Rehabilitation and Therapy Mental Health and Behavioral Therapy 1 — Questions and Answers
Question 1: Which evidence-based psychotherapy is the first-line treatment for post-traumatic stress disorder (PTSD)?
- Prolonged Exposure (PE) therapy and Cognitive Processing Therapy (CPT) (Correct answer)
- Psychoanalytic therapy
- Dialectical Behavior Therapy (DBT) only
- Motivational Interviewing only
Correct answer: Prolonged Exposure (PE) therapy and Cognitive Processing Therapy (CPT)
Both Prolonged Exposure and Cognitive Processing Therapy are first-line VA/DoD and APA-recommended treatments for PTSD, with strong evidence bases from randomized controlled trials.
Question 2: What does CBT stand for in mental health treatment?
- Cognitive Behavioral Therapy (Correct answer)
- Controlled Behavior Treatment
- Cognitive Brain Training
- Central Behavioral Therapy
Correct answer: Cognitive Behavioral Therapy
CBT is a structured, time-limited psychotherapy that addresses the relationship between thoughts, feelings, and behaviors to modify maladaptive patterns.
Question 3: Dialectical Behavior Therapy (DBT) was originally developed by Marsha Linehan to treat which condition?
- Borderline personality disorder (BPD) (Correct answer)
- Schizophrenia
- Major depressive disorder
- Attention-deficit/hyperactivity disorder (ADHD)
Correct answer: Borderline personality disorder (BPD)
DBT was specifically developed to treat the emotional dysregulation and self-destructive behaviors in borderline personality disorder, integrating acceptance and change strategies.
Question 4: Which motivational interviewing (MI) principle involves expressing empathy and reflecting the client's perspective without judgment?
- Reflective listening (Express Empathy) (Correct answer)
- Developing Discrepancy
- Rolling with Resistance
- Supporting Self-Efficacy
Correct answer: Reflective listening (Express Empathy)
Expressing empathy through reflective listening communicates understanding of the client's experience, building therapeutic alliance and reducing resistance.
Question 5: What is the primary focus of Acceptance and Commitment Therapy (ACT)?
- Accepting difficult thoughts and feelings while committing to values-based action (Correct answer)
- Eliminating all negative emotions through cognitive restructuring
- Analyzing childhood experiences to resolve adult dysfunction
- Using medication as the primary change mechanism
Correct answer: Accepting difficult thoughts and feelings while committing to values-based action
ACT teaches psychological flexibility through acceptance of internal experiences and commitment to behaviors aligned with personal values, rather than eliminating unpleasant thoughts.
Question 6: Which behavioral therapy technique uses systematic presentation of feared stimuli from least to most anxiety-provoking to treat phobias?
- Systematic desensitization (Correct answer)
- Flooding (implosion therapy)
- Aversion therapy
- Token economy
Correct answer: Systematic desensitization
Systematic desensitization pairs progressive muscle relaxation with graded exposure to fear stimuli, gradually extinguishing the conditioned fear response.
Which evidence-based psychotherapy is the first-line treatment for post-traumatic stress disorder (PTSD)?