DBT Skills Training Limits Overview
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What is a key limit of DBT skills training groups for clients with severe emotion regulation issues?

  • They can engage in physical activities
  • They can tolerate hostile behavior from group leaders
  • They are allowed to express anger towards the facilitators
  • They cannot tolerate hostile attacks during sessions (correct)
  • What are group members encouraged to do when hostile behavior occurs?

  • Leave the group session temporarily (correct)
  • Report the incident to external authorities
  • Engage openly in further discussion
  • Criticize the behavior of other members
  • What actions are proscribed during DBT skills training sessions?

  • Expressing feelings and concerns
  • Providing constructive feedback
  • Throwing things and destroying property (correct)
  • Engaging in playful banter
  • Who should group members work with when they engage in hostile behavior?

    <p>Their individual psychotherapist or skills trainer</p> Signup and view all the answers

    What should be prioritized over engaging in hostile behaviors during group sessions?

    <p>Maintaining the group's stability</p> Signup and view all the answers

    What is the role of the skills training leader when the individual therapist is unavailable?

    <p>To provide backup support and coaching</p> Signup and view all the answers

    Why might a client call the skills trainer instead of the individual therapist?

    <p>To discuss interpersonal relationship issues</p> Signup and view all the answers

    What should alert skills trainers to a client's potential need for more help?

    <p>Repeated calls regarding life problems</p> Signup and view all the answers

    During the first year of DBT skills training, which topic is generally avoided in sessions?

    <p>Personal crises</p> Signup and view all the answers

    When dealing with adolescents in DBT skills training, who can call the skills trainer for coaching?

    <p>Both the adolescent and their family members</p> Signup and view all the answers

    If an extreme crisis occurs, what is the skills training leader's approach?

    <p>Possibly violate the rule about discussing crises</p> Signup and view all the answers

    Which aspect is essential for the skills training leader to communicate to clients?

    <p>Limits of skills training support</p> Signup and view all the answers

    What may indicate that a client is struggling in skills training?

    <p>Frequently asking for individual sessions</p> Signup and view all the answers

    What is the primary role of skills trainers in DBT skills training?

    <p>To teach behavioral skills and manage interpersonal relationships</p> Signup and view all the answers

    Under what circumstance are personal calls, texts, or emails to skills trainers considered acceptable?

    <p>If clients have a serious interpersonal problem that cannot wait for session</p> Signup and view all the answers

    Which of the following is NOT a limitation of DBT skills training?

    <p>Clients cannot communicate with trainers about session absences</p> Signup and view all the answers

    What should be recommended if a client is in a skills-only program without an individual therapist?

    <p>To call the local crisis line for support</p> Signup and view all the answers

    What might cause a client to contact their skills trainer outside of scheduled sessions?

    <p>To discuss their feelings about a trainer</p> Signup and view all the answers

    What is one common misconception about the role of the skills trainers?

    <p>They can replace the role of individual therapists</p> Signup and view all the answers

    Which type of contact is likely to be problematic for skills trainers?

    <p>Personal questions about trainers' lives</p> Signup and view all the answers

    What is the best approach to explaining the limits of skills training to clients?

    <p>By discussing the role of individual psychotherapists in the program</p> Signup and view all the answers

    What is the primary focus of skills training sessions?

    <p>Increasing the skills of the individuals attending the sessions</p> Signup and view all the answers

    What should clients do if they find skills ineffective during training?

    <p>Talk with their individual therapists for support</p> Signup and view all the answers

    What is a critical limit for skills training leaders to observe?

    <p>Their own ability to manage interpersonal discussions with clients</p> Signup and view all the answers

    What was the main reason the rainmaker did not start his rainmaking after three days?

    <p>He was waiting for the tribe to bring themselves into order.</p> Signup and view all the answers

    How are skills training sessions different from psychotherapy process groups?

    <p>Skills training is more structured and focused on skills application</p> Signup and view all the answers

    How can a client deal with the feelings of rejection after being terminated by a therapist?

    <p>By finding a new therapist or job and understanding the reason for the termination.</p> Signup and view all the answers

    What tendency is observed more prominently in individually conducted skills training?

    <p>Favoring process discussions over skills training</p> Signup and view all the answers

    What transformation did the woman in the skills training class experience?

    <p>She learned DBT skills which transformed her relationship with her daughter.</p> Signup and view all the answers

    What should skills trainers avoid doing when handling client departures during a session?

    <p>Punishing a member for leaving the session</p> Signup and view all the answers

    What skills are highlighted for clients dealing with rejection and hurt?

    <p>Interpersonal effectiveness and emotional regulation skills.</p> Signup and view all the answers

    In the context of friends-and-family groups, what must the focus always be on?

    <p>Learning and using interpersonal effectiveness skills</p> Signup and view all the answers

    What is the perspective emphasized for skills trainers when helping clients with discontent?

    <p>Focusing on what works instead of revenge.</p> Signup and view all the answers

    What is the ultimate goal of interpersonal effectiveness skills in skills training?

    <p>To improve the clients' ability to use learned skills</p> Signup and view all the answers

    Which skill can clients be encouraged to practice when facing emotional distress?

    <p>Emotion regulation skills.</p> Signup and view all the answers

    What does the rainmaker's statement about order imply about the nature of problems?

    <p>Individual order is crucial for collective solutions.</p> Signup and view all the answers

    What should skills trainers avoid when analyzing interpersonal situations?

    <p>Focusing solely on outcomes without process consideration.</p> Signup and view all the answers

    What can create a conflict in a therapy setting according to the content?

    <p>When the same person coaches both parties in a conflict</p> Signup and view all the answers

    Which situations can be discussed in a skills training session?

    <p>Crises of the week, if related to skill application</p> Signup and view all the answers

    What is often the focus of skills training sessions?

    <p>Utilizing learned skills to cope with crises</p> Signup and view all the answers

    What analogy is mentioned to describe a relevant lesson in the skills training?

    <p>The story of a rainmaker called to end a drought</p> Signup and view all the answers

    What might clients mistakenly believe about skills training sessions?

    <p>They will automatically resolve all conflicts</p> Signup and view all the answers

    What is a potential barrier to discussing personal crises in a skills training session?

    <p>Ensuring the focus remains on skill application</p> Signup and view all the answers

    Which of the following situations can be reported in skills training sessions?

    <p>Rejections by therapists</p> Signup and view all the answers

    What does it indicate when crises are addressed in skills training?

    <p>Skills provided are contextualized for better understanding</p> Signup and view all the answers

    Study Notes

    DBT Skills Training Limits

    • Skills trainers are not individual therapists during training sessions, focusing on teaching skills and interpersonal dynamics
    • Clients can contact trainers only under specific conditions (e.g., missed session, serious interpersonal conflicts)
    • Three exceptions exist: (1) backup therapist for a client also receiving individual DBT, (2) multifamily skills training for adolescents also in individual DBT, (3) trainers on inpatient/residential units may provide ad hoc coaching

    Specific Phone Call Limits

    • Trainers should clarify the role of individual therapists in the overall DBT program, emphasizing that trainers do not duplicate this role.
    • Clients in skills-only programs without individual therapy should be advised to contact crisis lines.
    • Most phone-related interactions are focused on relationship issues and problems within the group
    • Skills trainers must be alert to clients who repeatedly request individual time, suggesting needing more intensive help than provided in skills training. Individual therapy may be recommended.

    Additional Training Limits

    • During the first year, personal crises are not typically discussed in skills training sessions. (Exceptions made for extreme crises)
    • The focus of sessions is on developing skills, rather than problem-solving crises personally involving other group members.
    • The way crises are handled is crucial with the focus being on using skills to cope, not necessarily solving the problem itself.
    • Skills training focuses on changing the individual, not other people in the client's life.
    • The focus is on helping clients develop skills to manage their own lives/relationships, not on changing others.
    • Process issues, individual crises, and general life discussions should not be the focus of skills training sessions
    • Observing one's limits in conducting training is crucial for skills training leaders, equivalent to other DBT components.

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    Related Documents

    DBT Skills Training Limits PDF

    Description

    This quiz covers the essential limitations and guidelines for skills trainers in Dialectical Behavior Therapy (DBT). Participants will learn about the roles of trainers, the specific conditions for client contact, and the nature of phone call limits during training sessions. Understanding these boundaries is crucial for effective DBT practice.

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