Relapse Prevention & Maintenance Strategies Flashcards

Self-efficacy in relapse prevention, as described by Bandura, refers to:

Answer: The client's belief in their ability to cope successfully with specific high-risk situations

Self-efficacy refers to a person's belief in their capacity to successfully cope with specific high-risk situations, and higher self-efficacy is consistently associated with reduced relapse risk.

Which relapse prevention strategy maps out the chain of events, thoughts, and feelings leading to a problem behavior and identifies multiple intervention points?

Answer: Chain analysis (behavioral chain analysis)

Chain analysis traces the step-by-step sequence of events, thoughts, emotions, and behaviors leading to a problem, identifying specific points where intervention can interrupt the chain.

'Urge surfing' is a mindfulness-based relapse prevention technique that teaches clients to:

Answer: Observe cravings as temporary waves without acting on them until the urge subsides

Urge surfing teaches clients to observe cravings mindfully as temporary waves that rise and fall naturally, reducing the urge without the need to act on it.

What is the primary clinical purpose of scheduling 'graduated spacing' of sessions toward the end of CBT treatment?

Answer: To give clients progressively longer periods to practice managing independently before termination

Graduated spacing of sessions gives clients progressively longer intervals to practice managing independently, building confidence and reducing dependency on the therapist before termination.

In relapse prevention for depression, which cognitive-behavioral strategy best helps clients recognize the earliest warning signs of recurrence?

Answer: Regular mood monitoring and personalized early warning sign identification

Regular mood monitoring and identifying each client's unique early warning signs allows proactive intervention before a full depressive episode develops.

A client in the maintenance phase reports feeling overwhelmed and notices the same thoughts that preceded their last depressive episode. According to CBT relapse prevention, the FIRST recommended step is to:

Answer: Review the maintenance plan and activate pre-planned coping responses

The first step is to activate the maintenance plan by reviewing early warning signs and implementing pre-planned coping strategies to interrupt the relapse trajectory early.

Which of the following is NOT typically included in a CBT maintenance or relapse prevention plan?

Answer: Complete and permanent avoidance of all previously problematic situations

Complete avoidance of previously problematic situations is not recommended in CBT; instead, clients learn to face high-risk situations using acquired coping skills rather than avoiding them indefinitely.