The Opposite Action DBT Skill is a great skill when your emotions don't fit the facts or when acting on your action urges is not effective; it helps make rational decisions, despite initially wanting to make a decision that may not be effective or meet your long-term goals. This print is printed on high-quality Luster paper and shipped right to you! This BOHO wall art print would be a great additive for any Social Worker, Occupational Therapy practice, counselor, coach or DBT/cognitive based program. Digital option is available on my store. If you don't see it, please reach out because it may have expired due to low sales but I can bring it back if there's interest! Please see commonly asked questions below and please don't hesitate to reach out with any questions or concerns you may have! QUESTIONS: For any questions about a product, please reach out and ask me! FORMAT/SIZE: Physical Prints are 8.5 x 11 inches. REFUNDS: Refunds within 7 days for physical prints. DISCLAIMER: Frame not included.