Clinician's Guide to Mind Over Mood (37 page)

Role playing, 24, 104, 153, 155, 249–250

Scale, use of, 136–137, 140–143, 144, 188, 207, 208;
see also
Continuum methods

Schemas, 5, 29, 35, 121–123, 128, 200, 204–220

alternative, 206, 208

and anxiety, 83

changing, 138–140, 143, 150, 208

and culture, 39, 40, 48, 52

and depression, 73

and eating disorders, 114

and gender, 52

historical information supporting, 149–150

identifying, 32, 33, 138–140, 205–206, 256, 258

lifelong dysfunctional, 120

maladaptive, 117, 123, 135, 144, 217

in narcissistic personality disorder, 133

negative vs. positive, 122–123, 138–140

and repetition, 135

survival, 92

testing, 207, 213

Schizophrenia, 70

Self-blame, 112

Self-criticism, 4, 61, 80, 173, 240–241

Self-help groups, 258, 260

Self-supervision, 262–263

Sexual orientation, 52–53

“Should” statement, 5, 40;
see also
Underlying assumptions

Skills development, 17, 23, 30–31, 70, 107–108, 156, 175

in brief therapy, 173

in communication, 117

in depression, 72

and repetition, 135

review of, 30–31

Sleep disturbances, 63

S.M.A.R.T. Recovery, 112, 178, 260

Socioeconomic status (SES), 48–50

and missed sessions, 49

Spiral staircase metaphor, 163

Steketee, Gail, 90

Substance abuse, 1, 70, 109–113

moods in, 111

Suicide risk,
11,
78, 184, 217–220

case examples, 218–234

Summaries, encapsulated, 182, 214

Survivor guilt, 92

Suspicion, 128–130, 156

TERRAP, 260

Therapeutic relationship, 29, 38, 120

collaboration in;
see
Collaborative therapy relationship

disruptions in, 7–9, 29, 128

and negative schemas, 122, 125–134

risks taken by client in, 127

structure in, 156–157, 158

trust in, 128–129

Therapist

cultural awareness in, 41–42

gender-based beliefs in, 52

geographically isolated, 262–263

negative response to style of, 156–157

and schema-focused supervision, 257–258

supervision of, 254–258, 260–263

training in cognitive therapy, 246–263

use of clinical treatment manual by, 251–252

Therapy

avoidance of, 97–99

dependence on, 1–2

diagnosis/conceptualization in, 27–28, 125

frequency of sessions in, 17, 19, 49, 72, 174–175, 176, 218

limitations on;
see
Brief therapy

and negative schemas, 122

objections to structure in, 156–159

order of topic presentation in, 135–137

pace of, 134–135, 157

recreational/occupational, 238, 240–243

supervision of, 254–258, 260–263

Thought Records, 5, 24, 29, 30, 45, 158

for anxiety, 82, 88, 91, 95, 97;

for borderline personality disorder, 154

for bulimia, 114

completed by therapists, 252, 257

vs. continuum, 136–137

for depression, 34, 72, 73, 135;

in group therapy, 182, 184, 189–202, 210, 213, 214

for inpatients, 222–223, 225–233, 238

introduction of, 189, 190, 191

review of, 124

samples of, 192, 198–199, 224, 229, 239, 242, 248

Thoughts, 4–6, 193;
see also
Automatic thoughts, Hot thoughts alternative vs. balanced, 200–202

ambivalent, 217

and anxiety, 14, 31, 94–95

catastrophic;
see
Panic disorder

changing vs. enduring, 47

vs. feelings, 18, 32, 47, 191

identifying, 93–94, 110, 154, 174

maintaining dysfunctional moods, 4

obsessive-compulsive, 91, 92

suicidal, 63, 217–218;
see also
Suicide risk

three levels of, 5, 39

Tranquilizers, 99, 238

Troubleshooting guides, 33–36, 53–56, 65–68, 74–80, 93–125, 153–164, 210–214, 243–245, 247, 260–263

Trust, 128–129, 175, 196–200, 208

Twelve-step programs, 112

Underlying assumptions, 5, 30, 39, 205

and culture, 40

and eating disorders, 114

Vietnamese culture, 43

Weekly Activity Schedule;
see also
Worksheets, 10.4, 10.5

for anxiety, 82, 90, 91, 103

for depression, 71, 72, 74, 75, 110, 169, 221, 243

for eating disorders, 116

for substance abuse, 113

Worksheets, 7, 12, 14, 21, 124, 129

for anxiety;
see
Anxiety Inventory;

for depression;
see
Depression Inventory

for eating disorders, 113–114, 116

review of by therapist, 18, 19, 72, 186, 188

for schema evaluation, 138, 144, 145, 147–148, 149, 200, 205–208;
see also
9.5, 9.6, 9.7, 9.8

for substance abuse, 113

1.1, 14, 71, 77
,
170, 173, 188, 220, 222, 224, 253

2.1. 188. 222. 224

3.1, 189, 190, 222, 224

3.2, 189, 190

5.1. 193. 194. 225

5.2, 194

5.3, 97, 194

6.1, 89, 194 196, 236

7.1, 200

7.2, 200, 238, 241

8.1, 152, 153, 202, 203, 213

8.2, 203, 204, 231

9.1, 138, 205

9.2, 138, 205

9.3, 138, 205

9.4, 138, 205

9.5, 205;
see also
Core Belief Record

9.6, 208;
see also
Core Belief Record

9.7. 144. 148. 200. 207

9.8. 144. 200. 207. 208

9.9, 200, 206;
see also
Historical Test of Core Beliefs

10.1,
see
Depression Inventory

10.2, 63, 71, 74, 185, 186, 201, 222, 230, 234

10.4, 83, 93, 105;
see also
Weeklyhanging Activity Schedule

10.5, 83, 93, 114;
see also
Weekly Activity Schedule

11.1, 83, 87, 90, 91, 93, 219;
see also
Anxiety Inventory

11.2, 63, 81, 82, 83, 87, 90, 91, 93, 185, 186, 201, 222, 230, 234

12.2;
see
Responsibility Pies

Workshop training, 247–250

participant practice in, 249–250