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Flashcards in DBT Deck (17)
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1
Q

Steps for radical acceptance

A
  1. Recognize you are resisting reality (willfull; “it’s not fair, etc”; “what if this is as good as it gets”)
  2. Acknowledge the facts of reality and that it cannot be changed (“this is what happened”)
  3. Acknowledge the reasons for reality (“this is how it happened”; everything has a cause / is linked)
  4. Make the choice to accept reality (turning the mind towards willingness)
  5. Practice accepting reality
    - Willing hands / half-smile
    - List what would you do if you were to practice reality –> do it (opposite action)
    - Relaxation skills
    - Accepting self-talk, prayer, imagery
  6. Allow sadness/grief/disappointment to come/go

Pros/cons if get stuck

2
Q

What is DBT (short answer)

A

Type of integrative psychotherapy (CBT)

(designed by Marsha Linehan)

that combines CBT + mindfulness
(+ other skills incl emotion regulation, distress tolerance, interpersonal effectiveness)

(to target SI/SH behaviours + emotional dysregulation in borderline PD)

3
Q

DBT created by

A

Marsha Linehan

4
Q

Original purpose of DBT

A

Decrease SI/SH behaviours + emotional dysregulation in borderline PD

(But balance it with acceptance)

5
Q

What does dialectical mean

A

Finding balance and truth in opposite perspectives/experiences

6
Q

Stepwise targets for DBT

A
  1. Life-interfering behaviours (self-harm/suicidal behaviours)
  2. Therapy-interfering behaviours (maintain engagement)
  3. QOL-interfering behaviours (impulsivity)
  4. Build a life worth living
7
Q

Phases of DBT

A
Phase 1 (acquire skills, stabilization of life/therapy/QOL interfering behaviours)
Phase 2 (practice sitting with emotions + address problems perpetuating trauma, invalidation, betrayal)
Phase 3 (fine-tuning)
8
Q

Phase 1 DBT

A

Acquire skills, stabilization of life/therapy/QOL interfering behaviours

9
Q

Phase 2 DBT

A

Practice sitting w/ emotions + address problems perpetuating trauma, invalidation, betrayal

10
Q

Overall structure of DBT

A

Skills group training
Individual psychotherapy
Telephone coaching
Therapist consultation group

11
Q

Skill sets in DBT

A

Mindfulness
Emotion regulation
Distress tolerance
Interpersonal effectiveness

12
Q

Structure of individual DBT sessions

A
Set agenda 
Review diary card
\+/- behavioural chain analysis 
Problem solving/analysis + coaching use of skills
Validate throughout entire process
13
Q

Acceptance skills in DBT

A

Mindfulness

Distress tolerance

14
Q

Change skills in DBT

A

Emotion regulation

Interpersonal effectiveness

15
Q

Purpose of telephone coaching in DBT

A

Help you use (generalize use) of skills
when feeling SI/SH
but not able to use skills on own
(not for when you’ve already self-harmed)

16
Q

Steps in telephone coaching in DBT

A

ID problem
Validate
ID goals
Contract to safety (or call 911 / pt to go to and call from ER)
Develop action plan to use acceptance skills

17
Q

Rating scale for borderline PD

A

BEST (borderline evaluation of severity over time; can complete at each group skills training)