CLT Advanced Treatment Methods 2

Question 1

In LEAP therapy, when a client insists their delusion is real, the therapist should:

Accepted Answer

Empathize with the emotional content without endorsing the belief

Answer

LEAP therapists empathize with the feelings behind a delusion without validating its factual content.

Question 2

Which motivational interviewing technique is central to the 'Partner' step of LEAP?

Accepted Answer

Collaborative goal-setting around the client's own values

Answer

Partnering in LEAP means co-creating goals anchored in what the client already values, not imposing clinician-defined goals.

Question 3

A client with anosognosia refuses medication. The most appropriate advanced LEAP response is to:

Accepted Answer

Use reflective listening to explore what the client does want help with

Answer

Reflective listening surfaces the client's own concerns, which can become leverage for partnership without triggering defensiveness.

Question 4

In advanced LEAP practice, 'rolling with resistance' means:

Accepted Answer

Avoiding argument by reflecting the client's ambivalence back to them

Answer

Rolling with resistance reframes or reflects the client's own words rather than opposing them, preserving alliance.

Question 5

Which stage of the Stages of Change model is most associated with a client who says, 'I might have a problem, but I'm not sure'?

Accepted Answer

Contemplation

Answer

Contemplation is marked by ambivalence — the client acknowledges possible problems but has not committed to change.

(CLT) Certified Leap Therapist Practice Test