Clinical Intervention Plan

Distress Tolerance Protocol: Radical Acceptance

CASE REF: RA-2026-ALEX

Clinician 1: ____________________

Clinician 2: ____________________

Clinician 3: ____________________

Section 1: Clinical Formulation

Identify the core "Should" statements driving the client's non-acceptance:

Identify the "Pain" vs. "Suffering" in this specific case:

Phase A: Somatic Anchor (The Immediate Response)

Choose 1-2 techniques and explain how they counter the client's specific physical resistance (e.g., jaw clenching).

"We will teach Alex to engage Willing Hands the moment they see their supervisor approaching to preemptively open the body's circuit."

Phase B: The Cognitive Turn (Mental Scripting)

Draft a 1-2 sentence "Reality Statement" the client will rehearse to transition from willfulness to willingness.

How does this statement preserve the client's dignity while still accepting the feedback?

If this intervention is successful, what behavioral changes would we observe in the next supervisor meeting?

Alex says: "I did the hands thing and the smile thing, but I still feel like my boss is an idiot. It's not working."

How do you re-explain the goal of Radical Acceptance to Alex in this moment?