Lecture 8 DBT pt B

Question 1

Borderline Personality Disorder is diagnosed if you have 5 of the following..

Answer 1

• Affective Instability
• Chronic emptiness
• Unstable and intense relationships
• Identity disturbance
• Frantic efforts to avoid abandonment
• Possibly self-damaging impulsivity
• Suicidal behaviour
• inappropriate/uncontrolled intense anger
• transient paranoia or dissociation

Question 2

3 different DBT strategies

Answer 2

1) Dialectical strategies
2) Core strategies
3) Stylistic strategies

Question 3

What do dialectical strategies focus on?

Answer 3

• teaching dialectical patterns like ‘both-and’ as oppose to ‘either-or’
• using metaphors
• playing the devils advocate
• finding the middle path

Question 4

What do core strategies focus on?

Answer 4

• They focus on validation: acknowledging the patients perspective and finding the kernel of truth
• also on cheerleading: expressing encouragement, hope, praise

Question 5

Chain Analysis

Answer 5

a core strategy: ‘an exhaustive blow-by-blow description of the chain of events leading up to and following the behaviour.

Question 6

Stylistic Strategies 2 main focuses?

Answer 6

1) Reciprocal Communication

2) Irreverent Communication

Question 7

3 parts of Emotion Regulation

Answer 7

1) Understanding and naming emotions
2) Changing unwanted emotions
3) Reducing Vulnerability to emotion mind

Question 8

DEAR MAN (technique for getting what we want or saying no)

Answer 8

D: describe the situation
E: express clearly (your feelings)
A: assert wishes
R: reinforce (other person)

M: (stay) mindful (of objectives)
A: appear confident
N: negotiate

Question 9

DBT> Treatment as usual (TAU) for what?

Answer 9

• suicidal behaviour
• drop out rates
• inpatient psychiatric days
• anger

Question 10

DBT = TAU for what?

Answer 10

• Global social functioning

- Functioning in follow up period