DBT DBT Crisis Intervention and Safety 3

Question 1

What is the primary risk management concern when using the 24-hour phone coaching rule?

Accepted Answer

The rule must not be applied rigidly if a client is in genuine danger requiring immediate response

Answer

Clients may become too dependent on the therapist

Answer

Therapists may miss important communications

Answer

Clients may seek other therapists for support

Question 2

What is 'ACCEPTS' in DBT distress tolerance?

Accepted Answer

A set of distraction strategies for getting through crises: Activities, Contributing, Comparisons, Emotions, Pushing away, Thoughts, Sensations

Answer

A mindfulness practice for daily use

Answer

An acceptance framework for radical change

Answer

A crisis assessment tool

Question 3

In DBT, what is 'radical acceptance' and how does it relate to crisis intervention?

Accepted Answer

Fully accepting reality as it is, without judgment, which reduces suffering by eliminating the pain of fighting what cannot be changed

Answer

Agreeing with everything to avoid conflict

Answer

Accepting that crises are inevitable and not intervening

Answer

Accepting the client's definition of the crisis without assessment

Question 4

What is 'self-soothe with the five senses' in DBT distress tolerance?

Accepted Answer

Comforting oneself through sight, hearing, smell, taste, and touch to soothe distress

Answer

Using sensory deprivation to calm the nervous system

Answer

A grounding technique for dissociation

Answer

A mindfulness exercise for daily practice

Question 5

What is 'willingness vs. willfulness' in DBT?

Accepted Answer

Willingness is doing what is needed in each situation; willfulness is refusing to do what works or insisting on having one's own way

Answer

The difference between wanting to change and having the ability to change

Answer

Willingness means accepting therapy; willfulness means refusing it

Answer

The balance between helping clients and setting limits

Question 6

What is a 'behavioral contract' in DBT crisis planning?

Accepted Answer

A written commitment between client and therapist specifying what the client will and will not do during a crisis

Answer

A legal agreement about session attendance

Answer

A contract with insurance for treatment coverage

Answer

An agreement about homework completion