Self-Soothe Skills

Many people in addiction never learned to comfort themselves without a substance. The DBT self-soothe skill uses your five senses to give your body that comfort back, so the urge to use makes a far quieter case.

Jessica Miller is the Content Manager of Addiction HelpWritten by
Kent S. Hoffman, D.O. is a founder of Addiction HelpMedically reviewed by Kent S. Hoffman, D.O.
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What Self-Soothing With the Five Senses Is

Self-soothing is the DBT skill of comforting yourself through your five senses when a craving or a hard moment hits, and doing it without a substance. The whole skill is one idea: go through vision, hearing, smell, taste, and touch, and give each one something gentle and pleasant. A warm shower. A song you love. A cup of tea you actually taste. The point is to lower the volume on the distress in your body until it’s something you can sit with instead of something you have to escape.

For addiction, that idea lands harder than it first sounds. For a lot of people, the substance was the soothing — the one reliable way to take the edge off, drop the shoulders, and feel okay in your own skin. When that goes away, the discomfort doesn’t. So the urge isn’t only a craving for the drug; it’s a craving for relief, for the soft landing the substance used to provide. Self-soothing answers that craving directly. It hands your nervous system the comfort it’s reaching for, through a channel that doesn’t cost you your recovery.

The thing to be clear about up front: this is not indulgence and it is not a reward you have to earn. Many people in active addiction never learned to comfort themselves without a substance, or forgot how somewhere along the way. Self-soothing is relearning that. It’s a skill you build, the same way you’d build any other, and on the hard days it’s one of the kindest and most practical tools you have.

AddictionHelp.com Fast Facts
  • Self-soothing is a DBT distress-tolerance skill, built for the hard moment: it belongs to the distress-tolerance toolkit, and distress-tolerance techniques from DBT have shown usefulness for managing the negative emotional states seen in substance dependence[1].
  • It works on the feeling under the urge, not just the behavior: emotion dysregulation drives the severity of substance dependence, and an impulsive reach for a substance often rides on an emotion you’re trying to escape[2].
  • It runs on one mindfulness move — paying gentle, full attention to a pleasant sense: the same open, non-judgmental attention that mindfulness-based approaches bring to addictive disorders[3].
  • It belongs to a connected set of DBT skills you can keep for life: DBT skills training has been field-tested for relapse prevention in opioid treatment, and the broader approach targets the emotion dysregulation underneath addictive behavior[4][5].

Why a Calmer Body Argues for Using Far Less Loudly

Comfort lowers the stakes of the momentA craving in a calm body is a thought you can hold. The same craving in a wired, agitated body feels like an emergency. Self-soothing changes the body so the urge stops sounding like one.

Cravings don’t only live in your mind. They live in your body — a clenched jaw, a racing chest, a restlessness under the skin that says do something, now. That physical agitation is part of what makes an urge feel unbearable, and it’s a big part of why the reach for a substance can feel less like a choice and more like a reflex.

Self-soothing works on that body first. When you give your senses something calming, your nervous system starts to settle, and as the body quiets, the urge tends to lose volume with it. The craving doesn’t have to be argued away. A soothed body simply makes a quieter case for using than a jangled one does.

There’s a reason this matters so much in recovery. The reach for a substance is so often a reach away from a feeling — an attempt to escape something uncomfortable before you’ve even named it. Emotion dysregulation drives the severity of substance dependence, and an impulsive urge frequently rides on an emotion running underneath it[2]. Self-soothing meets that discomfort with comfort instead of a chemical, which is why it belongs to distress tolerance, the DBT module built for surviving moments you can’t immediately fix. Distress-tolerance techniques from DBT have shown usefulness for the negative emotional states that drive substance dependence[1], and self-soothing is the gentlest tool in that kit — the one that takes care of you while the worst of the feeling passes.

The Five Senses, One at a Time

You are allowed to be comfortedIf part of you balks at this — feels like you don’t deserve comfort, or that soothing yourself is soft — that voice is worth noticing and setting aside. Comforting yourself without a substance is not weakness. For many people in recovery, it’s the skill addiction quietly stole, and getting it back is real work.

You don’t need all five. You need the one you can reach for right now. Some moments call for something physical and warm; some call for something quiet you can do with your eyes closed. Run down the senses and pick whatever’s actually within arm’s reach.

Soothe each sense on purposeThe skill is one move repeated five ways: choose a sense, then give it something gentle and pleasant, and pay full attention to it. Vision, hearing, smell, taste, touch — you don’t run all five, you reach for whichever one is in front of you.

Vision is for giving your eyes something kind to rest on. Look at something that calms or lifts you — a photo of someone you love, a candle flame, the sky out the window, a favorite painting, a video of waves or a fireplace. Tidy a small corner and look at the order you made. The eyes lead the nervous system more than we notice; a soft, pleasant thing to look at is a quiet signal to the rest of you that the threat has passed.

Hearing is for letting a sound carry you somewhere steadier. Put on music that soothes you, not the kind that revs you up. Listen to rain, ocean sound, birdsong, or a guided meditation. Call someone whose voice you find calming and just let them talk. Sit in real silence if that’s what lands. Sound reaches the body fast, and the right one can take the edge off a craving before you’ve even decided to relax.

Smell is for the sense most wired to memory and calm. Brew coffee or tea and breathe it in. Light a candle or some incense, use a lotion you like, step outside after rain, cut a piece of fruit. Smell has a short, direct path to the parts of the brain that handle emotion, which is why a familiar, comforting scent can settle you almost before you’ve registered it.

Taste is for a small, deliberate moment of comfort in your mouth. Sip a warm drink slowly. Eat one square of good chocolate, a piece of fruit, a mint, a spoonful of something you love — and actually taste it, the way you rarely do on autopilot. The aim isn’t to eat your feelings; it’s one small, savored thing, attended to fully, that tells your body it’s being cared for.

Touch is for the comfort the body reads most directly. Wrap up in a soft blanket, take a warm bath or shower, hold a pet, sink into a hot-water bottle, put on your most comfortable clothes, feel cool air or warm sun on your skin. Touch is the most physical exit and often the fastest — a warm, soft sensation tells the nervous system you’re safe in a language older than words.

The Five Senses at a Glance

Here’s the whole skill in one place, the way you might scan it the next time a craving or a hard hour hits.

Sense What you do Cheap, easy ways to try it
Vision Give your eyes something kind to rest on A loved one’s photo, a candle, the sky, a fireplace video
Hearing Let a sound carry you somewhere calmer Soothing music, rain or ocean sound, a calming voice, silence
Smell Use the sense most wired to calm and memory Brewed coffee or tea, a candle, lotion, the air after rain
Taste Take one small, savored moment of comfort A warm drink, a square of chocolate, fruit, a mint — tasted fully
Touch Give the body the comfort it reads most directly A soft blanket, a warm bath, a pet, comfortable clothes
Did you know?

Many people describe addiction less as chasing a high and more as an inability to sit with stillness, boredom, or emotional emptiness — using to escape an internal state they can’t tolerate[6]. Self-soothing works straight against that: it gives the discomfort somewhere to go, and teaches the body it can be comforted without the substance.

Try One Right Now

Reading about the five senses is one thing; reaching for one in the moment is another. Pick a sense and try one right here:

When To Reach for Self-Soothing

A fair question to ask a programWorth asking any provider: do you teach concrete skills for getting through a craving without using — not just talk about why cravings happen? A program that can name self-soothing, urge surfing, and distress tolerance is teaching you what to do with a hard moment.

Self-soothing fits a particular kind of moment: when you’re raw, frayed, or worn down, and the discomfort is the thing pushing you toward a substance. It’s less of an emergency brake than some skills and more of a salve — the tool for the long evening, the lonely stretch, the wave of sadness or stress that, left alone, tends to find its way to a craving.

Learning to comfort yourself is recovery workEvery time you soothe yourself through a hard moment without using, you teach your nervous system something the substance used to claim alone — that you can be comforted, by your own hand, and survive the feeling. That lesson outlasts any single craving.

Use it when the urge is really a reach for relief. Plenty of cravings are, at bottom, a wish to feel better — calmer, warmer, less alone. When that’s what’s underneath, self-soothing answers it on its own terms. You give your body the comfort it’s actually asking for, minus the substance that used to deliver it.

Use it to come down after a craving passes. When a wave of urge has crested and broken, you’re often left shaky and depleted. Self-soothing is how you tend to yourself afterward, so you’re not left raw and primed for the next one. It pairs naturally with riding out the wave using the DBT urge surfing skill: surf the peak, then soothe the body the wave left behind.

Use it as part of a fuller kit, not the only tool. When you need to put a hard stop between an urge and an action, or distract yourself through a sharp peak, other skills do that job. Self-soothing is the gentle one — and you can see how the DBT skills fit together and where each kind of moment has its own tool.

Where Self-Soothing Fits in DBT

Self-soothing doesn’t stand alone. It’s one tool inside crisis-survival skills, the corner of DBT distress tolerance built for surviving moments you can’t fix on the spot — the craving that won’t quit, the grief that won’t lift, the restless evening that keeps circling back to using. The whole job of distress tolerance is to get through a hard moment without making it worse, and self-soothing is its comfort tool. Distress-tolerance techniques from DBT have shown usefulness for the negative emotional states that drive substance dependence[1], and you can learn the full set of DBT distress-tolerance skills that self-soothing belongs to.

It also runs on the same foundation as the rest of DBT: paying gentle, full attention to one pleasant thing, which is mindfulness pointed at comfort. Mindfulness-based approaches have a real history in treating addictive disorders[3], and self-soothing is that attention turned toward care — noticing the warmth of the water, the taste of the tea, instead of bracing against the urge. The DBT addiction skills are designed to fit together like this, and the lineage runs deep, with DBT studied for substance use since its earliest adaptations, including a trial in opioid-dependent women[7]. It all sits inside the wider dialectical behavioral therapy approach the skill grows out of.

Making Self-Soothing Work in Real Life

If a moment is more than a cravingSelf-soothing is for the raw, hard hours. If a moment turns toward harming yourself or someone else, that’s past a skill you run alone — call or text 988, the Suicide and Crisis Lifeline, and reach a person now. The distress-tolerance skills self-soothing belongs to are built for those moments too, and you don’t have to face them by yourself.

A skill you only know about doesn’t help in the moment; a skill you’ve set up in advance does. A few things make self-soothing actually stick.

Build a self-soothe kit before you need it. Don’t wait for a hard night to figure out what comforts you. On a calm day, gather the real things — the blanket, the tea, the playlist, the photos, the lotion that smells like calm — and keep them somewhere you can reach in two minutes. When the craving hits, you want to reach for a kit you already trust, not go hunting for comfort while you’re raw.

Pick comfort, not stimulation. The point is to come down, not rev up. Soothing music over the song that hypes you; the warm bath over the cold plunge; the calm photo over the doomscroll. A few of the senses can go either way, so choose the version that settles you.

Pay attention while you do it. Half the skill is noticing — actually tasting the tea, feeling the warmth, hearing the music — instead of going through the motions while your mind stays stuck on the urge. The attention is what makes it work; comfort you don’t notice barely registers.

Be patient if it feels awkward at first. If you spent years letting a substance do your soothing, doing it by hand can feel foreign, even silly, for a while. That’s not a sign it isn’t working; it’s the sign of a muscle you’re rebuilding. It gets more natural every time, and one day you’ll reach for the blanket and the tea on instinct, the way you once reached for something far costlier.

If self-soothing speaks to you, it’s worth learning inside a fuller plan — the distress tolerance and mindfulness it grows out of, and the support that helps the skills hold. You don’t have to assemble that alone, and you don’t have to white-knuckle your way through recovery on willpower. There are people who teach exactly this. Find treatment and people who can help, and pair these skills with the wider dialectical behavioral therapy approach they belong to. The way through addiction is more bearable than the fear of it — and learning to comfort yourself, without the substance, is a real part of why.

The next step doesn’t have to be a big one. You can find treatment now and get matched with someone who can help you find the right care and take the next step. Reaching out today is a real step forward — and one you can make right now.

Frequently asked questions

What are the DBT self-soothe skills?

Self-soothing is a DBT distress-tolerance skill for comforting yourself through your five senses without using a substance. You go through vision, hearing, smell, taste, and touch and give each one something gentle and pleasant: a calming photo or candle to look at, soothing music or rain to listen to, the smell of coffee or a candle, a warm drink or a square of chocolate tasted slowly, a soft blanket or warm bath to feel. You don’t run all five at once; you reach for whichever sense is within reach. It’s one of the distress-tolerance techniques from DBT that have shown usefulness for the negative emotional states seen in substance dependence[1].

How does self-soothing help with addiction cravings?

For many people, the substance was the soothing — the one reliable way to take the edge off and feel okay. So a craving is often a reach for relief, not just for the drug, and the reach for a substance is frequently an attempt to escape an uncomfortable feeling. Emotion dysregulation drives the severity of substance dependence[2], and self-soothing answers that discomfort directly: it gives your nervous system the comfort it’s reaching for through a channel that doesn’t cost you your recovery. As the body settles, the urge tends to lose volume with it, so the craving makes a quieter case for using.

Why is self-soothing important in recovery from addiction?

Many people in active addiction never learned to comfort themselves without a substance, or forgot how along the way. Self-soothing is relearning that — and it matters because cravings live in the body, not just the mind, as a clenched jaw, a racing chest, a restlessness that says do something now. Soothing the senses settles that physical agitation, and a calmer body argues for using far less loudly than a jangled one. Every time you comfort yourself through a hard moment without using, you teach your nervous system that it can be soothed by your own hand.

Isn't self-soothing just indulgence or pampering?

No. Self-soothing is a skill, not a reward you have to earn, and it isn’t about luxury — most of the ideas are cheap and ordinary: a cup of tea, a familiar song, a warm shower, a soft blanket. The work is real, especially if a substance did your soothing for years; doing it by hand can feel foreign or even silly at first, which is the sign of a muscle you’re rebuilding, not a sign it isn’t working. It runs on the same gentle, full attention that mindfulness-based approaches bring to addictive disorders[3], turned toward caring for yourself instead of escaping the moment.

When should I use the self-soothe skill versus other DBT skills?

Reach for self-soothing when you’re raw, frayed, or worn down and the discomfort is what’s pushing you toward a substance — the long evening, the lonely stretch, the wave of sadness or stress. It’s a salve more than an emergency brake, and it’s also how you tend to yourself after a craving has crested and broken so you’re not left primed for the next one. It pairs naturally with urge surfing, which rides out the peak of a wave, while self-soothing comforts the body the wave leaves behind. Use it as part of a fuller kit, not the only tool.

Is self-soothing enough on its own to stay sober?

Self-soothing is one of the kindest in-the-moment skills, but it works best as part of a fuller plan rather than alone. It soothes the body and takes the edge off, and it pairs naturally with the other distress-tolerance and emotion skills in DBT; the broader approach has been field-tested for relapse prevention in opioid treatment[4] and works on the emotion dysregulation underneath addictive behavior[5]. Build a self-soothe kit before you need it, lean on real support like a therapist or sponsor when a moment is hard, and pair it with the wider treatment that helps the gains hold. If a moment ever turns toward harming yourself, call or text 988.

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7 Sources
  1. Kumar M, Singh V, Kumar R, Rozatkar AR, Soni AK, Kumar S, et al. (2026). Efficacy of distress tolerance techniques of dialectical behavior therapy in persons with obsessive-compulsive disorder: a study protocol for a randomized controlled trial. Trials. https://doi.org/10.1186/s13063-026-09672-w
  2. Mansueto G, Palmieri S, Nikčević AV, Caselli G, Spada MM (2026). The Mediating Role of Emotion Dysregulation in the Association Between Impulsivity and Severity of Substance Dependence. Clinical psychology & psychotherapy. https://doi.org/10.1002/cpp.70250
  3. Skanavi S, Laqueille X, Aubin H (2011). [Mindfulness based interventions for addictive disorders: a review]. L'Encephale. https://doi.org/10.1016/j.encep.2010.08.010
  4. Cooperman NA, Rizvi SL, Hughes CD, Williams JM (2019). Field Test of a Dialectical Behavior Therapy Skills Training-Based Intervention for Smoking Cessation and Opioid Relapse Prevention in Methadone Treatment. Journal of dual diagnosis. https://doi.org/10.1080/15504263.2018.1548719
  5. Durpoix A, Weiner L, Porche C, Walter M, Severac F, Weibel S, et al. (2026). Emotion regulation and impulsivity evolution during transdiagnostic DBT implementation in addictology – a 3-year naturalistic study. Substance abuse treatment, prevention, and policy. https://doi.org/10.1186/s13011-025-00698-y
  6. Zakhari R (2026). Imprinted Arousal Pattern (IAP): A Transdiagnostic Clinical Reasoning for Compulsive Behaviors. Journal of the American Psychiatric Nurses Association. https://doi.org/10.1177/10783903261443980
  7. Linehan MM, Dimeff LA, Reynolds SK, Comtois KA, Welch SS, Heagerty P, et al. (2002). Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug and alcohol dependence. https://doi.org/10.1016/s0376-8716(02)00011-x
Written by
Jessica Miller is the Content Manager of Addiction Help

Editorial Director

Jessica Miller is the Editorial Director of Addiction Help. Jessica graduated from the University of South Florida (USF) with an English degree and combines her writing expertise and passion for helping others to deliver reliable information to those impacted by addiction. Informed by her personal journey to recovery and support of loved ones in sobriety, Jessica's empathetic and authentic approach resonates deeply with the Addiction Help community.

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Kent S. Hoffman, D.O. is a founder of Addiction Help

Co-Founder & Chief Medical Officer

Kent S. Hoffman, D.O. has been an expert in addiction medicine for more than 15 years. In addition to managing a successful family medical practice, Dr. Hoffman is board certified in addiction medicine by the American Osteopathic Academy of Addiction Medicine (AOAAM). Dr. Hoffman has successfully treated hundreds of patients battling addiction. Dr. Hoffman is the Co-Founder and Chief Medical Officer of AddictionHelp.com and ensures the website’s medical content and messaging quality.

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