Skills and Interventions Flashcards

A client with PTSD reports hypervigilance and difficulty sleeping. Which intervention is most evidence-based for this presentation?

Answer: Prolonged Exposure (PE) therapy

Prolonged Exposure therapy is an evidence-based treatment for PTSD that directly addresses hyperarousal and avoidance symptoms.

During a session, a client becomes dissociative. The most appropriate immediate counselor response is to:

Answer: Use grounding techniques to reorient the client

Grounding techniques (e.g., 5-4-3-2-1 sensory method) help reorient a dissociating client to the present moment.

A counselor uses the Socratic questioning technique. This is most associated with which therapeutic approach?

Answer: Cognitive-Behavioral Therapy

Socratic questioning is a core CBT technique used to challenge and examine the validity of automatic thoughts.

A client describes feeling 'numb' and disconnected from emotions after a traumatic event. The counselor should prioritize:

Answer: Psychoeducation about emotional numbing as a trauma response

Emotional numbing is a common trauma response, and normalizing it through psychoeducation reduces shame and builds therapeutic alliance.

Which motivational interviewing skill involves the counselor summarizing the client's ambivalence and change talk to reinforce motivation?

Answer: Summaries

Summaries in MI collect and reinforce change talk, helping clients hear their own arguments for change.

A client with depression engages in 'all-or-nothing thinking.' The most appropriate CBT intervention is:

Answer: Cognitive restructuring

Cognitive restructuring directly targets cognitive distortions like all-or-nothing thinking by challenging and reframing them.

When working with a client using a strengths-based approach, the counselor's primary focus is on:

Answer: Identifying and amplifying the client's existing resources and competencies

Strengths-based counseling emphasizes client resilience, resources, and competencies rather than deficits or pathology.