enough to think more clearly. Small steps often create the biggest impact in crisis moments.

How can I prepare for emotional triggers using DBT skills?

DBT encourages “coping ahead,” which means planning sensory resources before a stressful moment arrives. You might keep lavender oil in your bag, a playlist on your phone, or a grounding object at work. Preparing ahead ensures you’re ready to respond instead of react.

Is befriending the body in DBT a long-term solution or just a quick fix?

Sensory grounding is not meant to solve problems directly, but it stabilizes you long enough to problem-solve effectively. Over time, repeated use strengthens emotional resilience and makes regulation more natural. It’s both an immediate coping tool and a long-term skill-building practice.

Rajesh Jagannathan

Rajesh Jagannathan

Rajesh Jagannathan was born in India and earned a B.Tech in Computer Science from IIT, Madras. After spending a few youthful years in the Masters/Ph.D. program at the Ohio State University moved to the Bay Area for work. Since then he has stayed in the Bay Area and worked in tech for the better part of 20+ years. He has been with the center since its inception playing a key advisory role on tech related matters.

He enjoys living in the bay area with his family, exploring the outdoors in California and the world at large. While interests change over time some constants through the years have been travel, cooking, painting and board games. Lately all his spare time has been consumed by pickleball.

David Pepper

David Pepper, MD (Retired)

Dr. Pepper was born in San Francisco and attended UC Berkeley and then Medical and Graduate School in Iowa. Returning to California, he practiced and taught full spectrum Family Medicine with UCSF for 30+ years, working in Fresno, San Francisco and Contra Costa Counties. 1,000 births and 1,000 deaths one could say – with thousands of Families in between… in the ER, Hospital and Outpatient Clinics – always with a focus on Family and Community.
 
He has a long interest in Psychedelics and completed the CPTR program through CIIS in 2023. He is passionate about helping people think about how to craft their second half of life with meaning, including planning for a natural End of Life process that is not over medicalized.  He believes that a well planned End of Life allows people to live well.  More about his work can be found here.  
 
He brings his expertise in clinical assessment, and the tools that support this to working with the Team at Oakland DBT and Mindfulness Center to develop best practices for working with clients seeking expanded state treatment.  He collaborates with his wife who also works with clients in Expanded States.  He enjoys his 4 children, gardening, hiking, and community.
Rochelle

Rochelle Frank, PsyD

Rochelle Frank, PhD is a clinical psychologist in Oakland, CA with over 30 years of experience in both the public and private sectors. Dr. Frank earned her doctorate in clinical psychology at Syracuse University and completed her clinical training at Yale Psychiatric Institute. She specializes in evidence-based transdiagnostic treatment of  complex and co-occurring mood, anxiety, and trauma disorders in adults and adolescents, and related  problems in high-conflict couples and families. 

In addition to her private practice Dr.  Frank is an assistant clinical professor of psychology at the University of California, Berkeley, and also  holds faculty and supervisory appointments at The Wright Institute and the University of California San  Francisco School of Medicine.  She is co-author of The transdiagnostic road map to case formulation and  treatment planning: Practical guidance for clinical decision making (Frank & Davidson, 2014; New Harbinger),  a contributing author to S. G. Hofmann & S. C. Hayes (Eds.), Beyond the DSM (2020, New Harbinger), and  currently serves on the board of directors for the Institute for Better Health.

Dr. Frank has been involved with Oakland DBT and Mindfulness Center since 2012.  She has served as a clinical consultant and focuses on helping the Team bring a transdiagnostic process-based perspective to case formulation and treatment planning, as well as integrating methods from other third-wave cognitive behavioral therapies into the DBT model.  

In addition to enjoying time with her family, Dr.  Frank is an avid golfer, home chef, and a frequent beta-tester of her clinical skills while skiing and mountain biking.

Michael Stanger

Michael Stanger, MD

I am a board-certified psychiatrist practicing in California and Colorado across a range of settings – inpatient, outpatient, emergency and partial hospital, with current affiliations at Contra Costa Regional Medical Center and Boulder Community Health.

I have a particular interest in the therapeutic utility of ketamine to support psychotherapy. I began working with ketamine in 2016, initially in my California private practice where I administered oral and intramuscular doses. I have since continued to support therapist access and to develop understanding around the most effective use of these modality. In related work, I have mentored with the CIIS Center for Psychedelic Therapies and Research and taught sessions with the Polaris Insight Center on ketamine.

My background includes childhood immigration from South Africa to New York, working in the technology industry for several years and then traveling in an unscripted manner to arrive at the awareness that medicine, and ultimately psychiatry would be the path to be helpful to others in an applied way.

Chrysanthe

Chrysanthe Christodoulou

Operations Manager

Chrysanthe is our Operations Manager and one of our in-house Mindfulness Experts. She connects with new clients as they come into the Center, oversees day to day operations and runs special projects.  She is instrumental in supporting the Team by bringing joy, flow and ease.

Chrysanthe studied Meditation, Yoga, and Mindfulness with some of the most respected teachers of our time. She also holds a BS in Economics.  This combination of skills ensures our Center runs efficiently behind the scenes and lends wisdom to our budding Mindfulness Program.

Her local teaching career has spanned the Bay Area and beyond: overseas in Spain, Chile, Greece, and Amsterdam; and locally in San Francisco, Marin, Berkeley, Oakland, and Walnut Creek. Chrysanthe honors the magic in both movement and stillness, stirring energy and witnessing what emerges as everything settles into place. 

When Chrysanthe isn’t handling the business end of the Center or running mindfulness programming, you can find her exploring trails with her wolf pup, finding connection in community, and enjoying the sun and the sea.

Priya Jogia

Priya Jogia

Licensed Clinical Social Worker (LCSW)

​​Priya Jogia is a licensed clinical social worker (LCSW). Since 2013, she has worked in various clinical settings including: community mental health, hospital, and outpatient programs. Priya’s also spent time in Vietnam studying international social work and the relationship between culture, ethnicity, and mental health.

Priya is an active practitioner of mindfulness-based behavioral therapies including DBT and ACT, and has extensive training in CBT. As a DBT therapist, she’s seen the positive impact of using DBT skills in her own life, and is strongly committed to helping clients live meaningful lives that are aligned with their values.

Priya has an interest in perinatal mental health and working with BIPOC populations, and she strives to integrate a social and racial justice lens into her work. While being a therapist has brought a lot of meaning to Priya’s life, she tries not to take herself too seriously, and gets much joy from being a mum, being in nature, and cuddling with her dog.

Jay Indik

Jay Indik

Licensed Clinical Social Worker (LCSW)

Jay brings his compassion, creativity, and equanimity to support each person who seeks therapy.. He believes that what makes each person happy is connected to their deepest sense of what is important. Jay listens for how each client can idiosyncratically transform their suffering into a happier life. As a result of working with Jay folks’ learn to address unwanted behavior, regulate their emotions, recover from individual or cultural trauma, repair relationships, and organize their behavior consistent with their values Jay has intensive training and has practiced the following modalities for decades: DBT, Narrative Therapy, Somatic Experiencing, Sensory Modulation, Psychodynamic Treatment and Expressive Arts Therapies. Jay specializes in working with couples, parents, parent child dyads and young adults, as well as with individuals from mid-life through retirement. Jay’s experience as a theater director, parent, teacher, and executive combined with his knowledge of research validated treatments allows him to best relate and serve each individual.

Jay has two adult children (one daughter, one non-binary), a “Real Dads Love Trans kids” t-shirt, and one amazing grandchild he watches one day a week.

Ari Tavano

Ariana Tavano

Licensed Clinical Social Worker (LCSW)

Ari Tavano is a licensed clinical social worker (LCSW). She has worked in an array of clinical settings for over ten years, and utilizes the diversity of her experience to foster a therapeutic frame rooted in curiosity and empathic regard. She specializes in working with those looking to cultivate self-growth, increase interpersonal efficacy, and develop an affirming relationship with their internal worlds.

Ari extends a humanistic approach to her work by nourishing the whole self – according to one’s intersectionality and inherent wisdom. She is trained in DBT and other treatment modalities, including CBT, Existentialism, and Trauma Theory. She harmonizes the concepts of behaviorism and intuitiveness of relational healing, with opportunities to explore psychedelics and expanded-state work.

Ari invites you to build capacity for both processing and playfulness. She prioritizes humor and is often found in the ocean, on the dance floor, and imagining her next adventure. Ari has also worked as a licensed public school teacher in Hawai’i and documentary photographer in South Africa. She is committed to equity, inclusion, and the pursuit of social justice.

Alyson Barry

Alyson Barry, PhD

Licensed Clinical Psychologist

Alyson Barry is a licensed clinical psychologist (PhD). Since 2005, she’s gained experience in diverse areas of practice, including inpatient hospitals, intensive outpatient programs, community mental health, and private practice. Alyson came to DBT in 2013 through her own yoga and meditation practice, which led her to seek additional training in mindfulness-based therapies. Drawn to work with people who’ve experienced developmental trauma, she begins by addressing what’s happening in the present, helping her clients develop practical skills that fundamentally improve how they interact with themselves and the world around them. As a result of this work, this can over time, set the stage for healing the older wounds. She believes in a collaborative and consent-based treatment approach, working to ensure that clients understand and are in agreement with any diagnosis or therapeutic technique. She hopes that this transparency can help to create an environment of respect for her clients’ choice, autonomy, and knowledge of themselves. She is also a big believer in bringing humor and irreverence into therapy. In her free time, Alyson enjoys snorkeling, hanging out with her cat, and spending time with friends. Alyson is available to work via telehealth with clients in California, Colorado, and Florida.
Heather Macbeth

Heather Macbeth

Licensed Marriage & Family Therapist (MFT)

Heather co-founded the Oakland DBT & Mindfulness Center in 2012. She is a licensed MFT. She offers a relational, somatic, experiential and humanistic approach to her work and is committed to relieving psychological suffering. Her style is both compassionate and gentle as well as directive and aims to be supportive of each person’s unique needs. Her work focuses on emotion regulation, changing persistent cycles of self-blame, listening more closely to intuitive knowing and increasing self compassion. She is committed and dedicated to helping her clients have a life where they can find themselves thrive vs. just survive. Working as a therapist, clinical supervisor, skills group and workshop facilitator has brought her a lot of joy. In addition to a private practice setting she has worked in community mental health organizations with disenfranchised youth and families and in public schools as a Behavioral Specialist. Heather works with adults and teens. She is intensively trained in DBT and other treatment modalities such as; Gestalt, Psychodynamic, MBSR, ands Expressive Arts. She is certified in EAP (Equine-assisted psychotherapy) and offers equine-facilitated learning workshops in the Bay Area. Additionally, she has received her training in Ketamine Assisted Psychotherapy through the Polaris Insight Center in San Francisco and is inspired by the potential healing benefits of expanded states of consciousness work.

In her free time, and in ideal worlds, she is exploring jungles, hot springs, beaches, hanging out with animals (large and small), enjoying good food, travel and most importantly time with loved ones.

Christine Benvenuto

Christine Benvenuto

Licensed Marriage & Family Therapist (MFT)

Christine is a Licensed Marriage and Family Therapist and the co-founder and Executive Director of the Oakland DBT and Mindfulness Center. She brings over 25 years of experience in mental health to her work, with a background in working with people in all walks of life in residential, outpatient and home based settings. A systems thinker, valuing sustaining relationships, she works with individuals, couples and groups, with a strong belief that small shifts can create dynamic changes.

She blends a lifetime of interest and practice in somatics, meditation, embodiment, psychedelics and the arts with a passion for social justice, nature and thriving ecosystems. Her mentors are psychologically savvy, center co-existence, value differences and maintain a sense of humor.

Her professional training spans from depth oriented, expanded state and attachment based to behavioral styles of treatment. She co-creates a therapeutic container that feels collaborative, warm, dynamic, thoughtful and deeply resonant.

She works with individuals, couples and groups, offering ongoing weekly therapy, Ketamine-Assisted Psychotherapy and Consultation.

Along side of her professional life, Christine is grateful for her extended web of relationships as daughter, sister, wife, friend, step-mom and community connector.

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