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CBT Self Help - Step 1

 Identifying Thoughts, Feelings & Behaviours

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This self-help course  will be helpful for individuals who have problems with anxiety, depression or anger.  The course can also be adapted for other problems.  Clinicians can use the course with their clients, using one step each weekly or fortnightly session.

The best way to use the CBT Self-Help course is to download it, one step at a time.   As you  complete each step over at least a few days (with LOTS of practice), then return and download the next step.


SELF-HELP COURSE:  THE COMPLETE COURSE
60 page Adobe document - The complete CBT self-help course in 7 steps. 

SELF-HELP COURSE:  STEP 1
Introduction & Identifying Thoughts, Feelings & Behaviours

 


SELF-HELP COURSE:       STEP 2
Understanding the links between Thoughts, Feelings & Behaviours

 


SELF-HELP COURSE:      STEP 3
Making Behavioural Changes

 

 


SELF-HELP COURSE:    STEP 4
Making Changes in the way we Think

 

 


SELF-HELP COURSE:     STEP 5
Challenging Thoughts

 

 


SELF-HELP COURSE:     STEP 6
Defusing or Distancing from Thoughts.  Mindfulness

 


SELF-HELP COURSE:       STEP 7
Imagery, Sleep, Positive Steps, Maintaining Progress

 

Step 1     Step 2     Step 3     Step 4     Step 5     Step 6     Step 7

The documents linked from the bottom of each page are intended to be an integral part of this course, and should not be omitted - the worksheet documents are included in the downloadable Steps linked above.

Please click here if you would like additional support in completing any of the steps of the CBT Self-Help Course

This mini 7-step self-help course includes techniques which could be useful for all, but professional help should be sought for complex or long-standing problems.

Use the Self Help mp3 downloads to strengthen therapy or as a stand-alone technique

 

Once you've read through the introduction to CBT on this page, you can start to look at what's helping to keep your problems going.

Let's use a recent example, when you've been distressed - perhaps something has happened in the past week or so when you've felt particularly anxious, angry, or depressed.

 

 

What was the situation?  What happened?  When did it happen?  What else was going on?  Was it a situation that you often find yourself in?  Who were you with?

 

 

 

 

What thoughts or images went through your mind just before or during that time?  If you had that thought, what did that mean to you, or what did that say about you or the situation?  If your thought was a question, try to answer it. What disturbed me?

 

 

 

 

What distressing emotion/s did you feel?  What else?

E.g. Anger, anxiety, terror, rage, depression, frustration, guilt, shame, irritable.....

 

 

 

 

What did you notice in your body?

E.g. In anxiety and anger (and excitement) the body's adrenaline can result in us feeling physical sensations which include:  heart pounding or racing, palpitations, rapid breathing, difficulty breathing, light-headed, dizzy, shaky, sweaty, hot, red, pins & needles, tense or sore muscles, urge to go to the toilet, butterflies in the tummy, warm uncomfortable feeling in the abdomen or chest, difficulty concentrating, lump in throat.   This is the fight & flight response - the body's survival mechanism which helps us escape or to stand up to the threat at times of real danger.  The body is unable to differentiate between a real or imagined danger, so the alarm signal is pressed and activated regardless.

In depression, we can feel tired, lethargic, exhausted, experience appetite and sleep changes, aches and pains, headaches, digestive changes (e.g. constipation), agitation and feel unable to settle, experience lack of interest in sex, and have slow movement or speech.

 

 

What did you do?  What didn't you do?  How did you cope? 

Examples include:

(Anxiety):  Stayed home, left wherever you were or felt the urge to leave, didn't talk to anyone, avoided eye contact, fiddled with a pen, sat in a corner, didn't go out, chose to shop at less busy times, went to local corner shop instead of the big supermarket, distracted yourself (tv, radio, kept busy etc), urge to go (or went) to toilet, looked for reassurance, drank more, smoked more, ate more (or less), disturbed sleep.

(Depression):  Stayed in bed, pulled covers over your head, didn't go out,  sat and stared, watched television, didn't answer the phone, turned down an invite from a friend, didn't go to work, ate more (or less), slept more (or less), paced around , kept starting to do things but couldn't finish, no interest in others, no interest in sex, no interest in anything.

(Anger):  shouted at someone, hit out, screamed, had a go at someone, sulked, criticised others (or had urge to do those things), used put-downs and threats, bottled it up, lost control.

 

Use the Self Help mp3 downloads to strengthen therapy or as a stand-alone technique

 

Practice noticing these thoughts, feelings and behaviours - the more you practice, the more you will notice them.  The more you notice them, the more you will be able to make helpful and effective changes.

The Vicious Cycle form will help you practice - write down at least one situation every day for the next few days.

Please contact me if you have difficulties in accessing the documents

next

 

GET HELP HERE

 

Then, proceed to Step 2

MP3 guided imagery/relaxation downloads

 

 

 

 

Self Help Books

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