Describe the Coping Skill
Define STOP skill.
Stop
Take a step back
Observe
Proceed mindfully
In CBT, this refers to the rapid interpretation that occurs between an event and your emotional / behavioral response.
automatic thought
This neurotransmitter is strongly associated with the brain's reward-learning system and plays a major role in reinforcement and salience.
Dopamine
A client is visibly escalating during group. Their speech is becoming louder and faster.
What should you generally prioritize first? Process the underlying trauma or help reduce immediate physiological / emotional arousal.
Reduce the immediate arousal / stabilize first.
Then, start processing your underlying trauma
"My boss criticized my work, so obviously everyone at work thinks i'm incompetent."
What term is this an example of?
overgeneralization
Define TIPP skill.
Temperature
Intense exercise
Paced breathing
Progressive muscle relaxation
What is the Hawthorne effect?This phenomenon occurs when a person changes their behavior because they know they are being observed or monitored.
Hawthorne effect
This phenomenon occurs when a person experiences symptoms after reducing or stopping a substance following physiological adaptation.
Withdrawal
A friend says, "Nobody here actually cares about me."
Rather than immediately arguing with the statement, identify the theraeutic communication approach most likely to reduce defensiveness.
Validation and empathetic reflection.
"Either I maintain a perfect sobriety forever or I'm a complete failure."
What term is this an example of?
All or nothing thinking
Black and white thinking
Define GIVE skill.
Gentle
Interested
Validate
Easy manner
A person believes, "If I make one mistake at work, I'll definitely get fired and my entire life will fall apart."
This is a cognitive distortion.
catastrophizing
A person takes opioids to stop withdrawal symptoms rather than to experience euphoria.
What type of reinforcement is primarily maintaining the behavior?
Negative reinforcement.
A friend repeatedly asks you for reassurance whether they will relapse. Reassurance temporarily calms them, but they return with the same question increasingly often. What behavioral process may be maintaining the cycle?
Reassurance-seeking negatively reinforces anxiety and can become a safety behavior.
"My partner didn't text me back because they're probably losing interest in me.
The person treats an interpretation as though it were established fact. What term is this an example of?
Mind reading
Assumption
(In this case, the fact checking coping skill would be useful.)
Define FAST skill.
Fair
No apologies
Stick to values
Truthful
A client says, "I know drinking destroys my relationships, but when I don't drink I can't tolerate how I feel."
This is a cognitive distortion.
negative reinforcement
This medication is a partial opioid agonist used in opioid use disorder treatment and has a ceiling effect that contributes to its safety relative to full agonists.
Buprenorphine (Suboxone)
A friend becomes dysregulated after receiving corrective feedback and immediately threatens to leave treatment. They later say, "I wasn't actually angry; I was terrified you were rejecting me."
Identify the likely underlying emotional process and explain why addressing only the outward behavior may be insufficient.
The anger / urge to leave may be a secondary response to fear of rejection / abandonment; effective intervention addresses both the behavior and underlying vulnerability.
A friend says "I don't have a drinking problem because I know people who drink way more than I do."
Identify the cognitive process and explain why comparing severity to someone else's use doesn't establish whether their own use is problematic.
Comparison / minimization
Define DEAR MAN skill.
Describe
Express
Assert
Reinforce
Mindful
Appear confident
Negotiate
A client intellectually understands that their belief is irrational but continues experiencing intense anxiety and behaving as though the belief is true.
Explain why insight alone does not necessarily change an entrenched cognitive behavioral pattern.
Because cognition, emotional learning, physiological arousal, and reinforcement can maintain the behavior even when intellectual insight is present.
Explain why someone with opioid use disorder can experience a fatal overdose after a period of abstinence even if they previously tolerated the same dose without apparent difficulty.
Loss of tolerance increases overdose risk, returning to a previously tolerated dose can produce respiratory depression, especially when combined with other CNS depressants.
A friend says, "I don't want to die, but sometimes I wish I could disappear and never wake up."
What is the mistake in assuming this automatically means there is no suicide risk?
Passive suicidal ideation can still indicate significant risk and requires appropriate assessment rather than dismissal based solely on absence of stated intent.
A friend says, "I relapsed because my girlfriend stressed me out during an argument."
Identify the cognitive distortion / problematic attribution and explain the distinction between identifying a trigger and assigning responsibility for the behavior.
Externalization / blaming; a trigger can contribute to behavior without eliminating personal responsibility or agency