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CBT Outline

Cognitive behavioral therapy (CBT) is proposed to help Maria, a 60-year-old airline pilot retiring due to diabetes, adjust to her medical condition and overcome depression. Over 8 sessions, CBT will target Maria's dysfunctional thoughts about being a "failure" by introducing behavioral activation to improve her mood, identifying and challenging maladaptive thoughts through thought records, and relapse prevention. The goal is for Maria to explore activities she finds meaningful to build a sense of achievement outside of work and improve her ability to self-manage her depression.

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Ross Laurenne Fortunado
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54 views2 pages

CBT Outline

Cognitive behavioral therapy (CBT) is proposed to help Maria, a 60-year-old airline pilot retiring due to diabetes, adjust to her medical condition and overcome depression. Over 8 sessions, CBT will target Maria's dysfunctional thoughts about being a "failure" by introducing behavioral activation to improve her mood, identifying and challenging maladaptive thoughts through thought records, and relapse prevention. The goal is for Maria to explore activities she finds meaningful to build a sense of achievement outside of work and improve her ability to self-manage her depression.

Uploaded by

Ross Laurenne Fortunado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cognitive-Behavioral Therapy for Depression

Childfam-Possibilites Psychosocial Services Co.

SAMPLE CBT OUTLINE


Client Description: Maria is a 60-year-old airline pilot who is about to retire from 15 years of flying. Maria
was diagnosed with Type II diabetes 5 years ago and has had difficulties maintaining her health since that
time. She has suffered bouts of severe fatigue and dizziness. Maria says that flying is her “first love,” but that
it has become increasingly dangerous for her to fly. She states that she “feels like a failure” because she
worked so hard to become a pilot and now “it is over.” Maria says that she is usually a very active person but
has lost interest in her hobbies and doesn’t have the energy to do them, anyway. She says that her
depression has been worsened by her deteriorating health.

Case Conceptualization: Maria is experiencing depression in response to a diagnosis of diabetes. She is


unsure how to change her thoughts and behaviors to adjust to her new medical condition. Therapy will aid
her adjustment by targeting dysfunctional thoughts about being a “failure” and exploring and increasing the
things that she enjoys and feels a sense of achievement from, both for work and recreation.

Goals:
Behavioral Activation
Identifying Maladaptive Thoughts/Beliefs
Challenging Maladaptive Thoughts/Beliefs

Session 1
Establish relationship.
Identify Maria’s presenting problem.
Introduce Cognitive Behavioral Therapy.
Introduce the Cognitive-Behavioral Model.
Describe Problem in Context of Model.
Set Goals.
Receive Feedback from Maria.

Session 2
Check Mood.
Introduce Behavioral Activation, and Explore Potential Activities to Improve Mood.
Set Homework: Mood and Activity Tracking.
Receive Feedback from Maria.

Session 3
Check Mood.
Review Mood and Activity Tracking.
Use Tracking Sheet to Plan Where and What Behavioral Activation Will Be Employed.
Troubleshoot Completing Activity.
Assign Homework: 1 Behavioral-Activation Exercise.
Receive Feedback from Maria.

Session 4
Check Mood.
Review Behavioral Activation, Introduce Three-Column Thought Record and Idea of “Hot Thought.”
Cognitive-Behavioral Therapy for Depression
Childfam-Possibilites Psychosocial Services Co.

Practice Three Column with Event from Past Week.


Homework: 1 behavioral activation
1 three-column thought record
Receive Feedback from Maria.

Session 5
Check Mood.
Discuss Progress of Therapy and Termination.
Review Homework.
Introduce Cognitive Distortions.
Complete Three-Column in Session, and Have Maria Identify Hot Thought.
Introduce Concept of Challenging Hot Thought.
Homework: 1 behavioral activation
1 three-column thought record
Receive Feedback from Maria.

Session 6
Check Mood.
Review Homework.
Introduce Challenging Thoughts and Seven-Column Thought Record.
Complete Seven-Column in Session.
Introduce Concept of Challenging Hot Thought.
Homework: 1 behavioral activation
1 three-column thought record
Receive Feedback from Maria.

Session 7
Check Mood.
Review Homework.
Complete Seven-Column in Session (With Maria Writing and Talking Through as she Completes It)
Homework: 1 behavioral activation
1 seven-column thought record
Receive Feedback from Maria.

Session 8
Check Mood.
Review Homework.
Review Progress of Treatment.
Complete Relapse Prevention.
Introduce and Schedule Self-Management Sessions.
Homework: Self-Management Session

Source:
Cully, J.A., & Teten, A.L. 2008. A Therapist’s Guide to Brief Cognitive Behavioral Therapy. Department of
Veterans Affairs South Central MIRECC, Houston.

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