DBT

Question 1

Biosocial model of BPD

Answer 1

Features of BPD due to transactional process between emotional vulnerability (genetic predisposition) and invalidating environment

Question 2

Emotional vulnerability

Answer 2

High sensitivity to emotional stimuli
High reactivity
Slow return to baseline

Question 3

Invalidating environment

Answer 3

Invalidates behaviour (ignores/corrects)
Punishes emotional displays
Oversimplifies problem-solving
Constant
Can be abuse, neglectful parenting, critical home environment

Teaches:
- self-invalidate and look for cues in social environment on how to respond
- oscilate between emotional inhibition and extreme
- unrealistic expectations

Question 4

Predisposing factors of emotionality

Answer 4

Skills deficit in emotion regulation, interpersonal effectiveness, distress tolerance

Question 5

Perpetuating factors of emotionality

Answer 5

DYSREGULATION
- emotional (reactivity; anger)
- behavioural (selfharm; impulsivity)
- self (identity disturbance; emptiness)
- cognitive (paranoid ideation; dissasociation)
- interpersonal (chaotic relationships)

Question 6

Components of DBT

Answer 6

behavioural science (CBT)
zen practice (mindfulness)
dialectical philosophy (balancing and comparing two opposing things - in DBT - acceptance and change)

Question 7

DBT treatment modes

Answer 7

1. Individual therapy to address motivation and strengthening
2. Group social skills training
   (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness)
3. Telephone contact to support application of coping skills

Question 8

DBT core strategies

Answer 8

change strategies (e.g., chain analysis, exposure, self-monitoring)

validation/acceptance (empathy, genuineness for client POV)

dialectical strategies (balancing, wise mind, devils advocate)