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

While the 24-hour rule is important for avoiding reinforcing self-harm, it must never be applied in a way that leaves a client without support when they are in genuine, immediate danger.

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

ACCEPTS is a DBT distress tolerance skill using distraction strategies: Activities, Contributing, Comparisons, Emotions, Pushing away, Thoughts, and Sensations.

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

Radical acceptance means fully acknowledging and accepting reality as it is without fighting it, which in crisis situations can reduce emotional suffering caused by non-acceptance.

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

Self-soothe with the five senses is a DBT distress tolerance skill involving using pleasant sensory experiences — soothing music, calming scents, favorite textures — to reduce emotional distress.

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

In DBT, willingness means being open to doing what works in each situation, while willfulness is refusing to tolerate the moment or insisting things must be different — a key obstacle to using crisis skills.

DBT - Certified Dialectical Behavior Therapy Practice Test

DBT - Certified Dialectical Behavior Therapy Practice Test

DBT DBT Crisis Intervention and Safety 3