DBT Distress Tolerance Techniques 2

Question 1

In the TIPP skill, what does the first "T" stand for?

Accepted Answer

Temperature

Answer

TIPP stands for Temperature, Intense exercise, Paced breathing, and Paired muscle relaxation.

Question 2

Why does cold water on the face help reduce extreme emotional arousal in DBT?

Accepted Answer

It triggers the dive reflex, slowing heart rate

Answer

Cold water with breath held triggers the mammalian dive response, which slows heart rate and calms the body quickly.

Question 3

In paced breathing, which pattern is taught to calm the nervous system?

Accepted Answer

Exhale longer than inhale, about 5-6 breaths per minute

Answer

A longer exhale than inhale at roughly 5-6 breaths per minute activates the parasympathetic system.

Question 4

What does the "S" in the STOP skill stand for?

Accepted Answer

Stop, freeze, and do not act

Answer

STOP is: Stop, Take a step back, Observe, Proceed mindfully.

Question 5

A client in crisis feels an urge to send an angry text. Which STOP step comes right after stepping back?

Accepted Answer

Observe what is happening inside and outside

Answer

After stopping and taking a step back, the client observes thoughts, feelings, and the situation before proceeding.

DBT - Certified Dialectical Behavior Therapy Practice Test