DBT LBC CERTIFICATION STUDY GUIDE |
QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTIONS.
Cognitive restructuring procedure checklist - ANSWER T identifies and
confronts and challenges specific dysfunctional rules, labels, and styles, but does
so in a dialectical manner
Cognitive restructuring procedure checklist: TO assist P in generating more
functional and/or accurate thinking styles, rules, and verbal descriptions -
ANSWER T does not claim to have a lock on absolute truth
T values intuitive sources of knowing
T values are getting data when none have been collected so far
T focuses on function, effective thinking, rather than necessarily truth or accurate
thinking
T pushes P to the limit of her ability in generating her own adaptive thinking styles,
rules and verbal descriptions
Cognitive restructuring procedure checklist: T assists P in developing guidelines
on when to trust and when to suspect her own interpretations - ANSWER T
applies contingency and skill training procedures in cognitive modification
T helps P integrate cognitive strategies used in skills training modules into
everyday life
T implements or refers P to a formal cognitive therapy program
, There are 4 reciprocal communication strategies - ANSWER responsiveness,
self-disclosure, warm engagement, and geniuses
Reciprocal communication strategies checklist: T is responsive to P -
ANSWER T attends to P in a mindful manner; T is awake during interactions
with P (T attends to small changes in P's behavior during interactions, T varies
affect expression and nonverbal response according to the content of P's
communication, expressing interest and active involvement. T matches P's
intensity. The time of T's response conveys understanding and interest)
T takes P's agenda seriously ( T responds to the content of P's communication, T
responds to P's questions with relevant answers, and the content of T's responses is
directly relevant to P's communication)
T elaborates P's content
Reciprocal communication strategies checklist: T self-discloses - ANSWER T
orients P to role of self-disclosure in DBT
T engages in self-involving self-disclosure in DBT
T provides P with ongoing reactions to P and to their behavior using I statements
of the form when you do x, I feel y
T discloses T's own experience of interaction and ongoing relationships; T has
"heart to heart" (T focuses on the process of the interaction and T tells P where she
stands with P)
T blends self-involvement and responsiveness
(T stays clear about Ps behavior and T's own, differentiating the two. T tracks the
effects of self-disclosure and responsiveness on P's behavior)
T discloses others' reactions to himself or herself
,T engages in personal self-disclosure (T uses self-disclosure as modeling, T self-
discloses personal efforts, normative behaviors, and issues, coping with issues,
coping with failure)
T discloses professional information about themselves (trainings, degrees, therapy
orientation, experience with bpd/si)
T discloses personal information to the extent t is comfortable doing
T uses consultation team to manage self disclosure
There are several occasions where heart to heart are appropriate - ANSWER 1)
used briefly when P's behavior is interfering with higher order targets
2) elaborated heart to heart when used as reinforcer fro example dragging a client
through a bca and saying how hard that was
3) elaborated heart to heart to repair the relationship when T has made an error
Reciprocal communication strategies checklist: T expresses Warm engagement -
ANSWER T is honest with momentarily unwilling
If T is interpersonally reserved by nature, T expresses caring in other way
When P evokes rage in T, T copes with it
T uses touch therapeutically ( role of touch is clear in tx plan, a hug or touch is
brief, a hug or touch expresses the current level of closeness in therapeutic
relationship, t is very sensitive to ps wishes and comfort, t is honest about own
personal limits on touch, t treats inapposite initiation of touch or hugs as tib
t keeps potentially physical contact public)
Reciprocal communication strategies checklist: T is genuine - ANSWER Ts
behavior is natural rather then arbitrary
Ts helpfulness is role intendent
, T observes natural limits to relationship
=what are the 3 proposes of irrerevernt communication - ANSWER 1) get Ps
attention
2) To change P's affective response
3) to get P to see a different response
Irreverent communication strategies - ANSWER Ts voice is matter of fact in
reference to P maladaptive responses
Irreverent communication strategies - ANSWER T uses logic irreverently to
weave a web
Irreverent communication strategies - ANSWER T employs a deadpan or
highly intense style, as needed to contract P's style
Irreverent communication strategies: T uses dialectical strategies in an irreverent
way - ANSWER entering the paradox, allowing change, devils advocate,
extending , making lemonade out of lemons
Irreverent communication strategies: T in a matter of fact way T reframes Ps
communication style - ANSWER example P says they are going to kill
themselves and T responds, i thought we agreed to not drop out of therapy
Irreverent communication strategies: T plunges where angels fear to tread -
ANSWER T calls a spade a spade
QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTIONS.
Cognitive restructuring procedure checklist - ANSWER T identifies and
confronts and challenges specific dysfunctional rules, labels, and styles, but does
so in a dialectical manner
Cognitive restructuring procedure checklist: TO assist P in generating more
functional and/or accurate thinking styles, rules, and verbal descriptions -
ANSWER T does not claim to have a lock on absolute truth
T values intuitive sources of knowing
T values are getting data when none have been collected so far
T focuses on function, effective thinking, rather than necessarily truth or accurate
thinking
T pushes P to the limit of her ability in generating her own adaptive thinking styles,
rules and verbal descriptions
Cognitive restructuring procedure checklist: T assists P in developing guidelines
on when to trust and when to suspect her own interpretations - ANSWER T
applies contingency and skill training procedures in cognitive modification
T helps P integrate cognitive strategies used in skills training modules into
everyday life
T implements or refers P to a formal cognitive therapy program
, There are 4 reciprocal communication strategies - ANSWER responsiveness,
self-disclosure, warm engagement, and geniuses
Reciprocal communication strategies checklist: T is responsive to P -
ANSWER T attends to P in a mindful manner; T is awake during interactions
with P (T attends to small changes in P's behavior during interactions, T varies
affect expression and nonverbal response according to the content of P's
communication, expressing interest and active involvement. T matches P's
intensity. The time of T's response conveys understanding and interest)
T takes P's agenda seriously ( T responds to the content of P's communication, T
responds to P's questions with relevant answers, and the content of T's responses is
directly relevant to P's communication)
T elaborates P's content
Reciprocal communication strategies checklist: T self-discloses - ANSWER T
orients P to role of self-disclosure in DBT
T engages in self-involving self-disclosure in DBT
T provides P with ongoing reactions to P and to their behavior using I statements
of the form when you do x, I feel y
T discloses T's own experience of interaction and ongoing relationships; T has
"heart to heart" (T focuses on the process of the interaction and T tells P where she
stands with P)
T blends self-involvement and responsiveness
(T stays clear about Ps behavior and T's own, differentiating the two. T tracks the
effects of self-disclosure and responsiveness on P's behavior)
T discloses others' reactions to himself or herself
,T engages in personal self-disclosure (T uses self-disclosure as modeling, T self-
discloses personal efforts, normative behaviors, and issues, coping with issues,
coping with failure)
T discloses professional information about themselves (trainings, degrees, therapy
orientation, experience with bpd/si)
T discloses personal information to the extent t is comfortable doing
T uses consultation team to manage self disclosure
There are several occasions where heart to heart are appropriate - ANSWER 1)
used briefly when P's behavior is interfering with higher order targets
2) elaborated heart to heart when used as reinforcer fro example dragging a client
through a bca and saying how hard that was
3) elaborated heart to heart to repair the relationship when T has made an error
Reciprocal communication strategies checklist: T expresses Warm engagement -
ANSWER T is honest with momentarily unwilling
If T is interpersonally reserved by nature, T expresses caring in other way
When P evokes rage in T, T copes with it
T uses touch therapeutically ( role of touch is clear in tx plan, a hug or touch is
brief, a hug or touch expresses the current level of closeness in therapeutic
relationship, t is very sensitive to ps wishes and comfort, t is honest about own
personal limits on touch, t treats inapposite initiation of touch or hugs as tib
t keeps potentially physical contact public)
Reciprocal communication strategies checklist: T is genuine - ANSWER Ts
behavior is natural rather then arbitrary
Ts helpfulness is role intendent
, T observes natural limits to relationship
=what are the 3 proposes of irrerevernt communication - ANSWER 1) get Ps
attention
2) To change P's affective response
3) to get P to see a different response
Irreverent communication strategies - ANSWER Ts voice is matter of fact in
reference to P maladaptive responses
Irreverent communication strategies - ANSWER T uses logic irreverently to
weave a web
Irreverent communication strategies - ANSWER T employs a deadpan or
highly intense style, as needed to contract P's style
Irreverent communication strategies: T uses dialectical strategies in an irreverent
way - ANSWER entering the paradox, allowing change, devils advocate,
extending , making lemonade out of lemons
Irreverent communication strategies: T in a matter of fact way T reframes Ps
communication style - ANSWER example P says they are going to kill
themselves and T responds, i thought we agreed to not drop out of therapy
Irreverent communication strategies: T plunges where angels fear to tread -
ANSWER T calls a spade a spade
