Final

Question 1

Combining techniques & theories from various approaches to fit the needs of the client. Since the early 1980’s the __________ has gained acceptance.

Answer 1

Integrative Therapy Approach

Question 2

Define Integrative Therapy Approach:

Combining te

Answer 2

Combining techniques & theories from various approaches to fit the needs of the client.

Question 3

Early term and way of unsystematically picking techniques from different theories and techniques without any overall theoretical rationale. Not much research to support its effectiveness since there’s no consistency in the content from patient to patient or from therapist to therapist.

Answer 3

Eclectic Therapy:

Question 4

Define Eclectic Therapy:

Early term way and un

Answer 4

Early term and way of unsystematically picking techniques from different theories and techniques without any overall theoretical rationale.

Question 5

Whats wrong with Ecletic therapy ?

Answer 5

Not much research to support its effectiveness since
there’s no consistency in the content from patient to patient or from therapist to therapist.

Question 6

Give an example of Eclectic Therapy:

Answer 6

Using both dream analysis from psychoanalysis, and journal writing from CBT, into the therapy.

Question 7

Integrating diverse theories and techniques in a systematic way to form a single approach. Best practice supports this approach over the eclectic approach since it has more research to support its effectiveness. Most therapists identify as being aligned with an __________ approach, rather than one therapy model exclusively.

Answer 7

Integrative Therapy:

Question 8

Explain Integrative Therapy:

Integrating diveresed

Answer 8

Integrating diverse theories and techniques in a systematic way to form a single approach.

Question 9

Why does best practice supports integrative therapy approach over ecletic ?

Answer 9

It has more research to support its effectiveness.

Question 10

Which therapy model do most therapist align with ?

Answer 10

An integrated approach, rather than one therapy model exclusively.

Question 11

Types of Integrative Therapies

2 Points

Answer 11

1. Mindfulness-Based Cognitive Therapy (MBCT)
2. Mindfulness Based Stress Reduction (MBSR)

Question 12

A type of therapy that helps clients learn how to calm their mind and body to help cope with illness, pain management, and stress.

Answer 12

Mindfulness Based Stress Reduction (MBSR)

Question 13

How often and how long is Mindfulness Based Stress Reduction (MBSR)?

Answer 13

1. It’s often an 8-week program
2. meeting weekly for 2-2 ½ hours a week.

Question 14

Define Mindfulness-Based Cognitive Therapy (MBCT)

2 Points

Answer 14

1. Combines traditional CBT and Mindfulness Awareness
2. (leans more on Mindfulness Awareness)

Question 15

Dialectical Behavior Therapy (DBT is

Answer 15

a type of therapy that combines traditional cognitive-behavioral techniques foremotional regulation, along with mindfulness awareness, distress tolerance, interpersonal effectiveness, and emotional regulation skills.

Question 16

Who is Marsha Linehan Ph.D. ?

2 Points

Answer 16

1. American psychologist who developed DBT at the University of Washington
2. as a result of her own struggles & interest in working with patients with Borderline Personality disorder.

Question 17

What happened to Marsha that made her start DBT?

Answer 17

2. As a teenager she was hospitalized and diagnosed with Schizophrenia.
3. Years later she realized she was misdiagnosed and actually had Borderline Personality Disorder.
4. That began her interest in treating patients with BPD.

Question 18

Tell me more facts about Marsha’s DBT fomation journey

Answer 18

1. During the late 1980s Dr. Linehan realized that (CBT) alone did not work as well as expected in patients with Borderline Personality Disorder (BPD).
2. She added other techniques and developed a treatment to meet the unique needs of these patients.
3. Prior to her development of DBT and training therapists in the technique, none of the other types of therapy worked with Borderline patients.

Question 19

Dialectical definition:

Answer 19

Two opposing things can be true at once.

Question 20

DBT typically meets:

Answer 20

1. Weekly for individual session,
2. and often contains weekly
3. or biweekly group sessions.

Question 21

The reason CBT is used more often than DBT is that

Answer 21

DBT takes highly specialized training for the therapists.

Question 22

This theory states that we have a biologically determined way of reacting to emotionally charged situations, which is then influenced by our social sphere.

Answer 22

Biosocial theory

Question 23

There’s growing evidence that DBT can be useful in treating

Answer 23

1. depression
2. anxiety
3. substance abuse
4. self-harm
5. suicidality.

Question 24

The 4 Skills Modules of Dialectical Behavior Therapy

Answer 24

1. Mindfulness Awareness Skills
2. Distress Tolerance Skills
3. Interpersonal Effectiveness Skills
4. Emotional Regulation Skills

Question 25

The essential part of all skills taught in skills group are the core mindfulness skills.

Answer 25

Mindfulness Awareness Skills

Question 26

___________ is the practice of bringing one's attention to the internal and external experiences occurring in the present moment, which can be developed through the practice of meditation.

Answer 26

Mindfulness

Question 27

Mindfulness is a Buddhist term, meaning, | 2 points

Answer 27

awareness or skillful attentiveness.

Question 28

When you’re mindful, you do just one thing, and

Answer 28

you pay close attention to that one thing.

Question 29

Mindfulness is a time to purposefully pay attention, and be aware of your | 4 Points

Answer 29

1. surroundings, 2. your emotions, 3. your thoughts, 4. and how your body feels at that moment.

Question 30

Mindfulness is not

Answer 30

a time to zone out, that’s not the point.

Question 31

When practicing Mindfulness, we never

Answer 31

judge our thoughts or feelings we’re experiencing in the moment.

Question 32

Examples of how to practice mindfulness: | 6 points

Answer 32

1. You may sit quietly and notice your emotions. 2. You may sit quietly and concentrate on breathing in through your nose and out through your mouth. 3. You might focus only on the sounds around you, or the texture, smell, and temperature of your food. 4. When you’re outside, you might focus on the wind on your bare skin or the temperature of the room if you’re inside. 5. If you’re cooking, you’re concentrating on the smell of the food, how it feels when you touch it, etc. 6. When you’re walking, you’re paying attention to the night sky, or the daytime cloud formations, or the wind on your skin.

Question 33

You may sit quietly and

Answer 33

notice your emotions.

Question 34

You may sit quietly and concentrate on

Answer 34

breathing in through your nose and out through your mouth.

Question 35

You might focus only on the sounds around you, or

Answer 35

the texture, smell, and temperature of your food.

Question 36

When you’re outside, you might focus on

Answer 36

on the wind on your bare skin or the temperature of the room if you’re inside.

Question 37

If you’re cooking, you’re concentrating on

Answer 37

the smell of the food, how it feels when you touch it, etc.

Question 38

When you’re walking, you’re paying attention to the

Answer 38

night sky, or the daytime cloud formations, or the wind on your skin.

Question 39

Most importantly about mindfulness:

Answer 39

1. Mindfulness is never judgmental of the present moment. Judgments often lead to ruminating about bad situations, feelings, or thoughts. 2. Dwelling on the past does not help you accept or solve problems. It just brings you down and causes stress. 3. By training your mind to focus only on the present, you learn not to get lost in regrets from the past or worries about the future, but to accept things as they are. 4. Mindfulness teaches you to be in control of your mind so that your mind doesn't control you. 5. Mindfulness teaches you to recognize your feelings

Question 40

Mindfulness is never judgmental of the present moment because....

Answer 40

Judgments often lead to ruminating about bad situations, feelings, or thoughts.

Question 41

Mindfulness is never about dwelling on the past because

Answer 41

it does not help you accept or solve problems. It just brings you down and causes stress.

Question 42

Mindfulness teaches that by training your mind to focus only on the present,

Answer 42

you learn not to get lost in regrets from the past or worries about the future, but to accept things as they are.

Question 43

Some Exercises from Mindfulness:

Answer 43

1. Body Scan Start at your head and slowly pay attention to each part of your body down to your feet. Notice any tension or pain. Watch your breathing—how your stomach rises and falls. This is like our relaxation exercises. 2. Thoughts Are Okay It's normal to have thoughts pop into your mind. Don’t judge them—just notice them. For example, if you think about work, label it as “work” or “worry,” then gently return your focus to the present. It takes practice, and that’s okay! 3. Outside Awareness When you’re outside, take deep breaths. Notice how the air feels on your skin—warm or cold. Look at plants, the sky, clouds, stars, or moon. Just observe without judging anything as good or bad. 4. Morning Mindfulness Start your day with a few quiet minutes. Breathe, look outside, and listen. Or take a slow, peaceful walk by yourself. 5. Mindful Breaks at Work Pause for a minute each hour. Check in with your body and take a moment to let your mind reset before going back to work. 6. Handling Anxiety Picture your mind like a blue sky and your worries like clouds. Watch those thoughts float by without grabbing onto them. Some people imagine the thoughts entering one ear and drifting out the other. 7. Mindful Eating Eat in silence. Focus only on your food. Smell it, look at it, chew slowly, and notice every flavor and texture. Be fully present with your meal.

Question 44

Distress tolerence skills does not mean that it is one of approval;

Answer 44

acceptance of reality is not approval of reality.

Question 45

With distress tolerance skills people have to do with the ability to

Answer 45

accept, in a non-evaluative and nonjudgmental way, both oneself and the current situation.

Question 46

Distress tolerance skills constitute

Answer 46

a natural development from mindfulness skills.

Question 47

Whats makes distress tolerance skills different ?

Answer 47

1. Most approaches to mental health treatment focus on changing distressing events and circumstances. 2. They pay too little attention to accepting and tolerating distress. 3. Dialectical behavior therapy emphasizes learning to bear emotional pain skillfully.

Question 48

__________ behaviors are concerned with tolerating and surviving crises and with accepting life as it is in the moment.

Answer 48

Distress tolerance

Question 49

Four sets of crisis survival strategies are taught in the Distress Tolerance module.

Answer 49

1. Distraction 2. Self-soothing 3. Improving the moment 4. Thinking of pros and cons

Question 50

This crisis survival strategy provides short term relief of stepping away from the challenging situation-go do something else for a bit

Answer 50

Distraction

Question 51

This crisis survival strategy use imagery, prayer, do something relaxing

Answer 51

Improving the moment

Question 52

This crisis intervention strategy involves quickly creating a mental list of acting on your urges and what happens when you resist acting impulsively

Answer 52

Thinking of pros and cons

Question 53

This crisis survival strategy usually involves the 5 senses:

Answer 53

Self-soothing

Question 54

Another Distress Tolerance Skill set is called T-I-P-P

Answer 54

1. Temperature 2. Intense Exercise 3. Paced Breathing 4. Paired Muscle Relaxation

Question 55

Which T-I-P-P methods are you doing when you physically cool yourself off and it will help cool down your emotional response

Answer 55

Temperature

Question 56

Which T-I-P-P methods are you doing when you are increasing oxygen helps to decrease stress

Answer 56

Intense Exercise

Question 57

Which T-I-P-P methods are you doing when you are slowing down your breathing decreases the fight or flight response

Answer 57

Paced Breathing

Question 58

What are these 2. 1. DBT Skills Training Handouts and Workbook, by Linehan, 2. The Dialectical Behavior Therapy Skills Workbook by McKay

Answer 58

Books used in DBT

Question 59

Which T-I-P-P methods are you doing when you tighten a muscle, then relax it, it will become more relaxed than before.

Answer 59

Paired Muscle Relaxation

Question 60

These skills are similar to assertiveness training because they both teach how to communicate needs, set boundaries, and maintain self-respect while respecting others.

Answer 60

Interpersonal effectiveness

Question 61

DBT interpersonal effectiveness skills focus on

Answer 61

how you relate to others in personal relationships.

Question 62

Interpersonal Effectiveness Skills include effective strategies for .... | 3 Points

Answer 62

1. asking for what one needs, 2. how to assertively say ‘no,’ 3. and learning to cope with inevitable interpersonal conflict.

Question 63

Most patients lean towards either __________ or __________both of which can be emotionally unhealthy.

Answer 63

aggressiveness or passivity, both of which can be emotionally unhealthy.

Question 64

Researchers believe that people with BPD and mood disorders may be able to describe effective behavioral strategies when discussing another person encountering a problematic situation but

Answer 64

may be completely incapable of carrying out a similar set of behaviors when analyzing their own situation, or when emotionally intense.

Question 65

Why do people with need emotional regulation skills ?

Answer 65

They typically are 1. emotionally intense 2. labile; 3. frequently angry, 4. intensely frustrated,  5. depressed, 6. and anxious.

Question 66

Calming the Emotional Storm by Sheri Van Dijk is used for

Answer 66

MBSR

Question 67

Rapid, exaggerated changes in mood, emotions, feelings, reactions, that are out of proportion to the situation at hand. This is often combined with difficulty returning to an emotionally stable state.

Answer 67

Labile:

Question 68

Explain Emotion Regulation Skills: | 6 Points

Answer 68

1. Learning to properly identify and label emotions 2. Identifying obstacles to changing emotions 3. Reducing vulnerability to the “emotion mind” 4. Increasing positive emotional events 5. Increasing mindfulness to current emotions 6. Taking opposite action

Question 69

How can you learn to indentify and label emotions?

Answer 69

Journaling, give yourself time to think about how you feel

Question 70

How can you Identifying obstacles to changing emotions?

Answer 70

You can think about what benefits have you been getting to responding in a particular way?

Question 71

How can you reducing vulnerability to the “emotion mind”?

Answer 71

Eat, sleep, exercise properly

Question 72

How can you Increasing positive emotional events?

Answer 72

Make a list of events that increase your feelings of positivity

Question 73

How can you increase mindfulness to current emotions?

Answer 73

Journaling, making lists of frequent strong emotional responses

Question 74

What do we mean by taking opposite action ?

Answer 74

You just want to crawl into a ball, instead reach out to a friend to do something active