DBT DBT Skills Training and Coaching 2 — Questions and Answers
Question 1: What does the DBT acronym TIPP stand for?
- Think, Identify, Plan, Practice
- Temperature, Intense exercise, Paced breathing, Progressive relaxation (Correct answer)
- Tolerance, Insight, Persistence, Patience
- Trust, Integrity, Purpose, Perspective
Correct answer: Temperature, Intense exercise, Paced breathing, Progressive relaxation
TIPP stands for Temperature, Intense exercise, Paced breathing, and Progressive relaxation — a set of distress tolerance skills that rapidly change body chemistry to reduce emotional intensity.
Question 2: What is the 'half-smile' skill in DBT?
- A validation technique where the therapist smiles warmly at the client
- A mindfulness skill involving relaxing facial muscles into a slight upward expression to shift emotional state (Correct answer)
- A technique for de-escalating conflicts
- A cognitive reframing strategy
Correct answer: A mindfulness skill involving relaxing facial muscles into a slight upward expression to shift emotional state
The half-smile is a DBT mindfulness and acceptance skill where clients relax their face into a slight smile, using the body to influence emotional state.
Question 3: Which DBT skill involves increasing positive experiences to build positive emotions over time?
- PLEASE
- Accumulating Positives (Correct answer)
- Opposite Action
- Radical Acceptance
Correct answer: Accumulating Positives
Accumulating Positives is an emotional regulation skill that involves building positive emotions both short-term (daily pleasant activities) and long-term (pursuing values-based goals).
Question 4: What does the DBT acronym FAST stand for in interpersonal effectiveness?
- Feel, Assess, Speak, Trust
- Fair, no Apologies, Stick to values, Truthful (Correct answer)
- Focus, Acknowledge, Synthesize, Transform
- Flexible, Assertive, Sensitive, Tenacious
Correct answer: Fair, no Apologies, Stick to values, Truthful
FAST stands for be Fair, no Apologies (unnecessary), Stick to your values, and be Truthful — skills used to maintain self-respect in relationships.
Question 5: What is 'cope ahead' in DBT emotional regulation?
- Planning how to use skills before entering a difficult situation (Correct answer)
- Accepting that difficult emotions will occur
- Distracting oneself from future worries
- Reviewing past successes to build confidence
Correct answer: Planning how to use skills before entering a difficult situation
Cope ahead involves anticipating a difficult situation, imagining it vividly, and rehearsing effective coping strategies in advance to be better prepared.
Question 6: What is the purpose of 'chain analysis' in DBT individual therapy?
- To analyze the therapeutic relationship
- To systematically examine the sequence of events, thoughts, and emotions leading to a problem behavior (Correct answer)
- To review the client's family history
- To assess medication effectiveness
Correct answer: To systematically examine the sequence of events, thoughts, and emotions leading to a problem behavior
Chain analysis in DBT is a detailed functional analysis that traces every link in the chain of events, thoughts, feelings, and actions that led to a target problem behavior.
What does the DBT acronym TIPP stand for?