DBT Treatment Structure and Theory Flashcards

In DBT, what is the function of the therapist consultation team?

Answer: To keep therapists motivated, competent, and adherent to DBT principles

The consultation team serves as 'therapy for the therapist,' helping clinicians stay motivated, adherent to DBT principles, and emotionally regulated when treating difficult cases.

What is 'pre-treatment' in DBT?

Answer: A phase to orient clients to DBT and obtain commitment to treatment goals

Pre-treatment involves orienting the client to DBT, establishing agreements about goals, and obtaining a genuine commitment to engage in treatment.

Which of the following best describes the hierarchy of treatment targets in Stage 1 DBT?

Answer: Life-threatening behaviors, then therapy-interfering behaviors, then quality of life issues

Stage 1 DBT prioritizes life-threatening behaviors first, followed by therapy-interfering behaviors, then quality of life issues, in that specific order.

What does DBT assume about clients who engage in dysfunctional behaviors?

Answer: They are doing the best they can and need to do better

A core DBT assumption is that clients are doing the best they can AND need to do better, change, and try harder — both are simultaneously true.

Which philosophical tradition most heavily influenced the acceptance-based components of DBT?

Answer: Zen Buddhism

Zen Buddhist philosophy, particularly mindfulness and radical acceptance, heavily influenced the acceptance-based strategies in DBT.

In DBT's Stage 2 treatment, what is the primary focus?

Answer: Reducing post-traumatic stress and quiet desperation

Stage 2 of DBT focuses on reducing post-traumatic stress and moving clients from 'quiet desperation' toward emotional experiencing.