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Cognitive-behavioural therapy: An information guide - CAMH ...

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CBT in practice: Questions and answers<br />

35<br />

What happens in a CBT session?<br />

CBT sessions can be given to clients individually or in groups. Both<br />

formats follow the same predictable structure, as follows:<br />

• Mood check: The therapist asks about your mood since the<br />

previous session. This may include the use of scales to assess<br />

depression, anxiety or other emotional problems. The purpose<br />

of the mood check is to see if your mood improves from session<br />

to session.<br />

• Bridge: The focus of the previous session is reviewed to create a<br />

bridge to the current session.<br />

• Agenda: The therapist and client identify issues to address in the<br />

current session that will act as the agenda.<br />

• Homework review: Homework from the previous session is reviewed<br />

to note progress and troubleshoot any difficulties that may<br />

have emerged.<br />

• Agenda items: Agenda issues are addressed using cognitive and<br />

<strong>behavioural</strong> strategies.<br />

• New homework: Exercises and tasks for the upcoming week are<br />

assigned.<br />

• Summary and client feedback: Wrap up of the session.<br />

How can I get the most out of CBT<br />

between sessions?<br />

CBT is a treatment approach that teaches you skills to become your<br />

own therapist over time. You learn new skills in the <strong>therapy</strong> sessions,<br />

but ultimately much of the change occurs between <strong>therapy</strong><br />

sessions when practising the skills in your own environment as<br />

part of homework. Early in treatment, the cbt therapist will suggest

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