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Research indicates that successful recovery from trauma is facilitated by parental involvement,which is why __________________ is the second component of the TF-CBT.


A) parenting skills training
B) relaxation techniques
C) affect expression and modulation
D) psychoeducation

E) None of the above
F) A) and B)

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Trauma-focused cognitive-behavioral therapy (TF-CBT) is an evidence-based short term,strengths based approach which resolves trauma and increases self-efficacy.It integrates all of the following elements EXCEPT:


A) family systems theory.
B) humanistic approaches.
C) diagnosis and the medical model.
D) child development theory.

E) B) and D)
F) A) and C)

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Max,a borderline client who professes to believe that all people are untrustworthy,is seeing a DBT therapist who is working to address this belief and help Max see that this expectation is not always accurate.From a DBT perspective,what is the counselor doing?


A) Attempting to relieve client suffering by applying a a strict set of interventions.
B) Providing empathy in order to encourage change.
C) Educating the client on the way the world really is.
D) Working to engage dialectic tension in order achieve synthesis and transcend the tensions.

E) A) and B)
F) B) and C)

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What is the cognitive triangle and what is it used for?

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In what ways are DBT and TF-CBT similar? In what ways are they different?

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DBT (Dialectical Behavior Therapy) and T...

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Monique is growing quite emotional in session as she relays the details her fears of a new relationship to her counselor.The counselor responds,"Given your history of abuse,it makes sense that you would be afraid to try a relationship again." This is an example of which intervention?


A) acknowledgment
B) denial
C) closing
D) validating

E) A) and B)
F) C) and D)

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DBT counselors use all of the following types of client agreements EXCEPT _____________________ to help manage the type of problems that arise working with clients diagnosed with borderline personality disorder.


A) a one-year commitment and attendance
B) circumstances of unilateral termination
C) suicidal, self-harming or interfering behaviors
D) substance abuse treatment

E) B) and D)
F) None of the above

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Which of the following statements is most true about the TF-CBT approach?


A) TF-CBT is comprised of ten components and reflects core values which define the process, such as respect for psychoeducation, client behavior, responsibility-focused.
B) TF-CBT is comprised of ten components and reflects core values which define the process, such as respect for diversity, adaptability, family-focused, self-efficacy focused.
C) TF-CBT is comprised of ten sequential components and reflects core values which define the process, such as respect for the counseling relationship, honoring commitments, integrity-focused.
D) TF-CBT is comprised of ten components and reflects core values which define the process, such as respect for diversity, gender and cultural equality, social-focus, integration-focused.

E) B) and C)
F) A) and D)

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One of the most basic assumptions of the DBT approach is that clients ______________ ______________________________.


A) seek change but do not want to let go of the old way of doing things
B) seek change and are most often ready for change
C) seek change because the they will lose someone close if they do not
D) seek to avoid change because they are happy where they are at in life

E) A) and B)
F) B) and C)

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The pretreatment state of DBT consists of ______________________________.


A) diagnosis and obtaining medical treatment if necessary before beginning treatment
B) obtaining client agreement to the terms and length of treatment
C) educating clients about the principles surrounding the problem/s they bring to counseling
D) assessing client spirituality to determine if this will be useful in counseling

E) A) and B)
F) A) and C)

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Regarding the case study of April,the client has a history of arriving late to sessions,missing appointments,and ending therapy abruptly.During case conceptualization these would be considered examples of which of the following?


A) therapy-interfering behaviors
B) quality of life-interfering behaviors
C) behavior chain analysis
D) avoidance

E) B) and D)
F) None of the above

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DBT uses contingency management procedures to make interactions between client and counselor a learning opportunity.The observing limits procedure,a specific application of contingency management,is used to _____________________________________.


A) set and maintain appropriate limits such as not extending sessions if the client is late, not accepting phone calls at home, not sharing personal information
B) correct a given behavior using aversive consequences
C) act in accordance with client wishes to ensure that a sense of safety is maintained and boundaries that are comfortable for the client are observed
D) solicit another response which the counselor can reinforce

E) C) and D)
F) A) and B)

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TF-CBT uses the _______________ and _______________ both before and after the trauma narrative in order to help children learn to distinguish between thoughts and feelings and challenge unhelpful beliefs.


A) counselor; counselor empathy
B) cognitive triangle; cognitive coping skills
C) breath; focus on the breath
D) cognitive assessment; cognitive restructuring

E) C) and D)
F) A) and B)

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The signature intervention of TF-CBT is the ____________________,a gradual exposure technique designed to unpair thoughts memories of trauma from overwhelming emotions.


A) trauma narrative
B) baseline assessment
C) contingency management
D) distress tolerance

E) B) and C)
F) C) and D)

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All of the following would be appropriate working phase goals in this case EXCEPT:


A) increase client's ability to regulate emotion to reduce impulsive behavior in relationships.
B) increase interpersonal effectiveness in personal and work relationships to reduce interpersonal conflict.
C) increase distress tolerance and ability to accept "what is" to reduce crisis behaviors.
D) teach client insight strategies to help develop self-respect and self-compassion.

E) A) and B)
F) C) and D)

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Regarding interventions,the two core strategies of DBT are _____________ and ______________________.


A) assessment; intervention
B) exploring the self; integration
C) diagnosis; treatment
D) validation; problem solving

E) A) and C)
F) A) and B)

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Which of the following statements best characterizes the nature of individual sessions in DBT?


A) In individual sessions, clients are taught a standard curriculum of psychosocial skills.
B) In individual sessions a relationship is established that validates and nurtures the client while demanding behavioral change.
C) In individual sessions, techniques such as mindfulness are avoided so that the client does not become stuck on emotions rather than behavior.
D) In individual sessions, clients are faced with making behavioral change because the counselor withholds empathy in order to focus on behavior rather than symptoms.

E) None of the above
F) All of the above

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Explain why the use of validation is important to the client.

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DBT also utilizes practitioner agreements which include: every reasonable effort,ethical conduct,personal contact,respect,confidentiality,and consultation.

A) True
B) False

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