DBT
A person in recovery experiences a strong urge to use substances after receiving upsetting news. Which DBT skill would be most appropriate?
A-Interpersonal Effectiveness B-Exposure
C-Cognitive Restructuring D-Distress Tolerance
D-Distress Tolerance
A person feels ashamed after a relapse and has an urge to isolate. If isolation is making the shame worse and the person chooses to socialize, which DBT skill would this be?
A-Passive communication B-Distress tolerance
C-Opposite action D-Emotional suppression
C-Opposite action
“If my friends are upset with me, I must've done something wrong.” Which DBT principle helps this person respond effectively?
A-Interpersonal effectiveness does not require pleasing everyone.
B-Maintaining sobriety requires avoiding all relationships.
C-Conflict should always be resolved by giving in.
A-Interpersonal effectiveness does not require pleasing everyone.
A person experiences intense anger after being criticized and wants to immediately confront the person. Before acting, they check whether their interpretation matches the evidence. This is...
A-Radical acceptance
B-Self-soothing
C-Checking the facts
C-Checking the facts
Why can validation be important in recovery?
A-It excuses harmful behavior.
B-It can reduce shame and defensiveness.
C-It encourages emotional dependence.
B-It can reduce shame and defensiveness.
Which statement best demonstrates mindfulness?
A-“I have been angry since 2007 and will always be."
B-“I am noticing that I am angry right now.”
C-“I am going to replay that conversation 46 times.”
D-“Let me predict every possible way to be angry."
B-“I am noticing that I am angry right now.”
You meet an attractive newcomer and think, “Obviously, the universe has sent me my soulmate.” Which DBT skill should probably come out before changing your facebook status?
A-Buy matching hoodies B-DEAR MAN
C-Radical acceptance D-Check the facts
D-Check the facts
You receive a text that says, “K.” Your brain immediately decides this means the friendship is over and everyone secretly hates you. What skill should you try first?
A-Write a 2000-word response B-Check the facts
C-Block everyone involved D-Eat an entire pizza
B-Check the facts
Someone in early recovery says they are feeling lonely. An oldtimer thinks, “Perfect opportunity!” What would DBT strongly encourage?
A-Taking advantage of the vulnerability
B-Using interpersonal effectiveness and boundaries
C-Treating vulnerability as a dating application
D-Saying, “We should definitely make this happen."
B-Using interpersonal effectiveness and boundaries
You becomes angry when reminded that drug screens are part of the program. Which response best demonstrates the dialectical approach?
A-“If I'm frustrated, I should leave treatment.”
B-“I have to follow every rule without question, and I'm not allowed to be frustrated.”
C-“I can be frustrated about the drug screen AND recognize that completing it is part of my treatment.”
D-“If say I don't have to pee, they will probably forget about it."
C-“I can be frustrated about the drug screen AND recognize that completing it is part of my treatment.”
A person notices that whenever they feel lonely, they immediately seek some activity that provides an intense emotional escape. This pattern would be particularly useful to examine through...
A-A detailed dating history spreadsheet
B-FAST
C-Chain analysis
D-DEAR MAN
C-Chain analysis
You say “My roommate is leaving ACA, so maybe I should too.” Which DBT concept is most useful in this situation?
A-Radical acceptance B-GIVE C-Wise Mind
D-Peer Pressure D-FOMO E-Distress Tolerance
C-Wise Mind
Wise Mind integrates reasonable thinking with emotional awareness rather than allowing an immediate emotional urge to make the decision.
Which statement best distinguishes distress tolerance from emotion regulation?
A-Distress tolerance is used only after relapse, after completing detox, after stubbing your toe, and before going out to a crowded mall.
B-Distress tolerance eliminates emotions, while emotion regulation eliminates cravings.
C-Distress tolerance focuses primarily on surviving difficult moments without making them worse, while emotion regulation focuses on understanding and changing patterns of emotional responding.
D-Emotion regulation is only used during emergencies, including hurricanes, tornadoes, or taco bell closing an hour before expected.
C
Distress tolerance focuses primarily on surviving difficult moments without making them worse, while emotion regulation focuses on understanding and changing patterns of emotional responding.
You've stopped using drugs/alcohol but begin compulsively using Tinder whenever feeling stressed and proudly announce, “Technically, I'm not using!” From a DBT perspective, what is the most important question?
A-“Is Tinder more socially acceptable than drugs?”
B-“What function is the Tindering serving?”
C-“Can I find a way on there to pay for treatment?”
D-“Does Tinder have a loyalty program?”
B-“What function is the Tindering serving?”
DBT examines what a behavior accomplishes and whether there are more effective ways to meet that need.
You notice an urge to replace substance use with compulsive spending, pause and say, “I can notice this urge without immediately acting on it.” Which DBT skill is being demonstrated?
A-GIVE B-Radical acceptance of the shopping cart
C-DEAR MAN D-Distress Tolerance
E-Retail Therapy F-Mindfulness
F-Mindfulness
Lord Farquaad is attempting to control Shrek's environment and determine who belongs where. Shrek's first instinct is to respond with maximum aggression. Which DBT concept would challenge Shrek to find a more effective response?
A-Wise Mind B-Interpersonal effectiveness
C-Distress tolerance D-Opposite action
E-Emotion regulation F-All of the above
F-All of the above
The goal isn't necessarily to become friends with Farquaad. The goal is to respond effectively rather than automatically.
You arrive at Taco Bell after a terrible day. You're hungry, exhausted, angry, and overwhelmed. Your order is wrong. Your friend eats your tacos. Your Baja Blast spills. Your brain announces “I HAVE HAD ENOUGH!” Which response would be wise-mind.
A-“Everyone is against me. I'm never coming back.”
B-Send an angry 14-paragraph Yelp review.
C-Protest tacos for the rest of your life.
D-Order 47 tacos to restore emotional balance.
E-Pause, notice the emotions and urges, tolerate the immediate distress, check the facts, communicate effectively, and choose the next best action.
E-Pause, notice the emotions and urges, tolerate the immediate distress, check the facts, communicate effectively, and choose the next best action.
Stewie experiences intense frustration when Brian doesn't follow his carefully constructed plan. His urge is to retaliate, manipulate the situation, & construct a time machine. From a DBT perspective, which response would be most effective?
A-Suppress the anger until it disappears.
B-Blame Brian for creating the emotion.
C-Use sarcasm to regulate emotional arousal.
D-Become even more controlling.
E-Take a triple dose of PRN medication
F-None of the above
F-None of the above
Shrek begins to develop feelings for Fiona but immediately thinks “I'm an ogre. She could never love me.” Which DBT skill would be most useful?
A-Hide in the swamp & write poetry B-TIP
C-IMPROVE D-Radical acceptance
E-Check the facts F-GIVE
E — Check the facts.
Emotional reasoning says, “I feel unlovable, therefore I am unlovable.”
DBT says, “Interesting theory. Let's investigate.”
You arrive at Taco Bell committed to ordering a Mexican Pizza. The cashier says they're sold out. You immediately scream, “THIS IS THE WORST DAY OF MY LIFE.” Which DBT skill is appropriate?
A-Radical acceptance B-Check the facts
C-Distress tolerance D-Mindfulness
E-Interpersonal Effectiveness F-All of the above
F — All of the above.
The pizza is gone. You don't have to like it. You do, however, have to survive this historic disappointment without becoming the villain in the drive-thru.
A person in recovery is obviously upset but insists “I'm fine. I don't have feelings anymore.” Which is most consistent with Wise Mind?
A-Emotional numbness is the highest level of DBT mastery.
B-Suppressing emotions is preferable to experiencing cravings.
C-Recovery requires eliminating uncomfortable emotions.
D-A person can acknowledge difficult emotions without acting on them.
E-If someone is upset, they should discuss every feeling with everyone.
D - A person can acknowledge difficult emotions without acting on them.
Wise Mind is not emotional suppression.
The goal is awareness and effective responding.
RIDDLE ALERT! - What does a dog do that a man steps into?
PANTS!
A person in recovery says: “I love my family, AND some of their behavior makes recovery harder. I appreciate the support they've given me, AND I need boundaries. I'm responsible for my recovery, AND I need healthy support from other people. I'm angry about some things that happened, AND I don't want anger to control my behavior.” What DBT concept BEST describes this way of thinking?
A-Emotional suppression B-Radical avoidance
C-Magical recovery thinking D-Dialectical thinking
E-People-pleasing F-Black-and-white thinking
G-Radical acceptance H-all of the above
D-Dialectical thinking
This is the heart of the exercise: two things can be true at the same time.
You can love your family and need boundaries.
You can appreciate their support and disagree with them.
You can be angry and behave effectively.
You can experience cravings and choose recovery.
You can need help and remain responsible for your choices.
RIDDLE ALERT! - I tell you "Your feelings make total sense, but please stop throwing plates."
DBT!
You are furious & say something cruel to the BHT. You then say “I was angry, but I was being honest, and you get paid to deal with me anyway.”
Which Wise Mind principle is most relevant?
A-Honesty makes any behavior effective.
B-Strong emotions justify harsh communication.
C-Recovery requires being agreeable at all times.
D-Anger should never be expressed if not true.
E-Emotional honesty & effective communication are not necessarily the same thing.
E-Emotional honesty & effective communication are not necessarily the same thing.
Wise Mind asks not only “Is this how I feel?” but also “Is this an effective way to communicate it?”