DBT LBC Certification Study Guide with all Correct &
100% Verified Answers| Actual Complete Exam|
Already Graded A+ (Just Released)
According to Linehan, BPD clients possess 6 behavioral patterns. These are: ✔Correct Answer-
emotional vulnerability, self-invalidation, unrelenting crisis, inhibited grieving, active passivity, and
apparent competence
Linehan's criteria for BPD is most similar to ✔Correct Answer-Millon
What % of BPD clients engage in self-injurious behaviours? ✔Correct Answer-70-75%
Kreitman introduced this term meaning nonfatal, intentional self-injurious behaviour resulting in
actual tissue damage, illness, or risk of death; or 2) ingestion of any drugs or substance not
prescribed or in excess to the prescription with intent to cause harm or death. This term includes
both SI gestures and self-injurious behaviours with little or no intent to cause death. ✔Correct
Answer-parasuicide
4 differences between CBT and DBT: ✔Correct Answer-1) Emphasis on acceptance and validation of
behaviour as it is in the moment
2) Emphasis on TIBs
3) Emphasis on the therapeutic relationship
4) Focus on dialectical processes
The term "dialectics" as applied to behavioural therapy has come to imply 2 contexts of usage:
✔Correct Answer-1) fundamental nature of reality and persuasive dialogue and relationship.
2) Treatment approach or strategies used by the therapist to effect change.
Dialectics as a worldview has 3 traits: ✔Correct Answer-1) interrelatedness and wholeness
2) Principles of Polarity (within dysfunction there is function, wise mind, finding value in one's pt of
view, looking for the function within the present moment)
3) Thesis, Antithesis, Synthesis: Principles of Continuous Change
Borderline splitting is defined as ✔Correct Answer-tendency to get stuck in either the thesis or the
antithesis, unable to move to a synthesis. Either/or thinking
The environment- person system is comprised of the: ✔Correct Answer-environmental sub-system
(social support, life change, suicidal, suicidal consequences) demographic factors (age, sex, and race),
and behavioural subsystem (cognitive, over motor, and physiological affective system)
Gorstein proposed bpd is a disorder of ✔Correct Answer-self regulation
characteristics of emotional vulnerability includes: ✔Correct Answer-high sensitivity to emotional
stimuli, emotional intensity, slow return to emotional baseline.
emotional regulation requires 2 paradoxical strategies ✔Correct Answer-1) the individual must
learn to experience and label the discreet emotions
,2) the individual must learn to reduce emotionally relevant stimuli that serve either to reactivate and
augment ongoing negative emotions or to set off secondary dysfunctional emotional responses.
inhibition of emotions can lead to ✔Correct Answer-1) neglect of the problem situation causing
the emotions
2) increase in emotional avoidance (emotion phobic)
3) research is unknown on the outcome of emotion inhibition over the long term
Poorness of fit results (Chess and Thomas) ✔Correct Answer-when there are discrepancies and
dissonances between environmental opportunities and demands and the capacities and
characteristics of the child. In these instances, distorted environment and maladaptive functions
results.
Per Linehan, an invalidating environment: ✔Correct Answer-is one in which communication of
private experiences is met by erratic, inappropriate, and extreme responses.
Invalidation has 2 primary traits ✔Correct Answer-1) it tells the person that they are wrong 2) it
attributes her experiences to socially unacceptable characteristics or personality traits
consequences of invalidating environments ✔Correct Answer-1) emotional labelling is not learned,
2) distress intolerance and unrealistic goals/ expectations are instilled, 3) extreme behavioural
displays are used to get needs met, 4) lack of trust of one's own emotional and cognitive
interpretations are instilled
what are the 3 types of invalidating family systems ✔Correct Answer-1) perfect family
2) chaotic family
3) typical family
This family type struggles with multiple issues within the family system, needs of the child are
ignored and invalidated, there is volatile responses, etc ✔Correct Answer-Chaotic Family
This family type cannot tolerate the negative emotions of the child. This can be due to high work
demands, self-centeredness, intolerance of negative emotions, and naive fears of spoiling the child.
This family system has sympathy for their child but unknowingly can invalidate by offering over
simplified solutions to their child, i.e. pray about it ✔Correct Answer-perfect family
This family system exists within the western cultures and supports the idea of cognitive control with
focus on achievement above all else. Self-control is more important. ✔Correct Answer-Typical
family system
Active Passivity is similar to _____ focused coping; i.e. the tendency to respond to stressful events
with efforts to reduce the negative emotional reaction by distracting or seeking comfort from others.
✔Correct Answer-Emotion
What factors contribute to apparent competency: ✔Correct Answer-1) person's competence is
variable and conditional
2) person struggles with ability to be vulnerable with others
3) person's reaction to interpersonal relationships; i.e. the difference in behaviour of the person in a
therapeutic relationship versus other outside relationships
,The core strategies of debt are: ✔Correct Answer-problem solving (change) and validation
(acceptance)
There are 2 types of validation strategies (i.e. core strategies): ✔Correct Answer-1) wisdom within
the client's maladaptive behaviors based on the client's historical context
2) the therapist belief in the client's ability to build a LWL
Problem solving strategies (core strategies) include: ✔Correct Answer-1) BCAs
2) Solutions Analysis
3) Orientation to the treatment solution
4) Eliciting commitment from the client
5) Application of the treatment
The BCA includes the 4 following questions (BCA being a problem-solving strategies which is a Core
strategy) ✔Correct Answer-1) Does the individual have the ability to engage in a more adaptive
response? (if not incorporate skills)
2) What are the reinforcing contingencies? (contingency management)
3) If adaptive responses are present, is their application inhibited by client's fear or guilt? Is the client
emotion phobic? (exposure therapy)
4) if adaptive responses are present, is their application inhibited by client's faulty belief's or beliefs?
(cognitive modification)
What are the two communication styles in DBT? ✔Correct Answer-irreverent and reciprocal
What are the 4 modes of DBT treatment? ✔Correct Answer-individual therapy, dbt consult team,
dbt phone consultation, dbt skill class
How many DBT assumptions are there? ✔Correct Answer-8
What are the DBT assumptions? ✔Correct Answer-1) People are doing the best they can
2) People want to do better
3) People need to try harder and be more motivated to change
4) Clients cannot fail treatment
5) Therapist treating BPD must seek support
6) We did not cause all of our problems but we have to solve them anyways
7. The lives of SI clients are unbearable as they are being lived currently
8. Client must learn new behaviors in all relevant contexts
"Unwavering centeredness" is defined as ✔Correct Answer-believing in oneself, in therapy, and in
oneself. It is the calmness in the storm.
"Compassionate flexibility" is defined as ✔Correct Answer-Ability to adapt to changes within the
therapeutic relationship as needed. This includes admitting mistakes, observing and extending limits
as needed.
The balance "unwavering centeredness" and "compassionate flexibility" requires ✔Correct
Answer-the therapist observe limits and conditions while being flexible in response to changing,
adapting, etc.
"Nurturing" includes: ✔Correct Answer-teaching, coaching, assisting, strengthening, and aiding the
patient
, "Benevolent demanding" includes: ✔Correct Answer-therapist recognition of the client's on
strengths and capability , reinforcement of their adaptive responses, and not taking care of them
The dialectical position to take with benevolent demanding and nurturing is: ✔Correct Answer-
Pushing the client forward while supporting them.
Patient agreements include: ✔Correct Answer-1) 1 year commitment to DBT
2) 4 missed shows in a row
3) Attendance agreement
4) SI agreement
5) TIB agreement
6) Skill training agreement
7) Research and payment agreement
Therapist agreements include: ✔Correct Answer-1) Every reasonable effort agreement
2) Ethical agreement
3) Personal contact agreement
4) Respect for the client agreement
5) Confidentiality Agreement
6_ Consultation agreement
There is no absolute truth and when polarities exist the goal is to search for the synthesis rather than
the truth. ✔Correct Answer-Dialectical Agreement
Therapists do no serve as intermediaries for their patients with other professionals, including other
members of the treatment team. ✔Correct Answer-Consultation to the client
Consistencies with other members of the treatment team are not expected and each member of the
team does not have to teach the same thing nor agree on proper rules of the therapy. ✔Correct
Answer-Consistency Agreement
The case conceptualization group agrees that therapists are to observe their own limits nor judge
others limits. ✔Correct Answer-Observing Limits Agreement
Therapist agree to search for a nonpejorative interpretation of clients behaviors ✔Correct Answer-
phenomenological empathy agreement
Explicit agreement that all therapist are jerks. ✔Correct Answer-Fallibility agreement
There are 5 subcategories of SI-related behaviors which are targeted in DBT: ✔Correct Answer-1) SI
Crisis behaviors
2) Parasuicidal acts (nonfatal, intentional self-injurious behaviors)
3) SI ideation and communications
4) SI- related experiences and beliefs (idea it is a problem-solving technique)
5) SI- related affect
Reducing Parasuicidal acts is important because: ✔Correct Answer-1) best predictor of subsequent
SI
2) damages to the body
3) actions based on the intent to harm oneself are incompatible with therapy
100% Verified Answers| Actual Complete Exam|
Already Graded A+ (Just Released)
According to Linehan, BPD clients possess 6 behavioral patterns. These are: ✔Correct Answer-
emotional vulnerability, self-invalidation, unrelenting crisis, inhibited grieving, active passivity, and
apparent competence
Linehan's criteria for BPD is most similar to ✔Correct Answer-Millon
What % of BPD clients engage in self-injurious behaviours? ✔Correct Answer-70-75%
Kreitman introduced this term meaning nonfatal, intentional self-injurious behaviour resulting in
actual tissue damage, illness, or risk of death; or 2) ingestion of any drugs or substance not
prescribed or in excess to the prescription with intent to cause harm or death. This term includes
both SI gestures and self-injurious behaviours with little or no intent to cause death. ✔Correct
Answer-parasuicide
4 differences between CBT and DBT: ✔Correct Answer-1) Emphasis on acceptance and validation of
behaviour as it is in the moment
2) Emphasis on TIBs
3) Emphasis on the therapeutic relationship
4) Focus on dialectical processes
The term "dialectics" as applied to behavioural therapy has come to imply 2 contexts of usage:
✔Correct Answer-1) fundamental nature of reality and persuasive dialogue and relationship.
2) Treatment approach or strategies used by the therapist to effect change.
Dialectics as a worldview has 3 traits: ✔Correct Answer-1) interrelatedness and wholeness
2) Principles of Polarity (within dysfunction there is function, wise mind, finding value in one's pt of
view, looking for the function within the present moment)
3) Thesis, Antithesis, Synthesis: Principles of Continuous Change
Borderline splitting is defined as ✔Correct Answer-tendency to get stuck in either the thesis or the
antithesis, unable to move to a synthesis. Either/or thinking
The environment- person system is comprised of the: ✔Correct Answer-environmental sub-system
(social support, life change, suicidal, suicidal consequences) demographic factors (age, sex, and race),
and behavioural subsystem (cognitive, over motor, and physiological affective system)
Gorstein proposed bpd is a disorder of ✔Correct Answer-self regulation
characteristics of emotional vulnerability includes: ✔Correct Answer-high sensitivity to emotional
stimuli, emotional intensity, slow return to emotional baseline.
emotional regulation requires 2 paradoxical strategies ✔Correct Answer-1) the individual must
learn to experience and label the discreet emotions
,2) the individual must learn to reduce emotionally relevant stimuli that serve either to reactivate and
augment ongoing negative emotions or to set off secondary dysfunctional emotional responses.
inhibition of emotions can lead to ✔Correct Answer-1) neglect of the problem situation causing
the emotions
2) increase in emotional avoidance (emotion phobic)
3) research is unknown on the outcome of emotion inhibition over the long term
Poorness of fit results (Chess and Thomas) ✔Correct Answer-when there are discrepancies and
dissonances between environmental opportunities and demands and the capacities and
characteristics of the child. In these instances, distorted environment and maladaptive functions
results.
Per Linehan, an invalidating environment: ✔Correct Answer-is one in which communication of
private experiences is met by erratic, inappropriate, and extreme responses.
Invalidation has 2 primary traits ✔Correct Answer-1) it tells the person that they are wrong 2) it
attributes her experiences to socially unacceptable characteristics or personality traits
consequences of invalidating environments ✔Correct Answer-1) emotional labelling is not learned,
2) distress intolerance and unrealistic goals/ expectations are instilled, 3) extreme behavioural
displays are used to get needs met, 4) lack of trust of one's own emotional and cognitive
interpretations are instilled
what are the 3 types of invalidating family systems ✔Correct Answer-1) perfect family
2) chaotic family
3) typical family
This family type struggles with multiple issues within the family system, needs of the child are
ignored and invalidated, there is volatile responses, etc ✔Correct Answer-Chaotic Family
This family type cannot tolerate the negative emotions of the child. This can be due to high work
demands, self-centeredness, intolerance of negative emotions, and naive fears of spoiling the child.
This family system has sympathy for their child but unknowingly can invalidate by offering over
simplified solutions to their child, i.e. pray about it ✔Correct Answer-perfect family
This family system exists within the western cultures and supports the idea of cognitive control with
focus on achievement above all else. Self-control is more important. ✔Correct Answer-Typical
family system
Active Passivity is similar to _____ focused coping; i.e. the tendency to respond to stressful events
with efforts to reduce the negative emotional reaction by distracting or seeking comfort from others.
✔Correct Answer-Emotion
What factors contribute to apparent competency: ✔Correct Answer-1) person's competence is
variable and conditional
2) person struggles with ability to be vulnerable with others
3) person's reaction to interpersonal relationships; i.e. the difference in behaviour of the person in a
therapeutic relationship versus other outside relationships
,The core strategies of debt are: ✔Correct Answer-problem solving (change) and validation
(acceptance)
There are 2 types of validation strategies (i.e. core strategies): ✔Correct Answer-1) wisdom within
the client's maladaptive behaviors based on the client's historical context
2) the therapist belief in the client's ability to build a LWL
Problem solving strategies (core strategies) include: ✔Correct Answer-1) BCAs
2) Solutions Analysis
3) Orientation to the treatment solution
4) Eliciting commitment from the client
5) Application of the treatment
The BCA includes the 4 following questions (BCA being a problem-solving strategies which is a Core
strategy) ✔Correct Answer-1) Does the individual have the ability to engage in a more adaptive
response? (if not incorporate skills)
2) What are the reinforcing contingencies? (contingency management)
3) If adaptive responses are present, is their application inhibited by client's fear or guilt? Is the client
emotion phobic? (exposure therapy)
4) if adaptive responses are present, is their application inhibited by client's faulty belief's or beliefs?
(cognitive modification)
What are the two communication styles in DBT? ✔Correct Answer-irreverent and reciprocal
What are the 4 modes of DBT treatment? ✔Correct Answer-individual therapy, dbt consult team,
dbt phone consultation, dbt skill class
How many DBT assumptions are there? ✔Correct Answer-8
What are the DBT assumptions? ✔Correct Answer-1) People are doing the best they can
2) People want to do better
3) People need to try harder and be more motivated to change
4) Clients cannot fail treatment
5) Therapist treating BPD must seek support
6) We did not cause all of our problems but we have to solve them anyways
7. The lives of SI clients are unbearable as they are being lived currently
8. Client must learn new behaviors in all relevant contexts
"Unwavering centeredness" is defined as ✔Correct Answer-believing in oneself, in therapy, and in
oneself. It is the calmness in the storm.
"Compassionate flexibility" is defined as ✔Correct Answer-Ability to adapt to changes within the
therapeutic relationship as needed. This includes admitting mistakes, observing and extending limits
as needed.
The balance "unwavering centeredness" and "compassionate flexibility" requires ✔Correct
Answer-the therapist observe limits and conditions while being flexible in response to changing,
adapting, etc.
"Nurturing" includes: ✔Correct Answer-teaching, coaching, assisting, strengthening, and aiding the
patient
, "Benevolent demanding" includes: ✔Correct Answer-therapist recognition of the client's on
strengths and capability , reinforcement of their adaptive responses, and not taking care of them
The dialectical position to take with benevolent demanding and nurturing is: ✔Correct Answer-
Pushing the client forward while supporting them.
Patient agreements include: ✔Correct Answer-1) 1 year commitment to DBT
2) 4 missed shows in a row
3) Attendance agreement
4) SI agreement
5) TIB agreement
6) Skill training agreement
7) Research and payment agreement
Therapist agreements include: ✔Correct Answer-1) Every reasonable effort agreement
2) Ethical agreement
3) Personal contact agreement
4) Respect for the client agreement
5) Confidentiality Agreement
6_ Consultation agreement
There is no absolute truth and when polarities exist the goal is to search for the synthesis rather than
the truth. ✔Correct Answer-Dialectical Agreement
Therapists do no serve as intermediaries for their patients with other professionals, including other
members of the treatment team. ✔Correct Answer-Consultation to the client
Consistencies with other members of the treatment team are not expected and each member of the
team does not have to teach the same thing nor agree on proper rules of the therapy. ✔Correct
Answer-Consistency Agreement
The case conceptualization group agrees that therapists are to observe their own limits nor judge
others limits. ✔Correct Answer-Observing Limits Agreement
Therapist agree to search for a nonpejorative interpretation of clients behaviors ✔Correct Answer-
phenomenological empathy agreement
Explicit agreement that all therapist are jerks. ✔Correct Answer-Fallibility agreement
There are 5 subcategories of SI-related behaviors which are targeted in DBT: ✔Correct Answer-1) SI
Crisis behaviors
2) Parasuicidal acts (nonfatal, intentional self-injurious behaviors)
3) SI ideation and communications
4) SI- related experiences and beliefs (idea it is a problem-solving technique)
5) SI- related affect
Reducing Parasuicidal acts is important because: ✔Correct Answer-1) best predictor of subsequent
SI
2) damages to the body
3) actions based on the intent to harm oneself are incompatible with therapy
