Lesson 1Early-Phase Strategies (Engagement, Assessment Feedback, Motivational Work, Safety Planning)This part details early-phase tasks in a short protocol, like engagement, bond building, assessment sharing, motivation boosting, and safety planning, noting mixed feelings, shame, and culture-sensitive talk.
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 and ACT: Distress Tolerance, Emotion Regulation Skills, Acceptance and Values WorkThis part blends DBT and ACT emotion control modules, covering distress handling, emotion skills, acceptance, and values clearing, fitted for high-achieving clients facing strong feelings and strict control.
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 3Leveraging Client Strengths (High Cognition, Motivation, Perfectionism) and Preventing Perfectionism-Driven DropoutThis part stresses using client strengths like sharp thinking, drive, and perfectionism, while stopping perfectionism-led dropout via expectation handling, bond fixing, and flexible, kind standards.
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 Reparenting, Imagery Rescripting) for Core SchemasThis part shows schema therapy middle-phase tactics for core schemas, like mode work, limited reparenting, and imagery rewriting, adjusted for a short 12–16 session setup while keeping depth and emotional reach.
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 of New Relational Patterns, and Maintenance PlanningThis part outlines late-phase tactics for relapse stopping, solidifying new relationship ways, and upkeep planning, with booster choices, self-watch plans, and prep for expected high-risk spots.
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 to Impostor/Perfectionism AnxietyThis part centres on CBT middle-phase tactics for impostor and perfectionism anxiety, including cognitive reshaping, behavioural tests, graded exposure, and action boosting for high-achievers.
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 7Tailoring Session-by-Session Structure for a 12–16 Session Timeline with Decision Points for ExtensionThis part explains structuring a 12–16 session protocol, with session-by-session planning, choice points for extending or easing, and balancing depth with time limits and service needs.
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 8Translating Formulation to Goals: Selecting Measurable Treatment Goals for Anxiety, Emotion Regulation, and Relationship PatternsThis part explains turning a personal case plan into solid, measurable treatment aims for anxiety, emotion control, and relationship ways, making sure aims are real, prioritised, and jointly set.
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 for Dropout Risk and Alcohol Use: Motivational Interviewing, Harm Reduction, Brief CBT for Substance-Related TriggersThis part handles changes for dropout risk and alcohol use, mixing motivational talks, harm cutting, and short CBT for substance triggers in the 12–16 session frame without straying from main aims.
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 and Interpersonal Techniques (Mentalisation, Interpersonal Restructuring, Corrective Relational Experiences)This part covers attachment-centred and interpersonal middle-phase tactics, like mentalising, interpersonal reshaping, and corrective relationship moments, to shift fixed patterns and boost reflective work.
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
