Assessment / Evaluation
Case Conceptualization / Case Formulation
- NICE guidelines for depression (October 2009) nice.org.uk
Exercises, Worksheets & Workbooks
Behavioural activation (BA & BATD)
- Behavioural activation treatment for depression - revised (BATD-R) manual (Lejuez, Hopko, Acierno, Daughters, Pagoto, 2011) utk.eduarchive.org
- Behavioural activation treatment for depression (BATD) manual (Lejuez, Hopko & Hopko, 2001) utk.eduarchive.org
- Behavioural activation treatment for depression: returning to contextual roots (Jacobson, Martell, Dimidjian, 2001) psyc.cusustan.eduarchive.org
- Valued Living Questionnaire (Version 2) newharbingeronline.comarchive.org
The Centre for Clinical Interventions (CCI) is an Australian mental health organisation that conducts research, provides training and supervision, and offers a clinical service. They have made some really useful resources for treating depression.
The South London and Maudsley (SLAM) IAPT service have also developed a useful series of booklets detailing their behavioural activation for depression programme.
What is CBT?
Put simply, CBT begins with a simplifies way of making sense of challenging situations and problematic reactions to them. Cognitive behavioral therapy emphasizes three main components in conceptualizing problems: thoughts, emotions, and behaviors. By breaking down difficult feelings into these main component parts, it becomes very clear where and how to intervene. If a particular negative thought seems to be causing a chain reaction of negative emotion and behavior, the best solution may be to reexamine that thought. If a behavioral pattern seems responsible, it may be wise to learn a new behavioral response to the situation.
More often than not, all three components are implicated in difficult problems and feelings. Cognitive behavioral therapy exercises are designed to intervene with all three components simultaneously. For instance, when uncontrollable worry is the problem, CBT exercises can help people to identify more effective and grounded thoughts, which in turn reduce the emotion of anxiety, and ultimately make it easier to engage in skillful behavior to actively address the problematic situation beginning the chain-reaction.
Below is a list of cognitive behavioral therapy exercises common to a number of different CBT treatments:
Cognitive Restructuring:Cognitive restructuring is a cognitive behavioral therapy exercise designed to help people examine unhelpful thinking patterns, and devise new ways of reacting to problematic situations. Cognitive restructuring often involves keeping a thought record, which is a way of tracking dysfunctional automatic thoughts, and devising adaptive alternative responses.
Cognitive Behavioral Therapy Exercises: Cognitive Techniques
Activity Scheduling: Activity scheduling is a cognitive behavioral therapy exercise that helps people engage in behaviors they ordinarily would not engage in. The intervention involves identifying a low frequency behavior, and finding time throughout the week to schedule the behavior to increase its frequency. It is often employed in treatment for depression, as a way of re-introducing rewarding behaviors into people’s routines.
Cognitive Behavioral Therapy Exercises: Activity Scheduling
Graded Exposure: Exposure is a cognitive behavioral therapy exercise designed to reduce anxiety and fear through repeated contact with what is feared. This has been to shown to be among the most effective treatments for any psychological problem. The underlying theory has to do with avoidance of things that we fear resulting in increased fear and anxiety. By systematically approaching what you might normally avoid, a significant and lasting reduction in anxiety takes place.
Successive Approximation: Successive approximation is a cognitive behavioral therapy exercise that helps people tackle difficult or overwhelming goals. By systematically breaking large tasks into smaller steps, or by performing a task similar to the goal, but less difficult, people are able to gain mastery over the skills needed to achieve the larger goal.