DBT Crisis Intervention and Safety Flashcards

In DBT, what is the '24-hour rule' for phone coaching?

Answer: Clients do not receive phone coaching for 24 hours after engaging in self-harm

The 24-hour rule states that clients who engage in self-harm lose access to phone coaching for the next 24 hours to avoid inadvertently reinforcing self-harm with therapist attention.

What is 'parasuicidal behavior' as defined in DBT?

Answer: Any intentional acute self-injurious act, regardless of suicidal intent

In DBT, parasuicidal behavior refers to any intentional, acute, self-injurious act regardless of whether there is suicidal intent, including NSSI and suicide attempts.

How does DBT approach the topic of suicide differently from traditional crisis intervention?

Answer: DBT addresses suicidal behavior directly and behaviorally, treating it as a problem to be solved through skill building

DBT takes a direct, behaviorally-oriented approach to suicidality, treating suicidal behaviors as maladaptive coping strategies to be replaced with skills rather than avoided.

What is 'crisis survival' in DBT distress tolerance?

Answer: Short-term skills to get through intense emotional crises without making things worse

Crisis survival skills in DBT are short-term distress tolerance strategies designed to help clients get through high-intensity emotional crises without engaging in harmful behaviors.

Which DBT skill involves putting your face in cold water to rapidly reduce emotional intensity?

Answer: Temperature change (Cold water dive response)

The cold water temperature skill in TIPP activates the dive reflex by submerging the face in cold water, rapidly slowing heart rate and reducing emotional intensity.

What is 'urge surfing' in DBT crisis intervention?

Answer: Mindfully observing an urge as it rises and falls without acting on it

Urge surfing is a mindfulness-based technique where clients observe their urge to engage in harmful behavior as a wave that rises, peaks, and falls without acting on it.