1. Review Practice Exercises Briefly review Practice Exercise adherence, relaxation, calming statements and any previously learned coping tools/skills - practice again if necessary. Provide any necessary feedback and additional instruction. If patient did not complete practice exercises: Use motivational interviewing skills (Manual pages 9-10) and/or problem solve to determine the best way to accomplish practice exercises. Ask if they feel the practice exercises are worth the time it takes to complete them. Suicide Assessment. If pretreatment assessment indicated the presence of significant depression or suicidal ideation query the patient with regard to these symptoms. Follow the Suicidal Ideation Form (Appendix G). 2. Explain the purpose of Thought Stopping. Changing your Thoughts to Manage Anxiety II part 1 (thought stopping) and part 2 (cognitive restructuring) can be covered in different ways using your clinical judgment. The two parts of this module can be covered as follows: 1) Using part 1 (thought stopping) OR using part 2 (cognitive restructuring). 2) Using both part 1 (thought stopping) covered in a session and then using part 2 (cognitive restructuring) covered in the following 2 sessions. of the skill we are learning today is to stop dwelling on anxiety-related “The goal thoughts and images. Although everyone experiences some amount of worry at some points in their life, spending hours worrying can get in the way of you using calming skills or even completing fun activities. Do you find that worry ever interferes with your life?” strategy to reduce feelings of anxiety is to STOP the thoughts when “One they’re The basic idea is to stop dwelling on anxiety-provoking thoughts interfering in our life. and images through self-control.” stopping consists of two important parts: “Thought The first is to use anxiety-provoking thoughts and images as cues to stop ruminating. The second part is to redirect your attention to relevant immediately ongoing activities and your surroundings. For example, you can use an image such as a "big red stop sign" or a big pink eraser to stop dwelling on the thoughts and images, then quickly focus on around you (such as happening what’s what’s outside or the details your surroundings).
1. Review Practice Exercises Briefly review Practice Exercise adherence, relaxation, calming statements and any previously learned coping tools/skills - practice again if necessary. Provide any necessary feedback and additional instruction. If patient did not complete practice exercises: Use motivational interviewing skills (Manual pages 9-10) and/or problem solve to determine the best way to accomplish practice exercises. Ask if they feel the practice exercises are worth the time it takes to complete them. Suicide Assessment. If pretreatment assessment indicated the presence of significant depression or suicidal ideation query the patient with regard to these symptoms. Follow the Suicidal Ideation Form (Appendix G). 2. Explain the purpose of Thought Stopping. Changing your Thoughts to Manage Anxiety II part 1 (thought stopping) and part 2 (cognitive restructuring) can be covered in different ways using your clinical judgment. The two parts of this module can be covered as follows: 1) Using part 1 (thought stopping) OR using part 2 (cognitive restructuring). 2) Using both part 1 (thought stopping) covered in a session and then using part 2 (cognitive restructuring) covered in the following 2 sessions. “The goal of the skill we are learning today is to stop dwelling on anxiety-related thoughts and images. Although everyone experiences some amount of worry at some points in their life, spending hours worrying can get in the way of you using calming skills or even completing fun activities. Do you find that worry ever interferes with your life?” “One strategy to reduce feelings of anxiety is to STOP the thoughts when they’re interfering in our life. The basic idea is to stop dwelling on anxiety-provoking thoughts and images through self-control.” “Thought stopping consists of two important parts: The first is to use anxiety-provoking thoughts and images as cues to stop ruminating. The second part is to immediately redirect your attention to relevant ongoing activities and your surroundings. For example, you can use an image such as a "big red stop sign" or a big pink eraser to stop dwelling on the thoughts and images, then quickly focus on what’s around you (such as what’s happening outside or the details your surroundings).
PL-Intervention-CURRENT-MANUAL.docx