Podcast
Questions and Answers
What is generally preferable to treat before asking a client to join a skills training group?
What is generally preferable to treat before asking a client to join a skills training group?
- Bipolar disorder
- General anxiety disorder
- Social anxiety disorder (correct)
- Obsessive-compulsive disorder
What challenge may arise when providing skills training integrated into individual therapy?
What challenge may arise when providing skills training integrated into individual therapy?
- Too much focus on crises
- Clients may prefer group settings
- Skills may be difficult to teach
- Unclear rules for the session (correct)
What is one effective way to conduct skills sessions in conjunction with individual therapy?
What is one effective way to conduct skills sessions in conjunction with individual therapy?
- Alternating weeks between skills training and individual therapy (correct)
- Limiting skills training to group settings
- Using the same room for both therapies
- Offering skills training only online
What can help individual practitioners incorporate skills training into ongoing therapy?
What can help individual practitioners incorporate skills training into ongoing therapy?
What is a potential problem with integrating skills training into individual therapy sessions?
What is a potential problem with integrating skills training into individual therapy sessions?
What is suggested for therapists who cannot refer clients to skills training groups?
What is suggested for therapists who cannot refer clients to skills training groups?
Which of the following is NOT mentioned as a way to provide clarity regarding skills training during individual therapy?
Which of the following is NOT mentioned as a way to provide clarity regarding skills training during individual therapy?
What is a similarity between referring clients for skills training and sending them to a specialist?
What is a similarity between referring clients for skills training and sending them to a specialist?
What is a key challenge for therapists when focusing on immediate solutions for clients in crisis?
What is a key challenge for therapists when focusing on immediate solutions for clients in crisis?
What is one method suggested for therapists dealing with difficult clients?
What is one method suggested for therapists dealing with difficult clients?
How should therapists approach teaching skills to clients in DBT?
How should therapists approach teaching skills to clients in DBT?
What is a significant advantage of group skills training in therapy?
What is a significant advantage of group skills training in therapy?
What is an appropriate group size for skills training, according to the content?
What is an appropriate group size for skills training, according to the content?
In which situation does the document suggest that a second therapist might be beneficial?
In which situation does the document suggest that a second therapist might be beneficial?
What type of assignments do many therapists give clients in regards to DBT?
What type of assignments do many therapists give clients in regards to DBT?
What differentiates group treatment from individual therapy, as mentioned in the content?
What differentiates group treatment from individual therapy, as mentioned in the content?
What characterizes an open group in therapeutic settings?
What characterizes an open group in therapeutic settings?
What is emphasized regarding the inclusion of sexual partners in skills training groups?
What is emphasized regarding the inclusion of sexual partners in skills training groups?
Which client characteristics are mentioned for groups specifically designed for adolescents?
Which client characteristics are mentioned for groups specifically designed for adolescents?
Which of the following group members is typically excluded from skills training groups?
Which of the following group members is typically excluded from skills training groups?
In clinical settings, which factors often influence whether a group is open or closed?
In clinical settings, which factors often influence whether a group is open or closed?
What is a common emotional response among clients in groups designed for families and friends?
What is a common emotional response among clients in groups designed for families and friends?
Which characteristic is associated with maladaptive responses in group participants?
Which characteristic is associated with maladaptive responses in group participants?
What age range is noted for adolescent groups in clinical settings?
What age range is noted for adolescent groups in clinical settings?
What is a major challenge that therapists face in group therapy compared to individual therapy?
What is a major challenge that therapists face in group therapy compared to individual therapy?
Why is emotional contagion a concern in group therapy?
Why is emotional contagion a concern in group therapy?
What impact can insensitive comments from the therapist have?
What impact can insensitive comments from the therapist have?
What is one of the reasons for having two leaders in therapy groups?
What is one of the reasons for having two leaders in therapy groups?
Which of the following is true about clients with high emotion regulation problems in groups?
Which of the following is true about clients with high emotion regulation problems in groups?
What is a potential outcome of clients leaving therapy sessions in turmoil?
What is a potential outcome of clients leaving therapy sessions in turmoil?
How can group therapy negatively impact individuals with BPD or major depression?
How can group therapy negatively impact individuals with BPD or major depression?
Which of the following statements about therapist communication is correct?
Which of the following statements about therapist communication is correct?
What is one main argument in favor of homogeneous groups?
What is one main argument in favor of homogeneous groups?
Why might clients in therapy struggle with their self-image?
Why might clients in therapy struggle with their self-image?
What is a challenge presented by heterogeneous groups?
What is a challenge presented by heterogeneous groups?
What is a validating experience for clients in homogeneous groups?
What is a validating experience for clients in homogeneous groups?
In a typical session of a skills group with a primary leader and co-leader, what is the primary leader responsible for?
In a typical session of a skills group with a primary leader and co-leader, what is the primary leader responsible for?
What primary issue must be addressed in a heterogeneous group for it to be effective?
What primary issue must be addressed in a heterogeneous group for it to be effective?
What effect do dysfunctional behavior patterns have on therapy clients?
What effect do dysfunctional behavior patterns have on therapy clients?
What is an anticipated outcome for clients who progress in therapy?
What is an anticipated outcome for clients who progress in therapy?
What is the primary responsibility of the primary group leader during sessions?
What is the primary responsibility of the primary group leader during sessions?
Which statement best describes the role of the co-leader in group settings?
Which statement best describes the role of the co-leader in group settings?
What challenge might arise from having an entire group of individuals with the same disorder?
What challenge might arise from having an entire group of individuals with the same disorder?
How does the co-leader contribute to the learning experience in group therapy?
How does the co-leader contribute to the learning experience in group therapy?
How might the co-leader assist participants during a session?
How might the co-leader assist participants during a session?
What is a common emotional challenge faced by clients in group therapy settings?
What is a common emotional challenge faced by clients in group therapy settings?
In family and friends group sessions, what shared experience do clients typically focus on?
In family and friends group sessions, what shared experience do clients typically focus on?
What might motivate adolescents to seek group therapy?
What might motivate adolescents to seek group therapy?
Flashcards
Separate DBT skills training from individual therapy
Separate DBT skills training from individual therapy
When DBT skills training is incorporated into individual therapy sessions, it's essential to separate it from the traditional therapy setting.
Address underlying issues before DBT
Address underlying issues before DBT
To enhance the effectiveness of DBT skills training, ensure patients are adequately prepared by addressing any underlying issues that might interfere with their participation.
Clear boundaries in integrated DBT
Clear boundaries in integrated DBT
When integrating DBT skills training into individual therapy, make sure the client understands the clear distinction between therapy and skills training sessions.
Understanding contingencies in integrated DBT
Understanding contingencies in integrated DBT
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Dedicated DBT skills training sessions
Dedicated DBT skills training sessions
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Continuously integrate DBT skills
Continuously integrate DBT skills
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Addressing social anxiety before DBT
Addressing social anxiety before DBT
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Focus on specific skills in DBT
Focus on specific skills in DBT
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Crisis-Focused Clients
Crisis-Focused Clients
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Challenge for Therapists
Challenge for Therapists
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DBT's Origin
DBT's Origin
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Two-Therapist Approach
Two-Therapist Approach
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Two-Therapist Roles
Two-Therapist Roles
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Group Therapy Benefits
Group Therapy Benefits
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Group Learning
Group Learning
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Skills Reinforcement and Prevention
Skills Reinforcement and Prevention
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Open Therapy Group
Open Therapy Group
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Closed Therapy Group
Closed Therapy Group
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Keeping Partners Separate
Keeping Partners Separate
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Rules for In-Group Relationships
Rules for In-Group Relationships
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DBT Skills Training
DBT Skills Training
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Friends & Family Groups
Friends & Family Groups
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Adolescent & Family Groups
Adolescent & Family Groups
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Emotional Contagion
Emotional Contagion
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Challenges in group therapy
Challenges in group therapy
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Mood contagion in group therapy
Mood contagion in group therapy
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Vulnerability in group therapy
Vulnerability in group therapy
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Attention-Seeking in group therapy
Attention-Seeking in group therapy
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Misinterpretations in group therapy
Misinterpretations in group therapy
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Insensitive comments in group therapy
Insensitive comments in group therapy
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Expression in group therapy
Expression in group therapy
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Leaving group therapy in turmoil
Leaving group therapy in turmoil
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Primary Group Leader Responsibilities in DBT
Primary Group Leader Responsibilities in DBT
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The Co-Leader's Role in DBT
The Co-Leader's Role in DBT
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Primary Group Leader's Focus
Primary Group Leader's Focus
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Co-Leader's Individual Focus
Co-Leader's Individual Focus
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Timing in DBT Groups
Timing in DBT Groups
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Co-Leader as a Tutor in DBT
Co-Leader as a Tutor in DBT
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Movement of Leaders in DBT
Movement of Leaders in DBT
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Managing Homework Assignments
Managing Homework Assignments
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Homogeneous group advantages
Homogeneous group advantages
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Validation in homogeneous groups
Validation in homogeneous groups
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Challenges in homogeneous groups
Challenges in homogeneous groups
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Primary leader role in DBT
Primary leader role in DBT
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Co-leader role in DBT
Co-leader role in DBT
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Behavioral change in DBT
Behavioral change in DBT
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Skill application in DBT
Skill application in DBT
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Continuous skill practice in DBT
Continuous skill practice in DBT
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Study Notes
DBT Skills Training
- Social anxiety disorder treatment is often preferred before skills training groups
- Clients may have participated in skills training for a year but need focused attention on specific skills
- Skills training can be integrated into individual therapy, with ready handouts for ease of implementation
- Rules aren't always clear about when crisis-focused attention is appropriate
- A second therapist can conduct individual skills training, focusing on crisis management and problem-solving
Planning DBT Skills Training
- A therapist's role is similar to a general practitioner referring a client to a specialist
- Skills training sessions can be separate from individual therapy, either weekly or alternating
- Location, time, and style of the sessions can be altered to optimize focus on skills
- Supervision/consultation groups can help therapists with challenging clients
- Skills homework involving worksheets can reinforce learning
Group Skills Training
- Group skills training is efficient, with 2-8 participants ideal
- Clients learn and improve interpersonal interactions within the group context
- Group interaction validation and support are beneficial
- Outside-of-session client relationships are encouraged
Open versus Closed Groups
- Open groups, allowing new members, are sometimes preferred for skills training
- Open groups help maintain focus on skills through continued input
- Closed groups can drift from skills focus as members become more familiar with each other for skills
- Open groups allow clients to adjust better with changes and cope with change more easily
Heterogeneous versus Homogeneous Groups
- DBT skills training groups are often homogeneous, featuring similar diagnoses
- Criteria can include BPD, suicidal tendencies, anger issues, and substance use
- This approach is designed for focused, specialized learning
- Homogenous groups can enhance shared understanding of similar experiences
Arguments Against Homogeneous Groups
- Risky in suicidal/high impulse groups
- Extreme emotional reactivity requiring management and potentially misinterpreted therapeutic comments
- Difficult for therapists to track individual responses in a fast-paced group setting
- Potential for contagion, especially in suicidal behavior groups
- Clients may become less engaged in their self-improvement in homogeneous groups
Arguments for Homogeneous Groups
- Easier for leaders to tailor the training to specific problems
- Clients can relate to others who share similar difficulties
- Validation and understanding from peers in a homogeneous setting are beneficial
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