tailieunhanh - Ebook CBT for depression in children and adolescents: Part 2

Part 2 book “CBT for depression in children and adolescents” has contents: Cognitive restructuring and identifying unhelpful thoughts, problem solving, identifying skills for maintaining wellness and building the wellness plan, practice and application of core skills, relapse prevention plan and wellness plan, and other contents. | Ch a p t e r 7 Session 3 Cognitive Restructuring and Identifying Unhelpful Thoughts Use This Core Skill for . . . • All youth to teach the core skill of cognitive restructuring and identifying unhelpful thoughts. Session Objectives • Introduce unhelpful thoughts and tie them to self-­beliefs. • Help the youth to identify his or her own unhelpful thoughts and to come up with helpful thoughts. • Introduce the idea of self-­beliefs (., core beliefs) to the youth. Begin to conceptualize the youth’s core belief. • Describe the youth’s attributional style for positive and negative events. • Continue to identify unhelpful self-­statements to target. Session Checklist 1. Provide the parents with a handout on today’s topic while they wait. 2. Set the agenda; elicit the youth’s agenda; evidence check (for or against self-­belief). 3. Review self-­reports (looking for possible residual symptoms). 4. Review the previous session (Did It Stick?, elicit feedback and summary, discuss results of homework/practice, discuss any adherence obstacles). 5. Teach cognitive restructuring and unhelpful thoughts and self-­beliefs. 82 Session 3 83 6. Perform homework/adherence check. 7. Elicit feedback and Make It Stick. In this session, the first 45 minutes of treatment will be spent with the youth in an individual session, followed by a 45-minute conjoint session with the youth and parents. Introduction After going through items 1–4 of the Session Checklist, begin this part of the session: “It is easy to notice your feelings because that is probably what you are most aware of. It is key to recognize that there is a thought behind this feeling. For example, if you get a lower-than-­normal grade back on a test, you may think, ‘I am stupid. I will never pass.’ Then this makes you feel bad about yourself, and this could make you feel like it is not worth trying anymore. The thought affects the feeling. Or, if you are at school and someone walks by and doesn’t say ‘hi’ to you,