DBT/Group/Hypnosis

Question 1

Which is a target of DBT in older adults that is not otherwise included in the standard DBT protocol? (3x)

Answer 1

EMOTIONAL CONSTRICTION

Question 2

When DBT is used to treat patients with borderline, the word dialectical refers to treatment strategies that focus on: (2x)

Answer 2

SEARCHING FOR A SYNTHESIS BETWEEN SEEMINGLY CONTRADICTORY IDEAS

Question 3

23 yo borderline with > 20 SAs seen for DBT. Therapist asks patient to not self harm for 1 yr. Pt replies “ oh sure, that won’t be a problem, believe me” best response?

Answer 3

DRAW PATIENT’S ATTENTION TO THE FACT THAT THIS COMMITMENT WILL BE EXTREMELY HARD TO ABIDE BY.

Question 4

Dialectical behavior therapy is utilized for:

Answer 4

BORDERLINE PERSONALITY D/O

Question 5

DBT patient arrives late with recent relapse on drugs and cutting after marital fight. Highest priority of session should focus on what?

Answer 5

SELF INJURIOUS BEHAVIOR

Question 6

According to DBT theory, which skill should be taught to pts first & regularly practiced in order to facilitate learning of other skills?

Answer 6

MINDFULNESS

Question 7

Which type of therapy has individual sessions to analyze self-destructive cognitions/feelings/actions, and group sessions with skills training to improve relationships and decrease impulsivity?

Answer 7

DIALECTICAL BEHAVIORAL THERAPY

Question 8

Purpose of DBT to diminish what?

Answer 8

PARASUICIDAL THOUGHTS

Question 9

In the individual component of DBT, a therapist spend time in:

Answer 9

NURTURING THE PT AND REQUIRING PT TO HELP HERSELF

Question 10

DBT is unique among commonly employed psychotherapies in that it encourages judicious use of what kind of interview?

Answer 10

TELEPHONE CONSULTATION

Question 11

What is a major therapeutic goal of self-help groups? (3x)

Answer 11

OVERCOMING MALADAPTIVE BEHAVIORS

Question 12

Major task of a group therapy during initial engagement phase is: (2x)

Answer 12

DETERMINING LIMITS OF EMOTIONAL SAFETY

Question 13

The therapist’s initial tasks in starting supportive group therapy are deciding the logistics of organizing planned meetings and selecting patients who can participate in group work. Which of the following would be the appropriate action for the therapist to take next (x2)?

Answer 13

CREATE AND MAINTAIN A THERAPEUTIC ENVIRONMENT KEEPING IN MIND THE CULTURE OF THE GROUP

Question 14

What type of group therapy is based on the unit functioning to maintain its own homeostasis of interacting?

Answer 14

FAMILY GROUP THERAPY

Question 15

Which characteristics of self-help groups distinguishes them from traditional psychotherapy groups?

Answer 15

GOALS/OBJECTIVES DON’T ADDRESS INTRAGROUP DYNAMICS

Question 16

In a group who has met for 6 therapy sessions, one pt has spoken at significant length for past 4 sessions about irrelevant issues & group members have rallied against him. What therapeutic mechanism in group psychotx is being undermined?

Answer 16

COHESIVENESS

Question 17

Which stage of group development has been met when members are less afraid of revealing individual differences so they can participate in experiential learning?

Answer 17

NORMING

Question 18

The group therapist notices that participants in a psychotherapy group experience self- disclosure. Which stage of group development does this demonstrate?

Answer 18

STORMING

Question 19

A therapist plans to create a new outpt psychotherapy group should exclude from group participation Pt w/?

Answer 19

ANTISOCIAL PERSONALITY DISORDER

Question 20

Psychiatrist who uses network therapy to treat patients with addictive disorders is functioning as:

Answer 20

A TEAM LEADER

Question 21

Pt with schizoid personality disorder has elaborate fantasy relationships but has no real friends. Most helpful therapy to assist pt in forming satisfying interpersonal relationships?

Answer 21

GROUP THERAPY

Question 22

Which factor most likely impedes cohesion in daily group therapy on locked adult general psychiatry units?

Answer 22

PATIENT TURNOVER

Question 23

In terms of group dynamics, the confirmation of reality by comparing one’s own conceptualizations with those of other group members and thereby correcting interpersonal distortions is known as what?

Answer 23

CONSENSUAL VALIDATION

Question 24

Stage of group development where members testing norms, competing w/ each other, seeking autonomy:

Answer 24

DIFFERENTIATION

Question 25

Exclude a patient from a weekly outpatient group treatment group if they have a:

Answer 25

TENDENCY TO ASSUME DEVIANT ROLE

Question 26

Differentiation stage of group development is best characterized by what dynamic:

Answer 26

TESTING AND COMPETITION

Question 27

What is the therapeutic factor of treating bulimics in group therapy to openly disclose personal attitudes toward body image and give detailed experiences with binging/purging?

Answer 27

UNIVERSALITY

Question 28

Pt in group therapy calls another patient at home to object to something said in session, this is called:

Answer 28

ACTING OUT

Question 29

During a group therapy session female pt describes past experiences of sexual abuse by her father. Pt states that at times she feels depressed and hopeless, and has intense thoughts of killing herself. Another pt in the groups states, “I feel the same way, and I’ve felt like this for a long time.” Second pt’s admission is reflective of which of the following therapeutic factors in group therapy?

Answer 29

CONTAGION

Question 30

Which of the following diagnoses is associated with high hypnotizability potential? (2x)

Answer 30

DISSOCIATIVE DISORDER

Question 31

Hypnotizability most strongly predicted by:

Answer 31

CAPACITY FOR IMAGINATION

Question 32

Which of the following hypnotic techniques is used for most pts?

Answer 32

ENCOURAGING THE PT TO USE INNER RESOURCES FOR ADAPTIVE COPING STRATEGIES

Question 33

Ability to get so caught up in an experience that one loses awareness of surroundings is called:

Answer 33

HYPNOTIZABILITY

Question 34

Fact about hypnosis:

Answer 34

HYPNOTIZABILITY IS A MEASURABLE TRAIT

Question 35

When used as a tx following a traumatic event, hypnosis has been found to:

Answer 35

SAFELY DECREASE PAIN AND STRESS IN THOSE WHO ARE HYPNOTIZABLE

Question 36

Absorption, dissociation, and suggestibility converge during:

Answer 36

HYPNOTIC CONCENTRATION

Question 37

Hypnosis would be contraindicated in the treatment of patients with:

Answer 37

PARANOIA

Question 38

32 y/o pt is considering a course of hypnosis to help quit smoking, but voices concerns. Pt expresses worry about potential harm of hypnosis if not done properly. What would be the best initial response for the psych MD to make to pt regarding this concern?

Answer 38

A TRANCE PROCEDURE IS BENIGN AND REVERSIBLE BY CALM REASSURANCE

Question 39

During a hypnosis session a pt reports reduced awareness of sounds and other distractions in therapist’s office. The pt’s report is reflective of what component of hypnotic concentration?

Answer 39

ABSORPTION

Question 40

Most important guideline re: hypnosis

Answer 40

RECORD ON VIDEOTAPE

Question 41

Common experience of becoming so caught up in a movie that one ignores the environment is example of what component of hypnotic process?

Answer 41

ABSORPTION

Question 42

Which of the following is the best use of hypnosis in a patient with chronic PTSD with severe dissociative symptoms due to childhood abuse?

Answer 42

LEARNING TO GAIN VOLITIONAL CONTROL OVER DISSOCIATION