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Question 3 | Answer
Booklet | Table of Contents | Bipolar CEU Courses
On the last track we discussed the compassionate perspective technique. There are four steps in the compassionate perspective technique. The four steps are to foster an understanding of equality through human struggle, to provide the client with a sense of self worth, to qualify the client’s understanding of the concept, and to validate the client.
On this track we will discuss initializing Behavioral Activation Therapy, a type of Cognitive Behavior Therapy. Three steps to initializing Behavioral Activation Therapy are identifying moments of inaction, emphasizing behavior’s contribution to mood, and emphasizing routine.
David stated to me during a phone call, "On Saturday, Betsy was out all day with girlfriends, leaving me at home with the baby. On Sunday she spent nearly $300 for ‘Christmas presents’ at a garage sale. Christmas presents! It’s April!" David further reported that Betsy seemed to have boundless energy, sleeping only two or three hours a night before waking up rested and ready.
David then explained that Betsy’s behavior became so erratic that for the next two evenings he stayed home from work to care for the baby. David stated, "I think that because I was there I was provoking her sexual demands. Then I noticed a strange smell in the house. She was hiding in the basement and smoking pot!"
If so, perhaps Behavioral Activation Therapy can benefit your client. As you know, this approach focuses not on negative inhibiting and constriction of thoughts that lead to depression or manic behavior, but rather on the specific behavior. Behavioral Activation Therapy (BAT) perceives depression as a mental conflict in which the client is no longer experiencing sufficient reward to engage in behaviors that previously were rewarding and reinforcing.
#1 Identifying Moments of Inaction
#2 Emphasizing Behavior’s Contributions to Mood
#3 Emphasize Routine
When using Behavioral Activation Therapy, I find it helpful to have clients log their activities and the moods associated with those activities over on week. Betsy’s husband, David’s help in this task was invaluable. Through this process, Betsy became increasingly aware that her withdrawal from potentially uncomfortable experiences actually further increases her sense of depression and the accompanying fatigue.
On this track we have discussed initializing Behavioral Activation Therapy. Three steps to initializing Behavioral Activation Therapy are identifying moments of inaction, emphasizing behavior’s contribution to mood, and emphasizing routine.
On the next track we will discuss the implementation of Behavioral Activation Therapy. When implementing Behavioral Activation Therapy, three basic steps can be followed. These are identifying alternative actions, identifying and engaging previously rewarding activities, and fostering the cognition of devaluing thoughts as distractions.
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