DBT Basics
This creator of DBT first conceived of it as a cognitive behavior based approach to treat those with chronic suicidal thoughts and diagnosed with borderline personality disorder.
Who is Marsha Linehan?
For patients who have had devastating experiences that have misshapen their lives, the least amount of time for DBT to be effective is ___ ____.
What is 1 year?
This is an informal document that helps patients to monitor progress and gives direction to each therapy session.
What is a diary card?
In this stage of DBT, the therapist begins exposure therapy in which the patient gradually reexperiences elements of the trauma in small measured doses, using skills to regulate emotions and behavior.
What is stage three?
The person with borderline personality disorder most likely fits the DSM Fourth edition diagnosis of this disorder.
What is complex PTSD?
The first stage of DBT treatment.
What is pretreatment?
True or False: One assumption of DBT is that the lives of patients are unbearable as they are currently being lived.
What is true?
This is the role of the therapist in the process of describing the links in chains of events and accompanying thoughts, feelings and actions.
What is a "naive observer"?
From a behavioral perspective, exposure therapy is a process of substituting an adaptive response for one that is nonadaptive or _________________?
What is counterconditioning?
True or false? Behavior and emotional response of one with borderline personality disorder can best be understood as reenactments of early abusive relationships.
This stage of DBT addresses non traumatizing emotional experiences.
What is stage 2?
Dialectics refers to allowing the polarity of thesis and antithesis to coexist, permitting a center position; that is, instead of "this or that..."
What is "this and that"?
Treatment must end if the patient misses more than....
What is more than three or four consecutive sessions of any kind?
True or False? No matter how it is administered, trauma-focused therapy is harmless to the patient.
What is false?
When done in an unmindful way, they can wreak havoc on a patient's relationships and personal functioning.
One of the most difficult agreements the therapist must make with the patient is that, when the patient enters an ED or is admitted to the hospital, the therapist cannot talk with the patient until _______________.
What is 24 hours after discharge from the facility?
In this stage of DBT, the patient integrates their skills, awareness of self, and interpersonal responsiveness to begin confronting the trauma they've experienced.
What is stage 3?
NAME TWO: The core mindfulness module of DBT includes 5 common exercises, 2 of which are:
What are (NAME 2)?
Mindful abdominal breathing
Focusing/Observing
Describing
Wise Mind
Judgement Diffusion
There are at least two basic types of exposure, this and this.
What are imaginal exposure and in vivo exposure?
In this type of intervention, the targets for exposure are arranged in a hierarchy of initial SUD (subjective units of disturbance) intensity and addressed from lower to higher intensity.
What is graduated exposure?
This is a meeting where a team prioritizes the needs of therapist and mindfully engages in discussing the effects of administering DBT.
What is a weekly consultation group?
In this stage of DBT, the patient shifts to a transcendent sense of self in which he or she focuses on self-efficacy, interdependence and self-fulfillment.
What is stage 4?
Evidence supports that full fidelity DBT has positive and lasting outcomes for those with borderline personality disorder, PTSD, substance use, eating disorders, and this. (Hint: _________-_________ __________)
What is treatment-resistant depression?
This last step in the behavioral change analysis involves the use of DEARMAN for a particular issue, which is an acronym for ...
What is describe, express, assert, reinforce, be mindful, appear confident, negotiate?
In this type of intervention, cues with the highest SUD (subjective units of disturbance) rating are introduced first. This takes longer sessions and tends to be more distressing for the patient.
What is flooding exposure?
A DBT program contains these 4 essential elements: weekly individual therapy sessions, weekly group skills training sessions, skills coaching via telephone, and ...
What is team consultation?
Team consultation to the therapist is important to maintain treatment fidelity and adherence.