Relapse Prevention & Maintenance Strategies Flashcards

Mindfulness-Based Cognitive Therapy (MBCT) was specifically designed to prevent relapse of which condition?

Answer: Recurrent major depressive disorder

MBCT was developed by Segal, Williams, and Teasdale specifically to prevent relapse in patients with recurrent major depressive disorder, particularly those with three or more previous episodes.

The concept of 'seemingly irrelevant decisions' (SIDs) in relapse prevention refers to:

Answer: Small, apparently harmless choices that chain together and lead a client toward high-risk situations

Seemingly irrelevant decisions are small, apparently innocuous choices that progressively bring a client closer to high-risk situations without their full awareness.

Which of the following is a key component of a CBT maintenance plan?

Answer: Early warning signs, personalized coping strategies, and an action plan for setbacks

A comprehensive maintenance plan includes identifying personal early warning signs, coping strategies tailored to the individual, and a clear action plan to implement if setbacks occur.

When a client experiences a lapse after completing CBT treatment, the most therapeutically appropriate response is to:

Answer: Normalize the lapse, analyze what happened, and reinforce existing coping skills

Normalizing the lapse, conducting a functional analysis of contributing factors, and reinforcing coping strategies helps prevent the lapse from escalating into a full relapse.

What is the 'lifestyle imbalance' concept in Marlatt's relapse prevention model?

Answer: An excess of obligations over pleasurable activities that creates deprivation and craving

Lifestyle imbalance refers to a chronic excess of 'shoulds' (obligations) over 'wants' (pleasurable activities), creating deprivation that increases craving and relapse vulnerability.

In CBT for relapse prevention, 'coping imagery' is best described as:

Answer: Mentally rehearsing successful coping with anticipated high-risk situations before they occur

Coping imagery involves mentally rehearsing how to successfully handle anticipated high-risk situations, building confidence and preparedness before actual exposure to those situations.

Which of the following best describes the appropriate role of the therapeutic relationship during the maintenance phase of CBT?

Answer: It should be gradually tapered while fostering the client's self-efficacy and autonomous use of skills

During maintenance, the therapeutic relationship is gradually tapered in a planned way to promote the client's independent use of skills and build self-efficacy for managing future challenges.