DBT DBT Crisis Intervention and Safety

Question 1

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

Accepted Answer

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

Answer

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.

Question 2

What is 'parasuicidal behavior' as defined in DBT?

Accepted Answer

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

Answer

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

Question 3

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

Accepted Answer

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

Answer

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

Question 4

What is 'crisis survival' in DBT distress tolerance?

Accepted Answer

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

Answer

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.

Question 5

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

Accepted Answer

Temperature change (Cold water dive response)

Answer

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.

DBT - Certified Dialectical Behavior Therapy Practice Test

DBT - Certified Dialectical Behavior Therapy Practice Test

DBT DBT Crisis Intervention and Safety