DBT LBC Certification exam Dialectical Behavior Therapy –
Linehan Board o Questions with Correct Answers (Grade A+)
Question 1: DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of
Certification EXAM DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of
Certification EXAM DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of
Certification EXAM
Answer: DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of Certification
EXAM
Question 2: Kreitman introduced this term meaning nonfatal, intentional self injurious behavior
resulting in actual tissue damage, illness, or risk of death; or
2) ingestion of Study online at https://quizlet.com/_jrskdn 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
behaviors with little or not intent to cause death.
Answer: parasuicide
Question 3: Linehan's criteria for BPD is most similar to
Answer: Millon
Question 4: What % of BPD client's engage in self-injurious behaviors?
Answer: 70-75%
Question 5: 4 differences between CBT and DBT:
Answer: 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
Question 6: The term "dialectics" as applied to behavioral therapy has come to Study online at
https://quizlet.com/_jrskdn imply 2 contexts of usage:
Answer: 1) fundamental nature of reality and persuasive dialogue and relationship.
2) Treatment approach or strategies used by the therapist to effect change.
Page 1
,Question 7: Dialectics as a worldview has 3 traits:
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
Question 8: Borderline splitting is defined as
Answer: tendency to get stuck in either the thesis or the antithesis, unable to move to a synthesis. Either/or
thinking
Question 9: The environmentperson system is comprised of the:
Answer: environmental sub-system (social support, life change, suicidal, suicidal consequences)
demographic factors (age, sex, and race), and behavioral subsystem ( cognitive, over motor, and
physiological affective system)
Question 10: Grostein proposed bpd is a disorder of
Answer: self regulation
Question 11: characteristics of emotional vulnerability includes :
Answer: high sensitivity to emotional stimuli, emotional intensity, slow return to emotional baseline.
Question 12: emotional regulation requires 2 paradoxical strategies
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.
Question 13: inhibition of emotions can lead to
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
Question 14: Study online at https://quizlet.com/_jrskdn Poorness of fit results (Chess and Thomas)
Answer: when there is 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.
Page 2
,Question 15: Per Linehan, an invalidating enivorment:
Answer: is one in which communication of private experiences is met by erratic, inappropriate, and extreme
responses.
Question 16: Invalidation has 2 primary traits
Answer: 1) it tells the person that they are wrong 2) it attributes her experiences to socially unacceptable
characteristics or personality traits
Question 17: consequences of invalidating environments
Answer: 1) emotional labeling is not learned, 2) distress intolerance and unrealistic goals/ expectations are
instilled, 3) extreme behavioral displays are used to get needs met, 4) lack of trust of one's own emotional
and cognitive interpretations are instilled
Question 18: what are the 3 types of invalidating family systems
Answer: 1) perfect family
2) chaotic family
3) typical family
Question 19: This family type struggles with multiple issues within the family system, needs of the child
are ignored and invalidated, there is volatile responses, etc Study online at https://quizlet.com/_jrskdn
Answer: Chaotic Family
Question 20: 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, ie pray about it
Answer: perfect family
Question 21: This family system exists within the western cultures and supports the idea of cognitive
control with focus on achievement above all Study online at https://quizlet.com/_jrskdn else.
Self-control is move important.
Answer: Typical family system
Question 22: 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.
Answer: Emotion
Page 3
, Question 23: What factors contribute to apparent competency:
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; ie the difference in behavior of the person in a therapeutic
relationship versus other outside relationships
Question 24: The core strategies of dbt are:
Answer: problem solving (change) and validation (acceptance)
Question 25: There are 2 types of validation strategies (ie core strategies):
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
Question 26: Study online at https://quizlet.com/_jrskdn Problem solving strategies (core strategies)
include:
Answer: 1) BCAs
2) Solutions Analysis
3) Orientation to the treatment solution
4) Eliciting commitment from the client
5) Application of the treatment
Question 27: The BCA includes the 4 following questions (BCA being a problem-solving strategies
which is a Core strategy)
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)
Question 28: What are the two communication styles in DBT?
Answer: irreverent and reciprocal
Question 29: What are the 4 modes of DBT treatment?
Answer: individual therapy, dbt consult team, dbt phone consultation, dbt skill class
Page 4
Linehan Board o Questions with Correct Answers (Grade A+)
Question 1: DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of
Certification EXAM DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of
Certification EXAM DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of
Certification EXAM
Answer: DBT LBC Certification exam Dialectical Behavior Therapy - Linehan Board of Certification
EXAM
Question 2: Kreitman introduced this term meaning nonfatal, intentional self injurious behavior
resulting in actual tissue damage, illness, or risk of death; or
2) ingestion of Study online at https://quizlet.com/_jrskdn 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
behaviors with little or not intent to cause death.
Answer: parasuicide
Question 3: Linehan's criteria for BPD is most similar to
Answer: Millon
Question 4: What % of BPD client's engage in self-injurious behaviors?
Answer: 70-75%
Question 5: 4 differences between CBT and DBT:
Answer: 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
Question 6: The term "dialectics" as applied to behavioral therapy has come to Study online at
https://quizlet.com/_jrskdn imply 2 contexts of usage:
Answer: 1) fundamental nature of reality and persuasive dialogue and relationship.
2) Treatment approach or strategies used by the therapist to effect change.
Page 1
,Question 7: Dialectics as a worldview has 3 traits:
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
Question 8: Borderline splitting is defined as
Answer: tendency to get stuck in either the thesis or the antithesis, unable to move to a synthesis. Either/or
thinking
Question 9: The environmentperson system is comprised of the:
Answer: environmental sub-system (social support, life change, suicidal, suicidal consequences)
demographic factors (age, sex, and race), and behavioral subsystem ( cognitive, over motor, and
physiological affective system)
Question 10: Grostein proposed bpd is a disorder of
Answer: self regulation
Question 11: characteristics of emotional vulnerability includes :
Answer: high sensitivity to emotional stimuli, emotional intensity, slow return to emotional baseline.
Question 12: emotional regulation requires 2 paradoxical strategies
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.
Question 13: inhibition of emotions can lead to
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
Question 14: Study online at https://quizlet.com/_jrskdn Poorness of fit results (Chess and Thomas)
Answer: when there is 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.
Page 2
,Question 15: Per Linehan, an invalidating enivorment:
Answer: is one in which communication of private experiences is met by erratic, inappropriate, and extreme
responses.
Question 16: Invalidation has 2 primary traits
Answer: 1) it tells the person that they are wrong 2) it attributes her experiences to socially unacceptable
characteristics or personality traits
Question 17: consequences of invalidating environments
Answer: 1) emotional labeling is not learned, 2) distress intolerance and unrealistic goals/ expectations are
instilled, 3) extreme behavioral displays are used to get needs met, 4) lack of trust of one's own emotional
and cognitive interpretations are instilled
Question 18: what are the 3 types of invalidating family systems
Answer: 1) perfect family
2) chaotic family
3) typical family
Question 19: This family type struggles with multiple issues within the family system, needs of the child
are ignored and invalidated, there is volatile responses, etc Study online at https://quizlet.com/_jrskdn
Answer: Chaotic Family
Question 20: 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, ie pray about it
Answer: perfect family
Question 21: This family system exists within the western cultures and supports the idea of cognitive
control with focus on achievement above all Study online at https://quizlet.com/_jrskdn else.
Self-control is move important.
Answer: Typical family system
Question 22: 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.
Answer: Emotion
Page 3
, Question 23: What factors contribute to apparent competency:
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; ie the difference in behavior of the person in a therapeutic
relationship versus other outside relationships
Question 24: The core strategies of dbt are:
Answer: problem solving (change) and validation (acceptance)
Question 25: There are 2 types of validation strategies (ie core strategies):
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
Question 26: Study online at https://quizlet.com/_jrskdn Problem solving strategies (core strategies)
include:
Answer: 1) BCAs
2) Solutions Analysis
3) Orientation to the treatment solution
4) Eliciting commitment from the client
5) Application of the treatment
Question 27: The BCA includes the 4 following questions (BCA being a problem-solving strategies
which is a Core strategy)
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)
Question 28: What are the two communication styles in DBT?
Answer: irreverent and reciprocal
Question 29: What are the 4 modes of DBT treatment?
Answer: individual therapy, dbt consult team, dbt phone consultation, dbt skill class
Page 4
