Demonstration of clinical competencies: DBT Behaviour Chain Analysis

1 Describe the specific Problem behaviour by
a)Be very specific and detailed(No vague terms) b) Identify specifically what was done, thought, or felt (If feelinga are the targeted problem behaviour. c) Describe the intencity of the behaviour and other charcteris of behaviour that are impotant. d)Describe problem behavior in enough detail that an actor in
a play or movie could recreate the behavior exactly.

2)Describe the specific PROMPTING EVENT that started the
whole chain of behavior. Start with the environmental
event that started the chain. A prompting event is an
event outside the person that triggers the chain of
events leading to the problem behavior. Always start with
some event in your environment, even if it doesn’t seem
to you that the environmental event “caused” the problem
behavior. Possible questions to get at this are:
a. What exact event precipitated the start of the chain
reaction?
B. When did the sequence of events that led to the problem
behavior begin? When did the problem start?
C. What was going on the moment the problem started?
D. What was she
doing, thinking, feeling, imagining at that
time?
E. Why did the problem behavior happened
3. Describe in general what things (both in herself and in
the environment) made
her VULNERABLE to the prompting
event. What factors or events made her more
vulnerable to a problematic chain? What gave the prompting event such
power? Areas to examine are:
A. Physical illness; unbalanced eating or sleeping; injury
B. Use of drugs or alcohol; misuse of prescription drugs
C. Stressful events in the environment (either positive or
negative)
D. Intense emotions, such as sadness, anger,
fear, loneliness
E. Previous behaviors of your own that you found stressful

4) What are the CONSEQUENCES of this behavior? Be specific.
Examine both the immediate (in just seconds) effects and
the delayed or longer term effects. Figure out the
reinforcers for the behavior.
A. How did other people react immediately and later?
B. How did she feel immediately following the behavior? Later?
C. What effect did the behavior have on her and her environment immediately and later?

5) Describe in detail different more skillful SOLUTIONS to
the problem.
A. Go back to the chain of your behaviors following the
prompting event. ? Waht cloud have beedone something
differently and how would she have avoided the problem behavior.
B. What could she have done differently at each link in the
chain of events to avoid the problem behavior? What coping
behaviors or skillful behaviors could you have used?

6) Describe in detail PREVENTION STRA TEGYfor how you could
have kept the chain from starting by reducing your
vulnerability to the chain.

7) Describe a plan for SOLVING the prompting event (if it
were to happen again) or keeping it from happening again.

8) Describe what you will do to CORRECT the harm that
resulted from her problem behavior. Describe how you
will make things just a little bit better than they were
before, that is, how you will OVERCORRECT the harm.

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