CBT Relapse Prevention & Maintenance Strategies 2

Question 1

Mindfulness-Based Cognitive Therapy (MBCT) was specifically designed to prevent relapse of which condition?

Accepted Answer

Recurrent major depressive disorder

Answer

Schizophrenia spectrum disorders

Answer

Bipolar I disorder

Answer

Borderline personality disorder

Question 2

The concept of 'seemingly irrelevant decisions' (SIDs) in relapse prevention refers to:

Accepted Answer

Small, apparently harmless choices that chain together and lead a client toward high-risk situations

Answer

Decisions made while in a dissociative state

Answer

Decisions made during an acute crisis episode

Answer

Choices that appear relevant to therapy but are not clinically significant

Question 3

Which of the following is a key component of a CBT maintenance plan?

Accepted Answer

Early warning signs, personalized coping strategies, and an action plan for setbacks

Answer

A comprehensive list of all past traumas in chronological order

Answer

A medication schedule provided by the prescribing psychiatrist

Answer

A list of all avoided situations that should never be confronted

Question 4

When a client experiences a lapse after completing CBT treatment, the most therapeutically appropriate response is to:

Accepted Answer

Normalize the lapse, analyze what happened, and reinforce existing coping skills

Answer

Immediately restart the full original course of treatment

Answer

Increase medication dosage in consultation with the prescriber

Answer

Discharge the client and provide a referral to a specialist

Question 5

What is the 'lifestyle imbalance' concept in Marlatt's relapse prevention model?

Accepted Answer

An excess of obligations over pleasurable activities that creates deprivation and craving

Answer

An unhealthy diet that directly contributes to psychiatric symptoms

Answer

A mismatch between work demands and family responsibilities

Answer

Inconsistent sleep patterns that disrupt emotional regulation

Question 6

In CBT for relapse prevention, 'coping imagery' is best described as:

Accepted Answer

Mentally rehearsing successful coping with anticipated high-risk situations before they occur

Answer

Using visual art therapy to process underlying trauma

Answer

Creating a vision board of recovery goals and aspirations

Answer

Reviewing photographs that trigger emotional responses for exposure purposes

Question 7

Which of the following best describes the appropriate role of the therapeutic relationship during the maintenance phase of CBT?

Accepted Answer

It should be gradually tapered while fostering the client's self-efficacy and autonomous use of skills

Answer

It should be terminated abruptly to force client independence

Answer

It should remain equally intensive regardless of client progress

Answer

It is clinically irrelevant once core CBT techniques have been taught