Study for DBT Certification Exam 2022 (Answered)

Study for DBT Certification Exam 2022 (Answered) Dialectical Dilemmas (Turn into secondary behavioral targets) - emotional vulnerability vs. self invalidation - active passivity vs. apparent competence - unrelenting crisis vs. inhibited grieving PreTreatement: Orienting, Biosocial Model Education, Commitment to: 1. decrease suicidal behaviors and parasuicidal behaviors 2. decrease therapy interfering behaviors 3. increase behavioral skills Stages of Treatment 1. Stage 1 - decreasing suicidal behaviors -decreasing therapy interfering behaviors -decreasing QOL interfering behaviors - Increasing behavioral skills 2. Stage 2 - Decreasing PTSD behaviors 3. Stage 3 - Increasing self respect and achieving goals Behavioral Skills 1. Mindfulness 2. Distress Tolerance 3. Emotion Regulation 4. Interpersonal Effectiveness 5. Self Management Assumptions about BPDs and Treatment - Patients are doing the best they can - Patients want to improve - Patients need to do better, try harder - Patients may not have caused problems but have to solve them anyway - lives of patients are unbearable - patients need to learn new behaviors in all context - patients cannot fail therapy -therapist need support Therapist Consultation Agreements - Dialectical - Consultation to the patient -Inconsistency: goal of therapy is not to make a perfect, consistent world - observing limits -phenomenological empathy -fallibility Basic Treatment Strategies - Dialectical strategies - Core Strategies: Validation and Problem solving - Stylistic Strategies: Reciprocal Communication and Irreverence - Case Management Strategies: Environmental Intervention and Consultation to the Patient Dialectical Strategies Acceptance vs Change centeredness vs flexibility nurturing vs demanding Specific Dialectical interventions - making lemonade out of lemons -extending -wise mind -dialectical assessment -natural change -devils advocate -metaphor -entering the paradox Core DBT strategies 1. Validation -emotional validation -behavioral validation -cognitive validation -cheerleading 2. Problem Solving -Problems in patients life, DBT is solution -Applying four change strategies -Solving problems in everyday life as they come up Emotional Validation Strategies 1. Opportunity to express 2. Observe and label 3. Read emotions 4. Communicate validity Behavioral Validation Strategies 1. Observe and label 2. Identify the should 3. Counter the should 4. Accept the should 5. Validate disappointment Cognitive Validation Strategies 1. Elicit and reflect thoughts 2. Discriminate facts from interpretations 3. Find Kernel of truth 4. Acknowledge wise mind 5. Respect differing values Cheerleading Strategies