Both e-CBT modules and in-person CBT sessions are designed to instill constructive and balanced coping strategies in the participants. During the program, we focus on essential thinking and behavioral skills to help patients become more engaged in day-to-day activities. The sessions focus on the connection between thoughts, behaviors, emotions, physical reactions, and the environment. In addition, we will evaluate negative beliefs and thought processes and their relationships with depression. Our goal is to adjust negative thinking so that participants can think about and adapt to the things that are happening to them. This allows them to adjust the way they behave and think about their problems in a way that is not as negative and replaces those thoughts and behaviors with potentially more realistic and productive ones. The 12 e-CBT sessions will follow the themes listed below:

What is depression? Provides expectations for the course and introduces the concepts of CBT and depression.

5-part model: Introduces the 5-part model (how situations, thoughts, feelings, physical reactions, and behaviors are connected and how they interact with each other).

Situation, thoughts, feelings, physical reactions, and behaviors: Provides further detailed exploration of the 5-part model and how changes in an area affect the other parts.

Rating feelings and thought records: Highlights the first 3 columns of a thought record (a tool used to help understand the connection between feelings, behaviors, and thoughts), which are situation, feelings, and automatic thoughts associated with the situation.

Automatic thoughts: Explains the role of automatic thoughts and how they influence feelings. Provides ways to identify thoughts and specifically identify the most dominant thoughts in stressful situations.

Evidence: Focusing on columns 4 and 5 of the thought record, which are designed to help gather evidence that supports or does not support the identified automatic thought.

Alternative and balanced thinking: Focus on the final 2 columns of the thought record that reflect on the evidence columns to help find alternative and more balanced views of the situation. The final column has the patient rerate their feelings based on the completion of the thought record.

Experiments: Explains the importance of conducting experiments to believe the alternative and balanced thoughts from the thought record to initiate changes in negative thinking patterns.

Action plans: Centered around using the thought record to identify a problem that needs to be solved and providing a framework for creating a plan for solving the problem.

Strategies for stressful situations: Overview of helpful strategies that can be used in stressful situations, including distraction activities and helpful breathing techniques.

Activity scheduling: Explains activity records and how using one can inform the patient on their mood changes and help reinforce scheduling positive activities into their day.

Review: Summarizes the main concepts of CBT and the tools and skills that the patient should continue to practice beyond completion of the final session.

Note: The content above has been extracted from a research article, so it may not display correctly.



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