CBT Triangle & Behavioral Activation
Name each point of the CBT triangle and their percentages of how much you can control
Emotions 0%, thoughts 15%, behaviors 85%
According to the Diagnostic and Statistical Manual of Mental Disorders (5th Edition)- how many symptoms are needed to be diagnosed with Major Depressive Disorder?
Hint: it is a specific number
A total of 5 (or more) symptoms must be present to be diagnosed with Major Depressive Disorder
True or False:
According to most research, biological males report the most mental health problems after the age of 10
FALSE
According to most research, females report more unhealthy or negative symptoms of mental health experiences
Some research say depression is twice as common in females
What is it called when a person spends a lot of time thinking about their symptoms, causes of their symptoms, and consequences of their symptoms?
Rumination
“Passively and repetitively focusing on one’s symptoms of distress and the circumstances surrounding these symptoms”
Name the new emotions introduced in the new Inside out 2
Anxiety, Envy, Ennui, and Embarrassment
The hardest part of the CBT triangle to changes
Emotions or Feelings
What are 4 symptoms of Major Depressive Disorder needed to have a diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders (5th Edition)?
Symptoms:
Depressed mood or irritability
Loss of interest in most activities
Changes in appetite or weight
Changes in sleep
Observable changes in movement (moving slower or faster than usual)
Decrease energy or feeling fatigue (feeling tired)
Feelings of guilt or worthlessness
Difficulties with concentrating or making decisions
Recurrent thoughts of death or suicide
What teen/adolescent age group typically reports the highest experiences of having a Major Depressive Episode in the USA?
*Hint: give an age range such as 10-11 year olds
Age group of 16-17 year olds
Typically, the 16-17 year old range is the highest among adolescents
What are two factors that cause the beginning of (or cause the repeating experiences of) a depressive episode and intense feelings of depression?
Causes of depressive episodes or intense feelings of depression:
Genetics
Environmental factors (living situation)
Negative or problem behaviors that happen often
Stressors (losses, abuse, conflicts, bullying, etc.)
Interpretations or views of stressors
Ability to cope with stressors
Another mental health disorder
Medical illness
Medications or other mood alternating substances
I’m light as a feather, yet the strongest person can’t hold me for five minutes. What am I?
Your breath
The goal of Cognitive Behavorial Therapy (CBT)
*hint: TRAP/TRAC(K)
To changes our behaviors and thoughts which can impact our emotions
For a child or adolescent to be diagnosed with Persistent Depressive Disorder (similar to major depressive disorder- MDD), how long would they need to have symptoms of MDD?
At least 1 year
They also can experience depressed mood (or irritability) most of the day for more days than not for at least one year with two or more additional symptoms of MDD present while they are feeling depressed or irritable
What race/ethnicity typically reported the highest experiences of having a Major Depressive Episode in the USA according to SAMHSA?
*Hint: may be a trick question
Highest among adolescents reporting 2 or more races
Depression can happen with other conditions.
List 2 names of mental health disorders that a person can have at the same time with a Major Depressive Disorder/Episode
Some co-occurring disorders:
Anxiety Disorders (Generalized anxiety disorder, panic disorder, and social anxiety disorder)
Obsessive Compulsive Disorder (OCD)
Posttraumatic Stress Disorder (PTSD)
Personality Disorders
Substance Use Disorders
Other Medical Illnesses related to
mental health such as thyroid issues, sleep,
headaches, tumors, and so on
What kind of lion never roars
A dandelion
What is the primary goal of Behavorial Activation or TRAP/TRAC(K).
to pay attention to our behaviors so that these can be changed over time to help decrease the negative or unhealthy thoughts and emotions
What are the two core symptoms of Major Depressive Disorder? Meaning that a person must have one or the other to be diagnosed with MDD
*Hint: they are symptoms of MDD
Depressed mood or irritability
Loss of interest in most activities
In 2021 (some data collection happened during COVID-19 precautions), what is the estimated amount of adolescents (12-17 year olds) who reported having at least one Major Depressive Episode in the past year?
Estimated 5.0 million
In 2021, an estimated 5.0 million adolescents aged 12 to 17 in the United States had at least one major depressive episode
This number represented 20.1% of the U.S. population aged 12 to 17
What are 3 symptoms* of Generalized Anxiety Disorder that can also be in Major Depressive Disorder/Episode?
*Per the DSM 5
Symptoms found in Generalized Anxiety Disorder and Major Depressive Disorder per the DSM 5:
Fatigue (feeling tired or getting tired easily)
Restlessness observed by self and others
Difficulty concentrating
Irritability
Sleep disturbance
What do you call a bear with no teeth?
a gummy bear
List 5 healthy behaviors that a person can change or increase to decrease their unhealthy or negative symptoms of depression
Increase skill use and practice: 54321, TIPP, meditation, thought challenging, etc.
Behavioral Activation: engaging in distractions or enjoyable activities, cleaning room, organizing clothes, going to work, valuable activities, etc.
Physical Health: eating regularly, exercising, brushing teeth, sleeping 8-10 hours, brushing hair, etc.
For children or adolescents Depression can have many other “signs” that are related to symptoms. List 5 examples of how depression changes a young person’s emotions, thinking, behaviors, and physical body
*1 example must be from each of these categories: emotions, thoughts, behaviors, and physical body*
Answer varies....
In 2021, according to the data collected, what percentage of American adolescents (12-17 year olds) received treatment in the past year for a major depressive episode?
(Give a range of 10%, such as 20-30% or 85-95%)
About 41.6 % received treatment
In 2021, an estimated 40.6% of U.S. adolescents with major depressive episode received treatment in the past year.
Among adolescents with major depressive episode with severe impairment, an estimated 44.2% received treatment in the past year.
Name 4 parts of the ADDRESSING model
Age and generation: Gen Z, Gen Alpha, or birth year
Disability status: presence of or absence of mental health
Disability and physical health status: medical health
Religion and spirituality: any religion, spiritual beliefs, or none
Ethnicity and race: White, Black/African American, Hispanic, Asian, etc.
Sexual orientation: heterosexual, homosexual, bisexual, pansexual, etc.
Socioeconomic status: education, money, job, college, etc.
Indigenous heritage: originating from or having characteristics of a particular region, country, or location
National origin: country/location of birth, citizenship, or immigrant status
Gender identity: female, male, transgender, nonbinary, etc.
I go all around the world, but never leave the corner. What am I?
A stamp