INTRODUCTION

What Is Cognitive Behavioral Therapy?

Organization of This Manual

PART I: COGNITIVE BEHAVIORAL MODEL

Underlying Theory of CBT

Cognitive Theory

Basic Cognitive Model

Characteristics of Automatic Thoughts

Expanded Cognitive Model

Behavioral Theory

Integration of Cognitive and Behavioral Theory

CBT Case Conceptualization

PART II: GENERAL SESSION STRUCTURE

Brief Mood Check

Bridge from Previous Session

Agenda Setting

Review of Previous Session Homework

Discussion of Agenda Items

Periodic Summaries

Homework Assignment

Final Summary and Feedback

Implementing the Session Structure

PART III: INITIAL PHASE OF TREATMENT

Initial Clinical Assessment

Motivational Enhancement

Short-Term Goals

Consequences of Psychological Symptoms

Benefits of Reducing Psychological Symptoms

Attitudes and Expectations Toward Treatment.

Obstacles to Participating in Treatment

Socialization into CBT

Setting Treatment Goals

Suicide Risk Assessment and Safety Planning

PART IV: MIDDLE PHASE OF TREATMENT

Behavioral Strategies

Activity Monitoring

Activity Scheduling

Pleasant Events Schedule

Alternative Activity Scheduling Strategies

Behavioral Activation

Graded Task Assignment

Relaxation Training and Controlled Breathing.

Cognitive Strategies

Working with Automatic Thoughts

Identifying Automatic Thoughts

Evaluating Automatic Thoughts

Coping Cards

The 3Cs Approach: Catch It, Check It, Change It

Working: with Core Beliefs

Core Belief Identification

Core Belief Modification

Problem-Solving Strategies

Evaluating Pros and Cons

PART V: LATER PHASE OF TREATMENT

Reviewing Progress Toward Treatment Goals

Review and Consolidation of Skills

Additional Treatment Planning

Continuation of Treatment

Tapering Treatment Sessions

Referring for Additional Treatment

Termination of Treatment