cognitive behavioural interpersonal skills manual - GPSC

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Cognition ModuleThe Cognition Module contains a handout that explainsthe basic cognitive-behavioural concepts and severalexercises that begin to shift negative cognitions.It also contains strategies to address worry thoughts,guilt, passivity and anger.This Module has been organized so that material can behanded out to patients sequentially or chosen to matchpatients’ specific needs.As mentioned previously, we recommend givingpatients small amounts rather than overwhelmingthem with too much information.CBIS Manual | JunE 2009cognition | 44
The Circle of DepressionCognitive-behavioural treatment strategies for depression are based on the interrelationshipbetween behaviours, thoughts, feelings and body. It is easiest to think of it interms of a circle where each is affected by and in turn affects another. This means thatbehaviours, thoughts, feelings and body all affect each other.How we behave affects what we think and feel. For example, if we make ourselves get up,shower, have breakfast and go for a walk, we’ll probably think we accomplished somethingand feel better physically and emotionally.What we think affects how we feel and behave. For example, if we think things are hopeless,we are likely to feel depressed, withdraw and have very little energy.Our feelings affect how we think and behave. If we feel depressed and have difficultyconcentrating, we may think people will findus boring and then we may avoidaccepting invitations.Our body responses affect howwe behave, think and feel.When we experience pain,we may stay in bed, thinkthat there is no futureand feel depressed andworthless.Changing feelingsdirectly is almostimpossible. The bestway to feel better is bychanging depressivebehaviours and thoughts.FEELINGSBODYThe Circleof DepressionBEHAVIOURSince behaviours are easyto identify it’s a good place tobegin when you want to makechanges to your thoughts andfeelings.THOUGHTSContinued on next pageCBIS Manual | JunE 2009cognition | 45
Page 1 and 2: CBISCognitive Behavioural Interpers
Page 4 and 5: Table of Contents. . . ConTInuEDCog
Page 6 and 7: Patient Empowermentin Depression•
Page 8 and 9: TIPS (conTInuED)SupportingValidate
Page 10 and 11: Action PlanPatient NeedsTryAssessme
Page 12 and 13: SymptomsDepressiveSymptomsTryVegeta
Page 14 and 15: ProfilesPatient ProfileTryPleaserPr
Page 16 and 17: Diagnostic Assessment InterviewS²I
Page 18 and 19: f. Looking at intent, how would you
Page 20 and 21: e. Looking at the opposite of depre
Page 22 and 23: Diagnostic Assessment Worksheet(SCA
Page 24 and 25: Problem ListPlease list below every
Page 26 and 27: Resource ListPlease list below all
Page 28 and 29: 11 . . . . . I would be very upset
Page 30 and 31: Self-Assessment ProfilePerfectionis
Page 32 and 33: Education ModuleThe Education Modul
Page 34 and 35: UnDERSTanDIng DEPRESSIon- FrEQUEntl
Page 36 and 37: Will Medication Help Me?For some pe
Page 38 and 39: Anti-Depression ActivitiesThe activ
Page 40 and 41: DEPRESSIon’s EnERGY BuDGET (conTI
Page 42 and 43: Small Goals (conTInuED)Small Goals
Page 44 and 45: Opposite Action StrategyHere is an
Page 46 and 47: Improve the MomentThis strategy pro
Page 50 and 51: THE CIRCle of DEPRESSIon (conTInuED
Page 52 and 53: Thought Change ProcessThoughts go u
Page 54 and 55: Self Talk (Mean Talk)Depression bri
Page 56 and 57: Worry TimeIf worries keep nagging a
Page 58 and 59: Assertiveness Skills- Speaking UpSa
Page 60 and 61: SETTIng lIMITS (conTInuED)EXAMPLE1
Page 62 and 63: Relaxation ModuleThe Relaxation Mod
Page 64 and 65: Abdominal BreathingPurpose• Your
Page 66 and 67: GroundingPurpose• Grounding is a
Page 68 and 69: PurposePassive Relaxation• Passiv
Page 70 and 71: One Minute Stress BreakBODY CHECKRE
Page 72 and 73: Mindfulness MeditationPurpose• Mi
Page 74 and 75: Lifestyle ModuleThis module contain
Page 76 and 77: DietIt’s True: You are What You E
Page 78 and 79: Physical ActivityExercise• Regula

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