Advanced Treatment Methods Flashcards

In LEAP therapy, when a client insists their delusion is real, the therapist should:

Answer: Empathize with the emotional content without endorsing the belief

LEAP therapists empathize with the feelings behind a delusion without validating its factual content.

Which motivational interviewing technique is central to the 'Partner' step of LEAP?

Answer: Collaborative goal-setting around the client's own values

Partnering in LEAP means co-creating goals anchored in what the client already values, not imposing clinician-defined goals.

A client with anosognosia refuses medication. The most appropriate advanced LEAP response is to:

Answer: Use reflective listening to explore what the client does want help with

Reflective listening surfaces the client's own concerns, which can become leverage for partnership without triggering defensiveness.

In advanced LEAP practice, 'rolling with resistance' means:

Answer: Avoiding argument by reflecting the client's ambivalence back to them

Rolling with resistance reframes or reflects the client's own words rather than opposing them, preserving alliance.

Which stage of the Stages of Change model is most associated with a client who says, 'I might have a problem, but I'm not sure'?

Answer: Contemplation

Contemplation is marked by ambivalence — the client acknowledges possible problems but has not committed to change.

When using LEAP's 'Agree' step with a delusional client, the therapist should agree on:

Answer: The client's right to their own opinion and any genuinely shared concerns

Agreeing is limited to autonomous rights and genuinely overlapping concerns — never on delusional content.

Developing discrepancy in motivational interviewing involves:

Answer: Helping the client see the gap between current behavior and personal goals

Discrepancy highlights the mismatch between what the client wants for themselves and what their current behavior produces.