Fluency Flashcards
DEAR (DEAR MAN)
Describe the situation
Express feelings
Assert what you want
Reinforce your request
MAN (DEAR MAN)
Mindfulness
Appear confident
Neogitate
5 Stages of Change
Precontemplation
Contemplation
Preparation
Action
Maintenance
HARD (communication)
Honest
Appropriate
Respectful
Direct
GIVE (DBT comm)
(be) Gentle
(act) Interested
Validate their POV
(use an) Easy manner
DARN (DARN CAT)
Desire to change
Ability to change
Reasons to change
Need to change
CAT (DARN CAT)
Commitment to change
Activation
Taking steps to change
FAST (DBT)
Fair
Assertive
Stick to your values
Truthful
RULER (emotions)
Recognize (strength + valence)
Understanding (antecedents, vulnerability, maintenance)
Label (name it to tame it)
Express (“I”)
Regulate (use a strategy)
3 therapist behavioral domains of the Shifting Cultural Lens model
- Access ct view
- Presenting therapist view
- Negotiate/collab to reach an understading
3 therapist skills for evincing a multicultural orientation
- Cultural humility
- Incorporate cultural opportunities
- Display cultural comfort
MECSTAT
Miracle qs
Exception qs
Coping qs
Scaling qs
Time out
Accolades
Tasks
Safety plan sequence (8 steps)
- Warning signs
- Believable coping statements
- Activities alone
- Activities w/others
- Support from others
- Professional support
- Prevention
- Commitment to the plan
Current suicidality assessment interview (8 bolded items)
- Frequency, intensity, and duration of thoughts
- Reasons for ideation
- Plans that have been made
- Methods
- Preparatory behaviors
- Self-control
- Deterrents
- Intent
10 Cognitive Distortions
- Labeling
- Overgeneralization
- All or nothing
- Mental filter
- Discounting the positive
- Jumping to conclusions
- Magnification and minimization
- Emotional reasoning
- Shoulds
- Blaming
Labeling (cognitive distortion)
Instead of just admitting to a mistake, you call yourself a loser
Overgeneralization (cognitive distortion)
You view it as a never ending pattern
All or nothing (cognitive distortion)
Viewing things in absolutes
Mental filter (cognitive distortion)
Dwell on negative, ignore positive
Discounting the positive (cognitive distortion)
Positive qualities don’t count
Jumping to conclusions (cognitive distortion)
Mind reading: assume people react negatively toward you
Fortune telling: predict things will turn out badly
Magnification and minimization (cognitive distortion)
Blow negs out of proportion or shrink pos
Emotional reasoning (cognitive distortion)
I feel like an idiot, so i must be one
Shoulds (cognitive distortion)
Should have, should not have…
Blaming
(cognitive distortion)
Finding fault in self or others
Positive reframing technique
What are benefits on the neg thought/feeling?
What do these say about you that’s awesome, cool, positive?
ACT case conceptualization in 2 questions
What are your values? What direction do you want your life to go?
What is getting in the way, what are some obstacles to that?
TRAPs
Triggers
Responses
Avoidance Patterns
TRACs
Triggers
Responses
Alternative Coping
Assess (CBT)
What are the negative thoughts/emotions?
OARS and Downward Arrow
Ask (CBT)
Am I understanding what you’re saying?
Can you give me a grade?
Offer (CBT)
Do you want me to continue listening and supporting?
Or would you like to try something?
Intervene (CBT)
Positive reframing, ID and reappraise distortions, double standard, pos-neg role reversal
Apply (CBT)
HW, behavioral experiment, coping card, activity scheduling, goal-directed behavior plan
TIPP
Temperature
Intense exercise
Paced breathing
Paired muscle relaxation
5 Secrets of Effective Communication
Empathy
1. Disarming: find truth
2. Reflection: paraphrase
3. Inquiry: gentle qs
Acknowledgement
4. “I” statements
Respect
5. Stroking: find something positive to say
EBBP model
- Best available research
- Client characteristics
- Resources
Session 1 preliminaries
- Intro self: name, pronouns, supervision, recording, training, credentials
- Confidentiality
- EHR
- Length and frequency and fees
- Orient to therapy
- Purpose of initial sessions
- Opening
DBT Tx Hierarchy
- Life interfering
- Therapy interfering
- QoL interfering
- Increase behavioral skills