CBT Relapse Prevention & Maintenance Strategies

Question 1

What is the primary goal of relapse prevention in CBT?

Accepted Answer

To help clients identify triggers and develop coping strategies to maintain gains

Answer

To eliminate all future episodes of the disorder

Answer

To ensure clients remain in therapy indefinitely

Answer

To reduce medication dependence

Question 2

Which concept, developed by Marlatt and Gordon, describes the cognitive and emotional response following an initial slip that can escalate to full relapse?

Accepted Answer

The Abstinence Violation Effect (AVE)

Answer

The stress-vulnerability model

Answer

The cognitive triad

Answer

The diathesis-stress model

Question 3

In relapse prevention, a 'high-risk situation' is best defined as:

Accepted Answer

A context, emotional state, or trigger that increases likelihood of returning to problematic behaviors

Answer

Any situation that causes distress

Answer

Situations that require emergency hospitalization

Answer

Times when the therapist is unavailable for contact

Question 4

Which CBT technique is most commonly used to prepare clients to cope with high-risk situations in relapse prevention?

Accepted Answer

Coping cards and behavioral rehearsal

Answer

Free association

Answer

Behavioral experiments only

Answer

Projective testing

Question 5

What is the purpose of 'booster sessions' in CBT maintenance?

Accepted Answer

To reinforce skills and address emerging difficulties after the main treatment phase

Answer

To introduce entirely new therapeutic modalities

Answer

To conduct a full diagnostic reassessment

Answer

To assess the need for medication changes

Question 6

According to CBT relapse prevention models, which factor most strongly predicts relapse risk?

Accepted Answer

Failure to identify and cope effectively with personal high-risk situations

Answer

The client's age at onset of the disorder

Answer

The length of the original treatment course

Answer

Therapist experience level during treatment

Question 7

What is 'behavioral contracting' in the context of relapse prevention?

Accepted Answer

A collaborative agreement specifying goals and behaviors to maintain therapeutic progress

Answer

A legally binding agreement between therapist and client

Answer

A punishment system imposed following a lapse

Answer

A contract negotiated with the client's insurance provider