Lesson 1Early-Phase Strategies (Engagement, Assessment Feedback, Motivational Work, Safety Plannin)Dis section detail early-phase tasks in a brief protocol, includin engagement, alliance buildin, assessment feedback, motivational enhancement, an safety plannin, wid attention to ambivalence, shame, an culturally responsive communication fi trust.
Structuring the first two to three sessionsDelivering collaborative assessment feedbackMotivational interviewing for ambivalence and shameSuicide, self-harm, and violence safety planningBuilding a strong working alliance quicklyLesson 2Emotion Regulation Modules from DBT an ACT: Distress Tolerance, Emotion Regulation Skills, Acceptance an Values WorkDis section mix DBT an ACT emotion regulation modules, includin distress tolerance, emotion regulation skills, acceptance, an values clarification, tailored fi high-functionin clients who struggle wid intense affect an rigid control in daily life.
Functional analysis of emotion dysregulation patternsDistress tolerance skills for acute crisesEmotion regulation skills for everyday triggersAcceptance and defusion for difficult thoughtsValues clarification and committed action planningLesson 3Leveragin Client Strengths (High Cognition, Motivation, Perfectionism) an Preventin Perfectionism-Driven DropoutDis section focus on usin client strengths like high cognition, motivation, an perfectionism, while preventin perfectionism-driven dropout through expectation management, alliance repair, an flexible, compassionate standards fi keep dem engaged.
Mapping strengths and vulnerabilities of perfectionismUsing cognitive strengths in formulation and skillsSetting realistic expectations for change and paceAddressing all-or-nothing engagement patternsRepairing alliance ruptures linked to self-criticismLesson 4Middle-Phase Strategies: Schema Therapy Techniques (Mode Work, Limited Reparentin, Imagery Rescriptin) fi Core SchemasDis section present schema therapy middle-phase techniques fi core schemas, includin mode work, limited reparentin, an imagery rescriptin, adapted fi a brief 12–16 session format while keepin depth an emotional impact fi real change.
Identifying core schemas and modes collaborativelyPsychoeducation on modes and coping stylesLimited reparenting within professional boundariesImagery rescripting for formative memoriesIntegrating schema work with CBT and interpersonalLesson 5Late-Phase Strategies: Relapse Prevention, Consolidation fi New Relational Patterns, an Maintenance PlanninDis section outline late-phase strategies fi relapse prevention, consolidation fi new relational patterns, an maintenance plannin, includin booster options, self-monitorin plans, an preparin fi predictable high-risk situations wid confidence.
Reviewing gains and consolidating key skillsRelapse prevention mapping and risk scenariosStrengthening new relational and identity narrativesDesigning maintenance and booster session plansCreating self-monitoring and coping plansLesson 6Middle-Phase Strategies: CBT Techniques (Cognitive Restructuring, Behavioural Experiments, Exposure) Targeted fi Impostor/Perfectionism AnxietyDis section focus on CBT-based middle-phase strategies fi impostor an perfectionism-driven anxiety, includin cognitive restructurin, behavioural experiments, graded exposure, an behavioural activation tailored fi high-achievin clients fi success.
Case conceptualization of impostor and perfectionism cyclesCognitive restructuring of self-criticism and doubtDesigning behavioral experiments in performance domainsExposure to feared evaluation and imperfectionBehavioral activation to counter avoidance patternsLesson 7Tailorin Session-by-Session Structure fi a 12–16 Session Timeline wid Decision Points fi ExtensionDis section explain how fi structure a 12–16 session protocol, includin session-by-session plannin, decision points fi extension or step-down, an strategies fi balancin depth wid time-limited constraints an service demands in practice.
Macro-planning across early, middle, late phasesSession-by-session micro-structure templatesDecision points for extension or step-down careMonitoring progress to guide protocol adjustmentsDocumentation to support flexible planningLesson 8Translatin Formulation to Goals: Selectin Measurable Treatment Goals fi Anxiety, Emotion Regulation, an Relationship PatternsDis section explain how fi translate an individualized case formulation into concrete, measurable treatment goals targetin anxiety, emotion regulation, an relationship patterns, ensurin goals real, prioritized, an collaboratively negotiated fi buy-in.
Deriving goals from core maintaining mechanismsPrioritizing problems within limited session dosesOperationalizing goals into measurable indicatorsCollaborative goal negotiation and expectation settingAligning goals with client values and identityLesson 9Adaptations fi Dropout Risk an Alcohol Use: Motivational Interviewin, Harm Reduction, Brief CBT fi Substance-Related TriggersDis section address adaptations fi dropout risk an alcohol use, integratin motivational interviewin, harm reduction, an brief CBT fi substance-related triggers within di 12–16 session framework without derailin core goals fi steady progress.
Screening for alcohol use and dropout indicatorsMotivational interviewing for substance ambivalenceHarm reduction planning and safer use strategiesBrief CBT for craving and trigger managementCoordinating with external supports and referralsLesson 10Middle-Phase Strategies: Attachment-Focused an Interpersonal Techniques (Mentalization, Interpersonal Restructurin, Corrective Relational Experiences)Dis section cover attachment-focused an interpersonal middle-phase strategies, includin mentalization, interpersonal restructurin, an corrective relational experiences, fi shift rigid relational patterns an enhance reflective functionin fi healthier bonds.
Assessing attachment style and interpersonal cyclesEnhancing mentalization under emotional stressInterpersonal feedback and communication coachingUsing the therapeutic relationship as a laboratoryDesigning in-session corrective relational experiences
