Session Material


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Session Material

Counselors follow and complete detailed session-by-session checklists to ensure that the structure and content of the program is followed. Following the final session, in addition to a summary follow up letter, participants receive a list of local resources.

Click on the session number below to find session content and practice activities.


icon-handshakeInitial Contact

  • Introductions.
  • Explain program.
  • Review materials.
  • Answer FAQs.
  • Schedule calls.

icon-sessionSession 1

  • Depression education.
  • Elicit how depression affects their feelings, body, thinking and behavior.
  • Motivation enhancement to strengthen engagement in therapy.

icon-homeworkPractice Activity

  • Describe best and worst parts of their days.

icon-sessionSession 2

  • Review depression education.
  • Review practice activity¬†and identify what activities made patient/client feel better or worse.
  • Learn what helps others feel better.
  • Pleasant activity identification exercise.

icon-homeworkPractice Activity

  • Choose pleasant activities.

icon-sessionSession 3

  • Review pleasant activity preferences.
  • Plan pleasant activity experiment.

icon-homeworkPractice Activity

  • Pleasant activity experiment.

icon-sessionSession 4

  • Review pleasant activity experiment.
  • What worked? What was the effect on mood? What were the barriers?
  • Problem-solve overcoming barriers.
  • Plan new experiments.

icon-homeworkPractice Activity

  • Pleasant activity experiments.

icon-sessionSession 5

  • Review pleasant activity experiments.
  • What worked? What was the effect on mood? What were the barriers?
  • Problem-solve overcoming barriers. Add to and expand positive parts of experiments.
  • Revise and repeat experiments.

icon-homeworkPractice Activity

  • Pleasant activity experiments.

icon-sessionSession 6

  • Review pleasant activity experiments.
  • What worked? What was the effect on mood? What were the barriers?
  • Problem-solve overcoming barriers. Identify most promising activities.
  • Make written weekly pleasant activity schedule.
  • Write out most common barriers and best plans to overcome barriers.

icon-homeworkPractice Activity

  • Follow schedule.

icon-sessionSession 7

  • Check practice activity.
  • Discuss depressive thinking (guilt, self-blame, etc.).
  • Common negative thoughts. Thought identification examples and exercise.

icon-homeworkPractice Activity

  • Keep schedule. Try catching negative thoughts.

icon-sessionSession 8

  • Check practice activity.
  • Elicit negative thoughts and triggers.
  • Discuss more ways to observe automatic negative thoughts and their effects.

icon-homeworkPractice Activity

  • Keep schedule. Negative thought monitoring exercise.

icon-sessionSession 9

  • Check practice activity.
  • Discuss effects of negative thoughts.
  • Illustrate ways of distancing from automatic negative thoughts.
  • Practice ways of distancing.

icon-homeworkPractice Activity

  • Keep schedule. Watch negative thoughts.
  • Try distancing.

icon-sessionSession 10

  • Review practice activity.
  • Identify examples of automatic negative thinking.
  • Guided practice of cognitive strategies: Thought stopping, distracting, reasoning, and exaggeration.

icon-homeworkPractice Activity

  • Try cognitive strategies at home. Practice using cue card(s).

icon-sessionSession 11

  • Review practice activity.
  • Create a self-care plan, pinpoint strategies that worked best.
  • Set long-term goals.
  • Develop relapse prevention strategy.

icon-sessionSession 12

  • Review most helpful parts of program.
  • Integrate self-care plan (including medication adherence, if appropriate) into written schedule and cue cards.
  • Review and adjust relapse prevention plan.
  • Congratulate participant for gains made.

Sessions begin with: soliciting participation from a support person, review of the PHQ-9, troubleshooting persistent symptoms, motivational enhancement to increase engagement (if needed).