DBT Intensive Training Exam with all Correct & 100%
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While DBT often employs principles of changing and maintaining behavior and learning, it is believed
that these principles are far too complex for the client to comprehend or learn. ✔Correct Answer-
False (p. 272-275)
DBT advocates the use of the learning principles, including both reinforcement and punishment (i.e.,
aversive consequences), when working with borderline clients. ✔Correct Answer-True (p. 306)
DBT does not focus directly on traumatic stress until previous target behaviors are under control and,
therefore, basically ignores the trauma when the client brings it up. ✔Correct Answer-False - The
second part is FALSE, so the whole answer is FALSE. Trauma is never ignored if brought up; however,
it is not a primary target of treatment until Stage 1 targets are resolved (p. 170).
According to the DBT manual, if a client, who is in both individual therapy and participating in group
skills training, needs help in applying behavioral skills to everyday life, the client is directed to first
call the skills trainer. ✔Correct Answer-False - Clients should call the individual therapist for skills
coaching since the individual therapist knows where the client is on the shaping hierarchy (p. 189).
DBT requires that the therapist adhere resolutely to the target hierarchy for the particular type of
session being conducted even when the client does not want to discuss high-priority target
behaviors. ✔Correct Answer-True (p. 190).
DBT avoids introducing change and instability into therapy because borderline clients have enormous
difficulty with change and stability and consistency is more comfortable for them. ✔Correct
Answer-False- DBT advocates change in the therapeutic environment. This is the dialectical strategy
of allowing natural change (p. 217-218).
DBT assumes that borderline individuals' problems stem primarily from dysfunctional cognitive
styles, faulty interpretations and distortions of events, and maladaptive underlying assumptions or
cognitive schemas. ✔Correct Answer-False - DBT has a biosocial theory of BPD. Cognitive therapy is
often ineffective with BPD clients (p. 239).
In DBT, the therapist will intervene with other mental health practitioners (circle all that apply):
A) whenever asked to do so by the client.
B) only in the beginning, until the client has worked up the nerve to deal with them directly.
C) only when the other professionals are not meeting the client's demands or are clearly
discriminating against the client because of her "illness."
D) whenever a clinical evaluation indicates that the client does not possess the capability (or the
power) and the outcome is very important, or when intervention is necessary to avoid high risk to
others. ✔Correct Answer-D) The therapist will intervene with other mental health practitioners
whenever a clinical evaluation indicates that the client does not possess the skills and the outcome is
very important, or when intervention is necessary to avoid high risk to others (p. 402).
The best strategy for the therapist to employ during a chain analysis is (choose all that apply):
A) to ask questions which demonstrate to the client that the therapist is anticipating the client's next
move.
, B) to focus on the primary actions within the chain, moving quickly over (or ignoring) the less
important activities that occurred.
C) to play the role of the naïve observer, making no assumptions and taking pains to cover every
movement, thought and assumption on the part of the client.
D) to start the chain with some activity of the client. ✔Correct Answer-C) to play the role of the
naïve observer, making no assumptions and taking pains to cover every movement, thought and
assumption on the part of the client. (D) is not correct; chain analyses always begin with an
environmental precipitants (p. 260).
According to DBT, which of following statements is correct?
A) In being honest with the client, the therapist expresses discomfort with the client's painful
emotions.
B) Finding and amplifying the secondary emotional responses constitute the essence of emotional
validation.
C) When a client is in a state of overwhelming crisis, the use of open-ended questions about feelings
at this point is a useful means of validation.
D) If a client has an action urge associate with an emotion (e.g. to scream, or to hit the therapist)
with no corresponding emotional experience or physiological changes, DBT does not assume that the
client is experiencing the emotion unconsciously, and thus just doesn't know it. ✔Correct Answer-
D) (pp. 224-235)
When performing solution analyses with clients (choose all that apply):
A) the therapist should always try to avoid generating solutions for clients because clients need to
make up their own.
B) the therapist can generate more solutions at the beginning of treatment, and then should fade
out.
C) the therapist should always generate solutions when the client can't think one up.
D) the therapist should always focus on active, independent rather than passive, dependent
problem-solving styles ✔Correct Answer-B) is the Correct Answer
A) No. Therapist may need to model solution generation and selection.
(B) Yes.
(C) No. This may reinforce clients not thinking up own solutions.
(D) No. There should be a balance of styles, appropriate to different contexts.
A client states during the initial session that she fears that the therapist will reject her. Which of the
following therapist responses is clearly DBT validation?
A) "Of course you are afraid. Given your history of being rejected by those on whom you depend and
who allow you to become close, it's no wonder!"
B) "Of course you are afraid. Given that we have not yet covered the treatment guidelines so you
don't know what to expect! Not knowing me, you can't know yet what would lead to rejection by
me." ✔Correct Answer-B) An insight concerning current behavior (statement of fear of rejection) is
most appropriately tied to current, in-session events.
With a client presenting with suicidal behavior, the DBT therapist would (circle all that apply):
A) require the client to make a very strong commitment to staying alive, reducing intentional self-
injurious behavior, and attend skills training before commencing therapy.
B) if the client does not agree that suicidal behavior is primary target, begin treating her as an
involuntary client in the pretreatment phase. C) before beginning treatment, require the faintest of
commitments to staying in therapy (and thus staying alive), working to replace suicidal behavior with
more adaptive ways of coping, and attending skills training.
Verified Answers |Latest Version |Already Graded A+
While DBT often employs principles of changing and maintaining behavior and learning, it is believed
that these principles are far too complex for the client to comprehend or learn. ✔Correct Answer-
False (p. 272-275)
DBT advocates the use of the learning principles, including both reinforcement and punishment (i.e.,
aversive consequences), when working with borderline clients. ✔Correct Answer-True (p. 306)
DBT does not focus directly on traumatic stress until previous target behaviors are under control and,
therefore, basically ignores the trauma when the client brings it up. ✔Correct Answer-False - The
second part is FALSE, so the whole answer is FALSE. Trauma is never ignored if brought up; however,
it is not a primary target of treatment until Stage 1 targets are resolved (p. 170).
According to the DBT manual, if a client, who is in both individual therapy and participating in group
skills training, needs help in applying behavioral skills to everyday life, the client is directed to first
call the skills trainer. ✔Correct Answer-False - Clients should call the individual therapist for skills
coaching since the individual therapist knows where the client is on the shaping hierarchy (p. 189).
DBT requires that the therapist adhere resolutely to the target hierarchy for the particular type of
session being conducted even when the client does not want to discuss high-priority target
behaviors. ✔Correct Answer-True (p. 190).
DBT avoids introducing change and instability into therapy because borderline clients have enormous
difficulty with change and stability and consistency is more comfortable for them. ✔Correct
Answer-False- DBT advocates change in the therapeutic environment. This is the dialectical strategy
of allowing natural change (p. 217-218).
DBT assumes that borderline individuals' problems stem primarily from dysfunctional cognitive
styles, faulty interpretations and distortions of events, and maladaptive underlying assumptions or
cognitive schemas. ✔Correct Answer-False - DBT has a biosocial theory of BPD. Cognitive therapy is
often ineffective with BPD clients (p. 239).
In DBT, the therapist will intervene with other mental health practitioners (circle all that apply):
A) whenever asked to do so by the client.
B) only in the beginning, until the client has worked up the nerve to deal with them directly.
C) only when the other professionals are not meeting the client's demands or are clearly
discriminating against the client because of her "illness."
D) whenever a clinical evaluation indicates that the client does not possess the capability (or the
power) and the outcome is very important, or when intervention is necessary to avoid high risk to
others. ✔Correct Answer-D) The therapist will intervene with other mental health practitioners
whenever a clinical evaluation indicates that the client does not possess the skills and the outcome is
very important, or when intervention is necessary to avoid high risk to others (p. 402).
The best strategy for the therapist to employ during a chain analysis is (choose all that apply):
A) to ask questions which demonstrate to the client that the therapist is anticipating the client's next
move.
, B) to focus on the primary actions within the chain, moving quickly over (or ignoring) the less
important activities that occurred.
C) to play the role of the naïve observer, making no assumptions and taking pains to cover every
movement, thought and assumption on the part of the client.
D) to start the chain with some activity of the client. ✔Correct Answer-C) to play the role of the
naïve observer, making no assumptions and taking pains to cover every movement, thought and
assumption on the part of the client. (D) is not correct; chain analyses always begin with an
environmental precipitants (p. 260).
According to DBT, which of following statements is correct?
A) In being honest with the client, the therapist expresses discomfort with the client's painful
emotions.
B) Finding and amplifying the secondary emotional responses constitute the essence of emotional
validation.
C) When a client is in a state of overwhelming crisis, the use of open-ended questions about feelings
at this point is a useful means of validation.
D) If a client has an action urge associate with an emotion (e.g. to scream, or to hit the therapist)
with no corresponding emotional experience or physiological changes, DBT does not assume that the
client is experiencing the emotion unconsciously, and thus just doesn't know it. ✔Correct Answer-
D) (pp. 224-235)
When performing solution analyses with clients (choose all that apply):
A) the therapist should always try to avoid generating solutions for clients because clients need to
make up their own.
B) the therapist can generate more solutions at the beginning of treatment, and then should fade
out.
C) the therapist should always generate solutions when the client can't think one up.
D) the therapist should always focus on active, independent rather than passive, dependent
problem-solving styles ✔Correct Answer-B) is the Correct Answer
A) No. Therapist may need to model solution generation and selection.
(B) Yes.
(C) No. This may reinforce clients not thinking up own solutions.
(D) No. There should be a balance of styles, appropriate to different contexts.
A client states during the initial session that she fears that the therapist will reject her. Which of the
following therapist responses is clearly DBT validation?
A) "Of course you are afraid. Given your history of being rejected by those on whom you depend and
who allow you to become close, it's no wonder!"
B) "Of course you are afraid. Given that we have not yet covered the treatment guidelines so you
don't know what to expect! Not knowing me, you can't know yet what would lead to rejection by
me." ✔Correct Answer-B) An insight concerning current behavior (statement of fear of rejection) is
most appropriately tied to current, in-session events.
With a client presenting with suicidal behavior, the DBT therapist would (circle all that apply):
A) require the client to make a very strong commitment to staying alive, reducing intentional self-
injurious behavior, and attend skills training before commencing therapy.
B) if the client does not agree that suicidal behavior is primary target, begin treating her as an
involuntary client in the pretreatment phase. C) before beginning treatment, require the faintest of
commitments to staying in therapy (and thus staying alive), working to replace suicidal behavior with
more adaptive ways of coping, and attending skills training.
