Distorted Thinking & Shame
Emotional Regulation & Defusing
Defense Mechanisms
100

: What is mind-reading?



“Everyone thinks I’m a failure.”

100

 What is mindfulness?

Observing emotions without judging them.

100

 What is minimization?

It wasn’t that bad.”

200

What is catastrophizing?

“I relapsed, so I’ll never recover.”

200

: What is affect labeling?

Naming a feeling reduces its intensity.

200

 What is projection?

Blaming others for relapse.

300

What is labeling or over-identification?

 “I’m an addict, so I’m broken forever.”

300

What is distress tolerance?

Riding out cravings without acting on them.

300

What is rationalization?

Justifying use with logic.

400

What is toxic shame?

Believing mistakes define identity.

400

Scenario:

A client feels overwhelming guilt after hurting family members.

Question: What is healthy guilt response?

 Processing guilt through repair instead of avoidance.

400

 What is emotional avoidance?

Avoiding painful feelings by staying busy.

500

Scenario:

A client says, “If people knew what I’ve done, they wouldn’t want me around.”

Question: What belief is driving this statement?

: This reflects core shame beliefs about worthiness.

500

What reduces shame most effectively?

The opposite of shame is connection.

500

Scenario:

A client laughs while talking about overdosing.

What is a defense mechanism protecting from shame?

Humor used as emotional deflection.

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