DBT LBC CORE REVIEWS ANSWERS AND QUESTIONS
SET A+
✔✔The BCA includes the 4 following questions (BCA being a problem-solving
strategies which is a Core strategy) - ✔✔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? - ✔✔irreverent and reciprocal
✔✔What are the 4 modes of DBT treatment? - ✔✔individual therapy, dbt consult team,
dbt phone consultation, dbt skill class
✔✔How many DBT assumptions are there? - ✔✔8
✔✔What are the DBT assumptions? - ✔✔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 - ✔✔believing in oneself, in therapy, and in
oneself. It is the calmness in the storm.
✔✔"Compassionate flexibility" is defined as - ✔✔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 -
✔✔the therapist observe limits and conditions while being flexible in response to
changing, adapting, etc.
✔✔"Nurturing" includes: - ✔✔teaching, coaching, assisting, strengthening, and aiding
the patient
✔✔"Benevolent demanding" includes: - ✔✔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: -
✔✔Pushing the client forward while supporting them.
✔✔Patient agreements include: - ✔✔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: - ✔✔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. - ✔✔Dialectical Agreement
✔✔Therapists do no serve as intermediaries for their patients with other professionals,
including other members of the treatment team. - ✔✔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. - ✔✔Consistency Agreement
✔✔The case conceptualization group agrees that therapists are to observe their own
limits nor judge others limits. - ✔✔Observing Limits Agreement
,✔✔Therapist agree to search for a nonpejorative interpretation of clients behaviors -
✔✔phenomenological empathy agreement
✔✔Explicit agreement that all therapist are jerks. - ✔✔Fallibility agreement
✔✔There are 5 subcategories of SI-related behaviors which are targeted in DBT: -
✔✔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: - ✔✔1) best predictor of
subsequent SI
2) damages to the body
3) actions based on the intent to harm oneself are incompatible with therapy
4) It is hard to express care for a client if you do not address self-harm
✔✔There are 3 categories of client TIBs: - ✔✔1) Behaviors that interfere with the client
receiving therapy
2) Behaviors that interfere with other clients receiving therapy
3) Behaviors that burn out the therapist
✔✔Examples of behaviors that interfere with the client receiving therapy - ✔✔1.
Nonattentive- cancellations, threatening to drop out, dropping out, excessive admittance
into HOS, acting SI during inpatient stays
2 Noncollaborative- inability or refusal to work in therapy, not talking in therapy, arguing
incessantly
3 Noncompliant behaviors- not completing diary cards, not keeping agreement, refusing
treatment agreements
✔✔What are the 2 categories of TIBs of the therapist? - ✔✔1) Balance within therapy
2) Respect for client
✔✔To be considered a Quality of Life interfering behavior the patient's behavior must.....
- ✔✔be interfering enough that if not changed it will interfere with a change in quality of
life. Examples include substance abuse, high risk or unprotected sex, extreme financial
issues, criminal behaviors, serious dysfunctional interpersonal behaviors, employment
or school related dysfunctional behaviors, illness related dysfunctional behaviors,
housing related dysfunctional behaviors, mental health related dysfunctions behaviors
✔✔The goals of skills training in dbt are: - ✔✔behaviors to decrease- interpersonal
dysregulation, emotional dysregulation, behavioral and cognitive dysregulation, self
dysregulation
, behaviors to increase interpersonal skills, emotion regulation skills, distress tolerance,
and core mindfulness
✔✔What are the goals of working through trauma within DBT: - ✔✔1) accept the facts
of the trauma
2) reduce stigmatization, self-invalidation, self-blame associated with the trauma
3) reduce denial phases and intrusive stress responses
4) synthesizing the "abuse dichotomy"
5) increase self respect
✔✔What is the target of stage 2 of dbt - ✔✔decrease ptsd
✔✔what are the stage 3 targets - ✔✔increase respect for self and achieve individual
goals
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
suicidal behaviors - ✔✔1. suicide crisis behaviors
2. Parasuicidal acts
3. intrusive suicidal urges, images, and communications
4. Suicidal ideation, expectations, emotional responses
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
therapy interfering behaviors - ✔✔1. Patient or therapist interfering behaviors likely to
destroy therapy
2. Immediately interfering behaviors of patient or therapist
3. Patient or therapist interfering behaviors functionally related to suicidal behaviors
4. Patient therapist interfering behaviors similar to problem behaviors outside of therapy
5. lack of progress in therapy
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
Quality of Life Interfering Behaviors - ✔✔1. Behaviors causing immediate crisis
2. Easy to change (over difficult to change) behaviors
3. Behaviors functionally related to higher order targets and to patients goals.
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
Increasing behavioral skills - ✔✔1. Skills currently being taught in skills training
2) Skills functionally related to higher order targets
3) skills not learned yet
✔✔To decrease crisis generating behaviors (unrelenting crisis) therapist must: -
✔✔increase realistic decision making and judgement
✔✔hierarchy of primary targets in skills training - ✔✔1. Stopping behaviors likely to
destroy therapy
SET A+
✔✔The BCA includes the 4 following questions (BCA being a problem-solving
strategies which is a Core strategy) - ✔✔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? - ✔✔irreverent and reciprocal
✔✔What are the 4 modes of DBT treatment? - ✔✔individual therapy, dbt consult team,
dbt phone consultation, dbt skill class
✔✔How many DBT assumptions are there? - ✔✔8
✔✔What are the DBT assumptions? - ✔✔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 - ✔✔believing in oneself, in therapy, and in
oneself. It is the calmness in the storm.
✔✔"Compassionate flexibility" is defined as - ✔✔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 -
✔✔the therapist observe limits and conditions while being flexible in response to
changing, adapting, etc.
✔✔"Nurturing" includes: - ✔✔teaching, coaching, assisting, strengthening, and aiding
the patient
✔✔"Benevolent demanding" includes: - ✔✔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: -
✔✔Pushing the client forward while supporting them.
✔✔Patient agreements include: - ✔✔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: - ✔✔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. - ✔✔Dialectical Agreement
✔✔Therapists do no serve as intermediaries for their patients with other professionals,
including other members of the treatment team. - ✔✔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. - ✔✔Consistency Agreement
✔✔The case conceptualization group agrees that therapists are to observe their own
limits nor judge others limits. - ✔✔Observing Limits Agreement
,✔✔Therapist agree to search for a nonpejorative interpretation of clients behaviors -
✔✔phenomenological empathy agreement
✔✔Explicit agreement that all therapist are jerks. - ✔✔Fallibility agreement
✔✔There are 5 subcategories of SI-related behaviors which are targeted in DBT: -
✔✔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: - ✔✔1) best predictor of
subsequent SI
2) damages to the body
3) actions based on the intent to harm oneself are incompatible with therapy
4) It is hard to express care for a client if you do not address self-harm
✔✔There are 3 categories of client TIBs: - ✔✔1) Behaviors that interfere with the client
receiving therapy
2) Behaviors that interfere with other clients receiving therapy
3) Behaviors that burn out the therapist
✔✔Examples of behaviors that interfere with the client receiving therapy - ✔✔1.
Nonattentive- cancellations, threatening to drop out, dropping out, excessive admittance
into HOS, acting SI during inpatient stays
2 Noncollaborative- inability or refusal to work in therapy, not talking in therapy, arguing
incessantly
3 Noncompliant behaviors- not completing diary cards, not keeping agreement, refusing
treatment agreements
✔✔What are the 2 categories of TIBs of the therapist? - ✔✔1) Balance within therapy
2) Respect for client
✔✔To be considered a Quality of Life interfering behavior the patient's behavior must.....
- ✔✔be interfering enough that if not changed it will interfere with a change in quality of
life. Examples include substance abuse, high risk or unprotected sex, extreme financial
issues, criminal behaviors, serious dysfunctional interpersonal behaviors, employment
or school related dysfunctional behaviors, illness related dysfunctional behaviors,
housing related dysfunctional behaviors, mental health related dysfunctions behaviors
✔✔The goals of skills training in dbt are: - ✔✔behaviors to decrease- interpersonal
dysregulation, emotional dysregulation, behavioral and cognitive dysregulation, self
dysregulation
, behaviors to increase interpersonal skills, emotion regulation skills, distress tolerance,
and core mindfulness
✔✔What are the goals of working through trauma within DBT: - ✔✔1) accept the facts
of the trauma
2) reduce stigmatization, self-invalidation, self-blame associated with the trauma
3) reduce denial phases and intrusive stress responses
4) synthesizing the "abuse dichotomy"
5) increase self respect
✔✔What is the target of stage 2 of dbt - ✔✔decrease ptsd
✔✔what are the stage 3 targets - ✔✔increase respect for self and achieve individual
goals
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
suicidal behaviors - ✔✔1. suicide crisis behaviors
2. Parasuicidal acts
3. intrusive suicidal urges, images, and communications
4. Suicidal ideation, expectations, emotional responses
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
therapy interfering behaviors - ✔✔1. Patient or therapist interfering behaviors likely to
destroy therapy
2. Immediately interfering behaviors of patient or therapist
3. Patient or therapist interfering behaviors functionally related to suicidal behaviors
4. Patient therapist interfering behaviors similar to problem behaviors outside of therapy
5. lack of progress in therapy
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
Quality of Life Interfering Behaviors - ✔✔1. Behaviors causing immediate crisis
2. Easy to change (over difficult to change) behaviors
3. Behaviors functionally related to higher order targets and to patients goals.
✔✔Hierarches of target behaviors within target classes in outpatient individual therapy:
Increasing behavioral skills - ✔✔1. Skills currently being taught in skills training
2) Skills functionally related to higher order targets
3) skills not learned yet
✔✔To decrease crisis generating behaviors (unrelenting crisis) therapist must: -
✔✔increase realistic decision making and judgement
✔✔hierarchy of primary targets in skills training - ✔✔1. Stopping behaviors likely to
destroy therapy
