BHP Therapeutic Approaches 2 — Questions and Answers
Question 1: In Dialectical Behavior Therapy (DBT), which four skill modules are taught to clients?
- Mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness (Correct answer)
- Cognitive restructuring, exposure, relaxation, problem-solving
- Acceptance, commitment, defusion, values clarification
- Psychoeducation, social skills, relapse prevention, coping strategies
Correct answer: Mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness
DBT's four core modules are mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Question 2: A client with agoraphobia refuses to leave their home. Which behavioral therapy technique is MOST appropriate to address avoidance?
- Systematic desensitization or graded exposure (Correct answer)
- Rational emotive behavior therapy (REBT)
- Psychodynamic free association
- Motivational interviewing only
Correct answer: Systematic desensitization or graded exposure
Graded exposure (or systematic desensitization) directly targets avoidance by gradually introducing feared stimuli.
Question 3: Which of the following BEST describes the 'empty chair' technique used in Gestalt therapy?
- The client speaks to an imagined person or part of themselves to resolve unfinished business (Correct answer)
- The therapist sits silently to encourage client reflection
- A vacant chair represents the client's absence of emotion
- The therapist leaves the room so the client can practice self-talk
Correct answer: The client speaks to an imagined person or part of themselves to resolve unfinished business
The empty chair technique allows clients to express feelings toward an imagined person or internal conflict seated in the chair.
Question 4: In Acceptance and Commitment Therapy (ACT), 'cognitive defusion' refers to:
- Changing the relationship to thoughts rather than changing thought content (Correct answer)
- Replacing irrational beliefs with rational ones
- Using mindfulness to eliminate unwanted thoughts
- A relaxation technique to reduce physiological arousal
Correct answer: Changing the relationship to thoughts rather than changing thought content
Cognitive defusion in ACT helps clients observe thoughts without being dominated by them, without necessarily changing thought content.
Question 5: A BHP is working with a client using Solution-Focused Brief Therapy (SFBT). The therapist asks, 'If a miracle happened overnight and your problem was solved, what would be different?' This is called the:
- Miracle question (Correct answer)
- Scaling question
- Exception question
- Coping question
Correct answer: Miracle question
The miracle question helps clients envision a desired future state to guide goal-setting in SFBT.
Question 6: Which therapeutic approach emphasizes unconditional positive regard, empathy, and congruence as core conditions for change?
- Person-centered therapy (Correct answer)
- Cognitive behavioral therapy
- Behavioral activation therapy
- Psychoanalytic therapy
Correct answer: Person-centered therapy
Carl Rogers' person-centered therapy identified unconditional positive regard, empathy, and congruence as the three necessary and sufficient conditions for therapeutic change.
Question 7: Eye Movement Desensitization and Reprocessing (EMDR) is primarily used to treat which condition?
- Post-traumatic stress disorder (PTSD) (Correct answer)
- Obsessive-compulsive disorder (OCD)
- Bipolar disorder
- Schizophrenia
Correct answer: Post-traumatic stress disorder (PTSD)
EMDR is an evidence-based treatment specifically developed for processing traumatic memories in PTSD.
BHP Therapeutic Approaches 2
In Dialectical Behavior Therapy (DBT), which four skill modules are taught to clients?