A Group Cognitive Behavioural Therapy Program For Depression
Prof. Dr. Tian Po Oei, B. A, M. Phsycology, Ph. D, FAPS (University of Queensland, Australia)
Penerbit: LPSP3 UI (2011)
lihat juga: A group CBT Program for Anxiety, Fear, & Phobias
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CONTENTS
PREFACE .................................................................................... vii
INTRODUCTION .......................................................................... 2
GROUP RULES ..................................................................... 4
The Program Components ................................................... 6
EXPECTED OUTCOMES ...........................................................7
SESSION ONE ............................................................................ 8
Introduction and Ground Rules ............................................ 10
Philosophy of the Programme ............................................. 11
Spring Cleaning ................................................................. 13
Depression: Types and Variations ........................................ 14
The 3 Ingredients of Emotion .............................................. 17
Evidence Based Treatment for Depression ............................ 20
Cognitive Behavioural Therapy (CBT) ................................... 21
Cognitions ........................................................................ 21
Behaviours ....................................................................... 23
Pharmacotherapy .............................................................. 23
Priority of Change ............................................................. 31
Session One Summary and Tips ......................................... 38
Homework Suggestions – Session One ................................ 39
SESSION TWO .......................................................................... 41
The Behavioural Component: Behavioural DO .......................43
Scheduling Activities ......................................................... 45
Pleasant Events Scheduling ............................................... 48
Daily Schedule of Activities................................................. 52
Graded Task Assignment ...................................................53
Exercise - Do It ............................................................... 54
Decision Making About Problems ....................................... 56
Problem Solving .............................................................. 57
Session Two Summary and Tips ........................................ 59
Homework Suggestions – Session Two ............................... 60
SESSION THREE ...................................................................... 63
Cognitions ...................................................................... 65
Automatic Thoughts (AT) .................................................. 68
EXERCISE - Identifying Your Automatic Thoughts ................. 69
Cognitive Distortions ......................................................... 70
Schemas ......................................................................... 74
Cognitive Triad and Schema .............................................. 76
Fighting Negative Automatic Thoughts ................................. 77
Past, Present and Future ................................................... 80
Cognitive Restructuring Record ........................................... 81
Session Three – Summary and Tips .................................... 84
Homework Suggestions – Session Three .............................. 85
Weekly Record of Thoughts ................................................ 86
SESSION FOUR ......................................................................... 89
Cognitive Restructuring ...................................................... 91
Counters .......................................................................... 92
Mantras ............................................................................ 96
Challenging Painful Thoughts ............................................. 98
Emotional Response Hierarchy .......................................... 98
Behavioural Experiments ................................................... 99
Session Four - Summary and Tips ...................................... 101
HOMEWORK SUGGESTIONS – Session Four .......................... 102
SESSION FIVE ........................................................................ 105
Changing the Way You Think ............................................ 107
Automatic Thoughts - Icebergs Analogy ............................. 109
Discovering Your Core Beliefs ........................................... 110
The Vertical Arrow Technique ............................................. 110
The Characteristics of the Vertical Arrow ............................. 111
Some Common, Unhelpful Core Beliefs ............................. 113
How Schemas Survive ...................................................... 114
Dealing with Uncontrollable Events .................................... 116
Acceptance and Mindfulness ............................................. 117
Session Five –Summary and Tips ..................................... 119
Homework Suggestions – Session Five .............................. 120
SESSION SIX ......................................................................... 123
Dangerous Mind Games that We Play: A Lose-Lose Game... 125
New Mind Games that We Need to Play: A Win-Win Game ... 126
Changing your Beliefs ..................................................... 127
Strategies for Change ..................................................... 128
Keeping a Schema Diary ................................................. 129
Logical Analysis ............................................................. 130
Session Six – Summary and Tips ..................................... 136
Homework Suggestions – Session Six .............................. 137
SESSION SEVEN .................................................................... 141
Balancing Your Life ........................................................ 143
A Process of Change: Yes I Can....................................... 144
Building a Support System .............................................. 145
Relationships: The Interaction of Cognitions ..................... 149
Exploring Difficult Emotions ............................................. 154
Guilt.............................................................................. 154
Managing Guilt............................................................... 155
Weighing Personal Responsibility ..................................... 156
Changing our Memory of Unpleasant Events ...................... 159
Memories and Mood ........................................................ 160
Session Seven – Summary and Tips .................................. 161
Homework Suggestions – Session Seven ............................ 162
SESSION EIGHT ....................................................................... 165
Maintenance .................................................................... 167
Goal Setting .................................................................... 169
Relapse Prevention .......................................................... 171
Lapse vs Re-Lapse............................................................ 171
Preventing a Lapse from turning into a Relapse ................... 172
Mental Health Maintainance ............................................... 173
A Smorgasbord of Strategies to Lift Depression..................... 174
Session Eight – Summary and Tips ..................................... 176
Homework Suggestions – Session Eight................................ 177
APPENDIX .............................................................................. 179
Early Maladaptive Schemas ................................................ 180
Anger .............................................................................. 181
READING LIST ......................................................................... 183
REFERENCES ........................................................................... 185
AUTHOR PUBLICATIONS ........................................................... 186
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