2 2. You recognize that Skye is catastrophizing when recounting the physical abuse they experienced prior to their appointment with you. Which statement below is an example of catastrophic thinking? a. "This is the most awful thing that has ever happened to me." b. "No one ever listens to me." c. "I never get what I want." d. "If I had not made him mad, he wouldn''t have hit me 3. You might also recognize another thought process common to persons living with BPD during your interactions with Skye. When a person views things as absolute.with little to no possibility of integrating two emotions about one person, this is called: a. Non-abstract thinking. b. Dichotomous thinking. c. Monotonous thinking. d. Splitting. 4. When working with Skye, you attempt to set healthy, professional boundaries. What is important for you to do: a. Provide clear directions and minimal explanations. b. Share the plan generally but refrain from providing the diagnosis or treatments. c. Speak with the substitute decision maker because most patients living with BPD receive treatment involuntarily. d. Be consistent and avoid implicit assumptions.

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2 2. You recognize that Skye is catastrophizing when recounting the physical abuse they experienced prior to their appointment with you. Which statement below is an example of catastrophic thinking? a. "This is the most awful thing that has ever happened to me." b. "No one ever listens to me." c. "I never get what I want." d. "If I had not made him mad, he wouldn''t have hit me 3. You might also recognize another thought process common to persons living with BPD during your interactions with Skye. When a person views things as absolute.with little to no possibility of integrating two emotions about one person, this is called: a. Non-abstract thinking. b. Dichotomous thinking. c. Monotonous thinking. d. Splitting. 4. When working with Skye, you attempt to set healthy, professional boundaries. What is important for you to do: a. Provide clear directions and minimal explanations. b. Share the plan generally but refrain from providing the diagnosis or treatments. c. Speak with the substitute decision maker because most patients living with BPD receive treatment involuntarily. d. Be consistent and avoid implicit assumptions.

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2. **a. "This is the most awful thing that has ever happened to me."** Catastrophizing involves exaggerating the negative aspects of a situation and seeing it as the worst possible outcome. The other options reflect different cognitive distortions, but not catastrophizing specifically.3. **d. Splitting.** Splitting (also called black-and-white thinking) is a common defense mechanism in BPD where individuals see things as all good or all bad, with difficulty integrating both positive and negative aspects of a person or situation.4. **d. Be consistent and avoid implicit assumptions.** Consistency is key when working with someone with BPD. Clear communication and avoiding unspoken expectations helps build trust and a stable therapeutic relationship. The other options are not best practices: providing minimal explanations can hinder understanding and collaboration; withholding diagnosis or treatment information is generally unethical and can damage the therapeutic relationship; and while involving substitute decision-makers might be necessary in some cases, it's not the norm for individuals with BPD. Treatment is often voluntarily sought.

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