Treatment Section

Question 1

What should be included in the first phase?

Answer 1

Build rapport (include cultural factors here)

Immediate concerns (like stabilization of SI/substance/psychosis/etc)

Psychoeducation (learn connections between thoughts, emotions, and behaviors, AND NORMALIZE/talk about stigma)

Develop collaborative goals (can bring up your own goals for client)

Coping/relaxation skills

Question 2

What goes in phase 2 of treatment? (CBT specific)

Answer 2

Cognitive skills
- core beliefs
- automatic thoughts
- schemas
- identify problematic thinking patterns
- include thought record homework here
- COGNITIVE RESTRUCTURING

Behavioral
- behavioral activation (can explain spiral here)
- Social engagement
- exposure hierarchy (if needed)

Question 3

What goes into phase three of treatment?

Answer 3

Re-evaluate goals

termination
- taper down treatment
- relapse prevention plan (how to maintain gains)
- future contact method in case of relapse
- schedule booster sessions

Referrals
- group therapy
- support groups
- family therapy
- couples therapy

Question 4

What assessment would you use for bipolar treatment

Answer 4

Young Mania Rating Scale

Question 5

Premise of DBT

Answer 5

Lack of awareness and acceptance of emotional experiences blocks development or adaptive coping skills

This includes dialectics which is the balance of opposing forces

Four tenets are mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation

Question 6

Observing skill- DBT

Answer 6

Mindfulness skill

paying attention to close surroundings, thoughts, and feelings without getting caught in them

also noticing sensory experiences

Question 7

Describing skill- DBT

Answer 7

Putting words to your observations, describe what you see, feel, or experience

Avoiding interpretations and sticking to facts

Question 8

Wise Mind- DBT

Answer 8

Integrating emotional feelings, facts, and wise mind to make decisions

Question 9

Mindful breathing- DBT

Answer 9

focusing on your breath as a way to anchor self

Question 10

Opposite action- DBT

Answer 10

Emotion regulation

Act opposite to your current emotion when it is not effective or appropriate

Ex: if you are feeling like withdrawing, be social instead

Question 11

Check the facts- DBT

Answer 11

Emotion Regulation

Evaluate the facts behind your emotions

challenge and reframe any irrational thoughts

Question 12

PLEASE MASTER- DBT

Answer 12

Treat physical illness
Balanced Eating
Avoid mood-altering substances
Balanced Sleep
Get exercise

Question 13

ABC PLEASE- DBT

Answer 13

Emotion regulation skill

Accumulate Positive emotions
Build Mastery
Cope Ahead of Time

and then PLEASE skill

Question 14

Radical Acceptance- DBT

Answer 14

Emotion Regulation skill

Fully accept the reality of a situation without judgement

recognize that fighting against certain realities can increase emotional distress

Question 15

DEAR MAN- DBT

Answer 15

interpersonal effectiveness

Describe, Express, Assert, Reinforce, Mindful, Appear confident, Negotiate

Question 16

GIVE- DBT

Answer 16

Gentle, Interested, Validate, Easy Manner

Question 17

FAST- DBT

Answer 17

Fair, Apologize (when necessary), Stick to values, Truthful

Question 18

Self-respect effectiveness

Answer 18

Prioritize maintaining your self-respect in the interaction

avoid actions that would compromise your values or self-worth

Question 19

Clarification- DBT

Answer 19

Ask for clarification when necessary to ensure mutual understanding

Avoid making assumptions and seek to understand the other persons perspective

Question 20

STOP skill- DBT

Answer 20

Stop and pause what youre doing

Take a step back

Observe

Proceed mindfully

Question 21

Tip skill- DBT

Answer 21

Temperature (change body temp by taking a cold shower)

Intense exercise

Paced breathing

Question 22

Pros and Cons- DBT

Answer 22

Distress tolerance skill

Evaluate the pros and cons of acting on impulse

consider the long-term consequences of different choices