Session by Session
The role of the therapist in an ICBT session
Act as an ally who appreciates the difficulty of making real change.
The following qualities are important: Non-judgemental; Focused on building Rapport and Collaboration; Acts as a Consultant, Teacher, and Coach
CBT
establishing rapport takes place when?
Technically - in the FIRST third (but really an on-going process)
Adults 18 and older, those navigating a substance use disorder and mild to moderate co-occuring anxiety, depression and/or traumatic stress.
The target population for the ICBT model
Emerging from the Life Movie exercise , this task/form/item allows the client to identify the changes they would like to make, why they are important, and the steps that they would like to take to get there
The Change Plan
Name one of the key strategies for coping with triggers/managing urges
Avoidance
Escape
Distraction
Embrace / Sit with it
this form lists key domains in a person's life and the days of the week
The Review of Progress & Between Session Challenge Form
The goal of the second third
provide rationale for the session topic and demonstrate via role-play with the client
6
The number of CORE ICBT sessions. Understanding that this is designed as a model for brief treatment
A skill that takes time to develop is an example of what kind of activity
A MASTERY activity
This exercise is designed to generate a more nuanced, three dimensional understanding of the clients life, values, beliefs, and priorities
The Life Movie
The ARS in OARS
A -Affirmations
R - Reflections
S- Summaries
Name one of the tasks of the first third
Strengthen Rapport
Review Progress
Review Between Session Challenge
"Marijuana has never affected me" is an example of...
Sustain Talk
Passive, Aggressive, Passive-Aggressive, and Assertive
The acronym for problem solving
I -SOLVE
I – Identify the problem; S – State the problem; O – Consider options; L – Look at the consequences of the choices; V – Vote on the most promising approach; E – Evaluate effectiveness.
readiness, motivation, and ambivalence
the 3 elements of change
Engage, Focus, Evoke, Plan
The 4 Steps of the MI Process
My Social Atom
This exercise allows clients to map social supports - where the client places themselves at the center and includes those around them by proximity in the other circles
List 4 of the 6 areas covered in the Life Movie Excercise
Family of Origin
Significant Relationships
Work/School
Passion activities
Health
Spirituality
When we are developing and sharing with the client a clear understanding of what is wrong and why, focusing on cognitive, emotional, and behavioral components of the problem - we are doing what?
Developing a good CBT conceptualization
The last 2 tasks of the final third
Elicit commitment from the client to try the skill
Summarize what we covered and conclude session
When we explore an activating event, the thoughts or beliefs acting as a bridge between the event and negative feelings/behaviors, and then the consequences of these thoughts, feelings, behaviors - we are doing what?
A Functional Analysis of an event in our client's life
The early focus of ICBT treatment can be described using these four words
Aware, Avoid, Cope, & Replace
- build awareness of stressors, triggers, cravings and behaviors
-teach avoidance strategies, coping skills, alternative means of stress management
- reinforce any changes in a health direction