DBT LBC CERTIFICATION STUDY GUIDE QUESTIONS WITH
CORRECT ANSWERS 2026
"Benevolent demanding" includes: - CORRECT ANSWERS -therapist recognition of the client's on
strengths and capability , reinforcement of their adaptive responses, and not taking care of
them
"Compassionate flexibility" is defined as - CORRECT ANSWERS -Ability to adapt to changes
within the therapeutic relationship as needed. This includes admitting mistakes, observing and
extending limits as needed.
"Nurturing" includes: - CORRECT ANSWERS -teaching, coaching, assisting, strengthening, and
aiding the patient
"Unwavering centeredness" is defined as - CORRECT ANSWERS -believing in oneself, in therapy,
and in oneself. It is the calmness in the storm.
=what are the 3 proposes of irrerevernt communication - CORRECT ANSWERS -1) get Ps
attention
2) To change P's affective response
3) to get P to see a different response
4 differences between CBT and DBT: - CORRECT ANSWERS -1) Emphasis on acceptance and
validation of behavior as it is in the moment
2) Emphasis on TIBs
3) Emphasis on the therapeutic relationship
4) Focus on dialectical processes
,A dialectical stance has a number of characteristics: - CORRECT ANSWERS -1) speed (keep the
client off balance so they never get a strong foothold)
2) the therapist must be awake, observing, and sensing each movement of the client.
3) The therapist must move with certainty, strength, and total commitment
According to Linehan, BPD clients possess 6 behavioral patterns. These are: - CORRECT
ANSWERS -emotional vulnerability, self invalidation, unrelenting crisis, inhibited grieving, active
passivity, and apparent competence
Active Passivity is similar to _____ focused coping; ie the tendency to respond to stressful
events with efforts to reduce the negative emotional reaction by distracting or seeking comfort
from others. - CORRECT ANSWERS -Emotion
addresses all P's behaviors that push or cross T's own personal limits - CORRECT ANSWERS -
observing limits
Addresses behaviors on the behavior target list - CORRECT ANSWERS -contingency management
All consequences or contingencies that increase or strengthen the probability of a behavior -
CORRECT ANSWERS -Reinforcement
Allowing natural change (dialectical strategy) - CORRECT ANSWERS -the idea here is given P
exposure to change for example different appointment times
Ancillary Tx strategies checklist: - CORRECT ANSWERS -T helps P find a therapy consultant when
P is dissatisfied with T's therapy
Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T acts as P's consultant on
INPT issues
,Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T avoids inpt psych hos
whenever possible
Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T does not act as Ps INPT
attending clinician
Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T recommends briefs hos
under certain conditions (see 15.8)
Ancillary Tx strategies checklist: HOS protocol: T teaches P how to get HOS when T does not
believe it is needed - CORRECT ANSWERS -T maintains own position and opinion
T validates P's right to maintain her own position
T insists that P take care of herself (T teaches P to takes responsibility of her own welfare, T
teaches P to trust her own "wise mind" even when respected others disagree)
T teaches P how to get her self admitted
T reinforces self validation but not punishing P for admitting herself
Ancillary Tx strategies checklist: Medication protocol when pharmacotherapies are ancillary
professionals. - CORRECT ANSWERS -T separates psychotherapy from pharmacotherapy
T acts as consultant to p on pharmacotherapy consumer issues
T treats prescriptions abuse by p as appropriate
Ancillary Tx strategies checklist: Medication protocol when T is also the pharmacotherapies -
CORRECT ANSWERS -T knows the current research literature on pharmacotherapy
T address Ps hx and substance abuse risk
T does not give lethal drugs to lethal P
T diffuses power struggles by referral
, Ancillary Tx strategies checklist: T recommends ancillary tx when needed - CORRECT ANSWERS -
T recommends appropriate pharmacotherapy
T recommends inpatient hos when needed
Anti DBT tactics for Cognitive Valdition - CORRECT ANSWERS -T pushes a particular set of values
or philosophical position reality and truth
T presents a rigid view of events
T is unable to see reality from perspectives of P
anti dbt tactics for validation - CORRECT ANSWERS -1. T insists upon Ts perception of P's
feelings; T appears closed to possibility of P's feeling different than T supposes
2. T criticizes P's feelings
3. T stresses irrationality or distorted basis of feelings without ever acknowledging the "Kernal
of truth"
4. T responds to painful emotions as something to get rid off
a) T expressed only discomfort with P's emotional emotions
b) T reinforces dysfunctional emotional expressions by consistently stopping change procedures
for lengthy validation whenever such expression occurs.
Any ineffective behaviors being reinforced? - CORRECT ANSWERS -Contingency procedures
(Change procedures)
Application of consequences that suppress the probability of behavior; any consequence that
functions as a punishment is "aversive" - CORRECT ANSWERS -punishment
Are effective behaviors being inhibited by faulty beliefs or assumptions? Do these beliefs and
assumptions reliably precede ineffective behaviors? - CORRECT ANSWERS -cognitive
modifications (change procedures)
CORRECT ANSWERS 2026
"Benevolent demanding" includes: - CORRECT ANSWERS -therapist recognition of the client's on
strengths and capability , reinforcement of their adaptive responses, and not taking care of
them
"Compassionate flexibility" is defined as - CORRECT ANSWERS -Ability to adapt to changes
within the therapeutic relationship as needed. This includes admitting mistakes, observing and
extending limits as needed.
"Nurturing" includes: - CORRECT ANSWERS -teaching, coaching, assisting, strengthening, and
aiding the patient
"Unwavering centeredness" is defined as - CORRECT ANSWERS -believing in oneself, in therapy,
and in oneself. It is the calmness in the storm.
=what are the 3 proposes of irrerevernt communication - CORRECT ANSWERS -1) get Ps
attention
2) To change P's affective response
3) to get P to see a different response
4 differences between CBT and DBT: - CORRECT ANSWERS -1) Emphasis on acceptance and
validation of behavior as it is in the moment
2) Emphasis on TIBs
3) Emphasis on the therapeutic relationship
4) Focus on dialectical processes
,A dialectical stance has a number of characteristics: - CORRECT ANSWERS -1) speed (keep the
client off balance so they never get a strong foothold)
2) the therapist must be awake, observing, and sensing each movement of the client.
3) The therapist must move with certainty, strength, and total commitment
According to Linehan, BPD clients possess 6 behavioral patterns. These are: - CORRECT
ANSWERS -emotional vulnerability, self invalidation, unrelenting crisis, inhibited grieving, active
passivity, and apparent competence
Active Passivity is similar to _____ focused coping; ie the tendency to respond to stressful
events with efforts to reduce the negative emotional reaction by distracting or seeking comfort
from others. - CORRECT ANSWERS -Emotion
addresses all P's behaviors that push or cross T's own personal limits - CORRECT ANSWERS -
observing limits
Addresses behaviors on the behavior target list - CORRECT ANSWERS -contingency management
All consequences or contingencies that increase or strengthen the probability of a behavior -
CORRECT ANSWERS -Reinforcement
Allowing natural change (dialectical strategy) - CORRECT ANSWERS -the idea here is given P
exposure to change for example different appointment times
Ancillary Tx strategies checklist: - CORRECT ANSWERS -T helps P find a therapy consultant when
P is dissatisfied with T's therapy
Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T acts as P's consultant on
INPT issues
,Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T avoids inpt psych hos
whenever possible
Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T does not act as Ps INPT
attending clinician
Ancillary Tx strategies checklist: HOS protocol - CORRECT ANSWERS -T recommends briefs hos
under certain conditions (see 15.8)
Ancillary Tx strategies checklist: HOS protocol: T teaches P how to get HOS when T does not
believe it is needed - CORRECT ANSWERS -T maintains own position and opinion
T validates P's right to maintain her own position
T insists that P take care of herself (T teaches P to takes responsibility of her own welfare, T
teaches P to trust her own "wise mind" even when respected others disagree)
T teaches P how to get her self admitted
T reinforces self validation but not punishing P for admitting herself
Ancillary Tx strategies checklist: Medication protocol when pharmacotherapies are ancillary
professionals. - CORRECT ANSWERS -T separates psychotherapy from pharmacotherapy
T acts as consultant to p on pharmacotherapy consumer issues
T treats prescriptions abuse by p as appropriate
Ancillary Tx strategies checklist: Medication protocol when T is also the pharmacotherapies -
CORRECT ANSWERS -T knows the current research literature on pharmacotherapy
T address Ps hx and substance abuse risk
T does not give lethal drugs to lethal P
T diffuses power struggles by referral
, Ancillary Tx strategies checklist: T recommends ancillary tx when needed - CORRECT ANSWERS -
T recommends appropriate pharmacotherapy
T recommends inpatient hos when needed
Anti DBT tactics for Cognitive Valdition - CORRECT ANSWERS -T pushes a particular set of values
or philosophical position reality and truth
T presents a rigid view of events
T is unable to see reality from perspectives of P
anti dbt tactics for validation - CORRECT ANSWERS -1. T insists upon Ts perception of P's
feelings; T appears closed to possibility of P's feeling different than T supposes
2. T criticizes P's feelings
3. T stresses irrationality or distorted basis of feelings without ever acknowledging the "Kernal
of truth"
4. T responds to painful emotions as something to get rid off
a) T expressed only discomfort with P's emotional emotions
b) T reinforces dysfunctional emotional expressions by consistently stopping change procedures
for lengthy validation whenever such expression occurs.
Any ineffective behaviors being reinforced? - CORRECT ANSWERS -Contingency procedures
(Change procedures)
Application of consequences that suppress the probability of behavior; any consequence that
functions as a punishment is "aversive" - CORRECT ANSWERS -punishment
Are effective behaviors being inhibited by faulty beliefs or assumptions? Do these beliefs and
assumptions reliably precede ineffective behaviors? - CORRECT ANSWERS -cognitive
modifications (change procedures)
