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An OTR® and COTA® who work together in a mental health facility are collaborating to formulate a treatment plan for a group of young adults who have a history of having difficulty forming interpersonal relationships. The OTR® decides to use a Dialectical Behavioral Therapy (DBT) approach in a group setting as part of the OT intervention plan and asks the COTA® to document the patients’ behavior during the group. What behaviors would the COTA® MOST LIKELY observe from the group members which would validate that they would benefit from this type of approach

A. A group member displays anger towards another member stating, “You’re not being fair!”
B. A group member is clasping his hands and appears withdrawn when the leader requests a consensus of vote
C. A group member is demonstrating advancement into another group member’s space while taking over most of the discussion
D. A group member is perseverating over the arrangement of chairs before sitting down

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Posted by (Questions: 13, Answers: 13)
Asked on November 20, 2019 12:15 pm
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A. A group member displays anger towards another member stating, “You’re not being fair!”. DBT is a type of cognitive-behavioral treatment developed by Marsha Linehan, Ph.D., in the 1980s to treat people with borderline personality disorder. Those diagnosed with BPD often experience extremely intense negative emotions that are difficult to manage. These intense and seemingly uncontrollable negative emotions are often experienced when the individual is interacting with others—friends, romantic partners, family members. People with borderline often experience a great deal of conflict in their relationships. As its name suggests, DBT is influenced by the philosophical perspective of dialectics: balancing opposites. Focusing on the emotion is essential for an effective intervention. Members identify events that bring on the emotion, and then list behaviors they use to respond to that emotion (Early, p 37). The group members help one another to create constructive or neutral ways of behaving. B and C. These behaviors are typically associated with patients who have mood disorders such as Major Depression and Bipolar Disorder. D. Obsessive compulsive disorders/anxiety disorders would benefit from group discussions on mindfulness training or relaxation. Early, Mary Beth. (2009) Mental Health Concepts & Techniques for the Occupational Therapy Assistant (4th Edition). Baltimore, MD.: Walters Kluwer, p 37. https://www.psychologytoday.com/us/blog/in-flux/201608/8-things-the-most-toxic-people-in-your-life-have-in-common https://www.ot-innovations.com/psychosocial/dialectical-behavior-therapy/ https://www.psychologytoday.com/za/therapy-types/dialectical-behavior-therapy

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Posted by (Questions: 13, Answers: 13)
Answered on November 20, 2019 12:16 pm
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