Unhelpful Thinking Styles All or nothing thinking x Sometimes called ‘black and white thinking’ If I’m not perfect I have failed Either I do it right or not at all Mental filter Only paying attention to certain types of evidence. Noticing our failures but not seeing our successes Jumping to conclusions There are two key types of jumping to conclusions: Overgeneralising “everything is always rubbish” “nothing good ever happens” Disqualifying the positive +++ Magnification (catastrophising) & minimisation (predicting the future) Emotional reasoning Assuming that because we feel a certain way what we think must be true. I feel embarrassed so I must be an idiot Labelling Assigning labels to ourselves or other people ID TUP I’m a loser I’m completely useless They’re such an idiot S PSYCHOLOGYT LS Discounting the good things that have happened or that you have done for some reason or another That doesn’t count (imagining we know what others are thinking) 2+2=5 Seeing a pattern based upon a single event, or being overly broad in the conclusions we draw should must Personalisation “this is my fault” Blowing things out of proportion (catastrophising), or inappropriately shrinking something to make it seem less important Using critical words like ‘should’, ‘must’, or ‘ought’ can make us feel guilty, or like we have already failed If we apply ‘shoulds’ to other people the result is often frustration Blaming yourself or taking responsibility for something that wasn’t completely your fault. 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Therapist Identifier: ____ Record C (child) P (parent) J (joint) in box to indicate type of session and with whom PRACTICE component was implemented. TF-CBT Treatment Component Session #: Date: A: Assessment measures administered and engagement methods used GE: Refer to trauma(s) during assessment and in relation to engagement P: Provide psychoeducation about trauma(s), reactions, reminders and treatment GE: Use proper words for trauma(s) and body parts; identify trauma reminders P: Provide parenting skills (praise, selective attention, active listening, time out, etc.) GE: Connect parental response and youth’s symptoms/behaviors to trauma R: Provide individualized relaxation skills (e.g., focused breathing, mindfulness, etc.) GE: Connect use of relaxation skills to youth’s trauma reminders A: Provide affect expression, identification and modulation skills GE: Connect use of skills to youth’s trauma reminders C: Introduce cognitive triangle and optimistic thinking in general terms with children GE: Help PARENT use cognitive coping for trauma-related maladaptive thoughts T: Develop youth’s trauma narrative (TN) in calibrated increments with thoughts, feelings, sensations, helpful and worst moments. Cognitively process maladaptive thoughts and end TN with positive lessons about self, others, parent(s) and future. Share TN with parent in individual session when clinically appropriate GE: Write, read and/or review TN 1 2 3 4 5 6 7 8 9 10 2 I: GE: Plan in-vivo desensitization for generalized avoidance as needed C: Conjoint trauma-focused youth-parent sessions: youth and parent trauma education, share TN when clinically appropriate, Q&A; improve communication GE: Share TN or address other trauma related issues in conjoint session E: Address personal safety skills and assertive communication; increase awareness of problem-solving skills and/or social skills; provide sex ed when appropriate GE: Address safety skills related to youth’s trauma and future development © Deblinger, Cohen, Mannarino, Murray, & Epstein, 2014 revised Note: GE = Gradual Exposure 3 Which PRACTICE component(s) did you implement today? Therapist Identifier: ____ Record C (child) P (parent) J (joint) in box to indicate type of session and with whom PRACTICE component was implemented. TF-CBT Treatment Component Session #: Date: A: Assessment measures administered and engagement methods used GE: Refer to trauma(s) during assessment and in relation to engagement P: Provide psychoeducation about trauma(s), reactions, reminders and treatment GE: Use proper words for trauma(s) and body parts; identify trauma reminders P: Provide parenting skills (praise, selective attention, active listening, time out, etc.) GE: Connect parental response and youth’s symptoms/behaviors to trauma R: Provide individualized relaxation skills (e.g., focused breathing, mindfulness, etc.) GE: Connect use of relaxation skills to youth’s trauma reminders A: Provide affect expression, identification and modulation skills GE: Connect use of skills to youth’s trauma reminders C: Introduce cognitive triangle and optimistic thinking in general terms with children GE: Help PARENT use cognitive coping for trauma-related maladaptive thoughts T: Develop youth’s trauma narrative (TN) in calibrated increments with thoughts, feelings, sensations, helpful and worst moments. Cognitively process maladaptive thoughts and end TN with positive lessons about self, others, parent(s) and future. Share TN with parent in individual session when clinically appropriate GE: Write, read and/or review TN 11 12 13 14 15 16 17 18 19 20 4 I: GE: Plan in-vivo desensitization for generalized avoidance as needed C: Conjoint trauma-focused youth-parent sessions: youth and parent trauma education, share TN when clinically appropriate, Q&A; improve communication GE: Share TN or address other trauma related issues in conjoint session E: Address personal safety skills and assertive communication; increase awareness of problem-solving skills and/or social skills; provide sex ed when appropriate GE: Address safety skills related to youth’s trauma and future development © Deblinger, Cohen, Mannarino, Murray, & Epstein, 2014 revised Note: GE = Gradual Exposure