CART Emotional Regulation & DBT Skills 3

Question 1

In DBT, which distress tolerance skill involves accepting reality as it is rather than fighting it?

Accepted Answer

Radical acceptance

Answer

Radical acceptance means fully acknowledging reality without judgment or resistance, reducing the suffering added by non-acceptance.

Question 2

A client uses the TIP skill during acute anger. Which physiological mechanism does the 'T' (Temperature) component activate?

Accepted Answer

The dive reflex to rapidly lower heart rate

Answer

Placing cold water on the face activates the mammalian dive reflex, rapidly slowing heart rate and reducing physiological arousal.

Question 3

When teaching anger management through DBT, the therapist emphasizes 'building mastery.' What is the primary purpose of this skill?

Accepted Answer

Engaging in activities that increase confidence and reduce vulnerability to negative emotions

Answer

Building mastery involves completing challenging activities to foster competence and confidence, which buffers against emotional dysregulation.

Question 4

A client describes using 'urge surfing' to manage anger impulses. This technique is most closely associated with which therapeutic orientation?

Accepted Answer

Mindfulness-based approaches

Answer

Urge surfing is a mindfulness-based technique that involves observing and riding out the wave of an urge without acting on it.

Question 5

In DBT's interpersonal effectiveness module, DEAR MAN focuses on achieving goals in relationships. For an angry client, what does the 'D' stand for?

Accepted Answer

Describe the situation factually

Answer

The 'D' in DEAR MAN stands for Describe—stating the facts of the situation objectively without interpretation or judgment.

(CART) Certified Anger Resolution Therapist Practice Test