HPD HPD Recovery and Coping Strategies 2 — Questions and Answers
Question 1: When a person with HPD practices journaling as a coping tool, which specific skill is being developed?
- Seduction and social performance skills
- Reflective self-awareness and deeper emotional processing (Correct answer)
- Impressionistic storytelling abilities
- Memory for social events
Correct answer: Reflective self-awareness and deeper emotional processing
Journaling helps HPD individuals develop reflective self-awareness and process emotions with greater depth rather than acting them out dramatically.
Question 2: Group therapy can be beneficial for HPD clients but presents which specific challenge?
- HPD clients cannot tolerate any group social interaction
- HPD clients may attempt to dominate the group and seek special status from the therapist (Correct answer)
- HPD clients are unable to speak about themselves in groups
- HPD clients always form therapeutic alliances too quickly
Correct answer: HPD clients may attempt to dominate the group and seek special status from the therapist
HPD clients in group settings may attempt to dominate group time, compete for the therapist's attention, or create drama to remain the focus.
Question 3: A long-term goal of psychotherapy for HPD is helping the client develop:
- Complete emotional suppression and social withdrawal
- More stable self-worth independent of external attention and validation (Correct answer)
- More effective dramatic communication strategies
- Greater dependence on the therapist for self-regulation
Correct answer: More stable self-worth independent of external attention and validation
A core therapeutic goal is building internal sources of self-worth so the client no longer depends on constant external attention to feel valuable.
Question 4: Schema therapy for HPD aims to address the Approval-Seeking schema by helping the client:
- Avoid all situations requiring performance
- Build genuine self-worth through behavioral experiments that challenge the need for approval (Correct answer)
- Seek more reliable and consistent sources of approval
- Eliminate the emotional core of the schema through medication
Correct answer: Build genuine self-worth through behavioral experiments that challenge the need for approval
Schema therapy uses behavioral experiments to help HPD clients discover that they can have worth without constant approval, gradually modifying the core schema.
Question 5: Which type of boundary-setting work is often necessary in HPD treatment?
- Teaching the client to set boundaries with others who are too emotionally distant
- Helping the client recognize and respect appropriate interpersonal and relational boundaries (Correct answer)
- Training the client to ignore others' boundaries to assert their needs
- Focusing exclusively on workplace boundary violations
Correct answer: Helping the client recognize and respect appropriate interpersonal and relational boundaries
HPD treatment often involves helping clients recognize that their boundary-crossing behaviors (overestimating intimacy, inappropriate touch) harm their relationships.
Question 6: Assertiveness training can benefit HPD individuals by helping them:
- Be more dramatic and theatrical in expressing needs
- Express needs directly rather than through manipulative dramatic displays (Correct answer)
- Increase seductive communication for better relationship outcomes
- Suppress emotional needs entirely
Correct answer: Express needs directly rather than through manipulative dramatic displays
Assertiveness training helps HPD clients express needs clearly and directly, reducing reliance on dramatic or manipulative strategies to get attention.
HPD HPD Recovery and Coping Strategies 2
When a person with HPD practices journaling as a coping tool, which specific skill is being developed?