Speaker A
Glad you came in today. How's it going today for you?
A CBT mock therapy session addressing severe depression after job injury and family loss, introducing cognitive behavioral therapy techniques.
Ask about this video. Answers come from its transcript only — with the timestamp, so you can check them.
Generated from the transcript and can be wrong — check the timestamp.
Key Takeaways
- CBT helps identify and change negative automatic thoughts contributing to depression.
- Engagement in pleasurable activities can improve mood and counteract depressive inertia.
- Tracking thoughts and feelings is a useful tool for managing depression.
- Client motivation and willingness to participate are crucial for therapy success.
- CBT can positively impact multiple life areas including work and relationships.
What the video covers
- The session begins with the client discussing his recent struggles including job loss, injury, and family separation.
- The therapist introduces cognitive behavioral therapy (CBT) as a method to address the client's depression.
- The client describes feelings of worthlessness and difficulty getting out of bed.
- The therapist explains the CBT model: situation, automatic thoughts, feelings, and behavioral responses.
- The client recalls positive past experiences that contrasted with current depressive feelings.
- Therapist encourages scheduling enjoyable activities to improve mood and engagement.
- Homework involves tracking automatic thoughts, feelings, and responses during depressive episodes.
- The importance of the client’s willingness to try CBT and engage in activities is emphasized.
- The session includes planning for follow-up with concrete tools to manage depression.
- The client expresses openness to trying CBT despite uncertainty about its effectiveness.
Full Transcript — Download SRT & Markdown
Speaker A
mean kind of talking about your situation getting injured on the job because we're losing your job and kind of didn't know where he didn't want to do anything and sleeping a lot and then your wife left you and took the kids
Speaker A
Um, you can just kind of say it's been as it's been for the last few months.
Speaker A
surprise okay so it's nice to get validation on that so what i thought we might do today if it's okay with you is um there's a therapy i'd like to try with you to kind of address your depression
Speaker A
Um, not getting any better.
Speaker A
your depression and i'm thinking this might impact a lot of the areas in your life getting to work and relationships and stuff let me kind of focus on the depression right now um and then i'd like to after i've
Speaker A
Yeah, still feeling pretty down.
Speaker A
stuff and then um and then so next week we can have some concrete stuff to think about okay does that sound okay for you that we do that today yeah i mean we'll try anything so right well that's
Speaker A
Well, from last week when we talked, I mean, kind of talking about your situation, getting injured on the job, because we're losing your job, and kind of didn't know where, didn't want to do anything, and sleeping a lot, and then your wife left you and took the kids.
Speaker A
cognitive behavioral therapy sometimes it's called cdt just as initials and it takes um an individual a situation that's happening with the individual a thought that automatically comes into the mind of that individual how it makes them feel and then how they respond because of
Speaker A
And it's been very hard on you.
Speaker A
ten o'clock or so and just couldn't get out of bed okay all right so you woke up and couldn't get out of bed what's the first thought that came into your mind um i think at first i thought you know
Speaker A
Yeah.
Speaker A
how'd that make you feel about yourself worthless i guess like i mean like i don't really even matter and you feel really really bad and worthless because of that feeling what would you do um were you able to go to bed or just
Speaker A
And so, and I had to take that inventory, um, answering all those questions. I kind of scored that, and you in fact do have pretty severe depression.
Speaker A
you're depressed of worthlessness yeah i'd say most of the time that's how i feel that's kind of what causes you to think and typically is your response to that feeling stay in bed or i yeah i mean if i'm in bed at the time then yeah i
Speaker A
So, yeah, I think I already knew that.
Speaker A
depressed yeah i mean before the accident worked okay lots of times um spending time with my kids well tell me a little bit about those times when you can remember before the accident when you were experiencing some depressive
Speaker A
Yeah, not a surprise.
Speaker A
get up and make pancakes and have a big long breakfast and then if it was on the weekend and we'd go do something fun like go to the park or go see a movie or something like that can you remember how you felt
Speaker A
Okay, so it's nice to get validation on that. So what I thought we might do today, if it's okay with you, is, um, there's a therapy I'd like to try with you to kind of address your depression.
Speaker A
did it kind of feel like the opposite of worthless i mean they needed you and you felt good and you felt loved and you felt engaged in their life yeah absolutely yeah that's the opposite way i feel now
Speaker A
It's called cognitive behavioral therapy. If you've ever heard of that?
Speaker A
before i mean i don't know if it'll work mm-hmm i so maybe when you're feeling down can't get off the couch you can't get out of bed i think of some times when it was different for you you were in a
Speaker A
I think I may have heard the name before.
Speaker A
well i worked in a factory and we uh made car parts and stuff and i don't know i felt like i was doing something i mean i was making parts that were gonna go in a car which then someone would
Speaker A
Okay, okay. I'll describe it a little bit to you.
Speaker A
i'm glad you can still feel or remember sometimes when you felt that you did have a purpose and you felt loved and valued and i know with depression it's hard to get up and get out of bed that's some of the
Speaker A
Okay, so if we can kind of work on that therapy to kind of help your depression, and I'm thinking this might impact a lot of the areas in your life, getting to work and relationships and stuff.
Speaker A
actually have to do you have to get up out of bed and do something and then you feel better i know it's kind of hard to do that with these feelings that you're feeling right now yeah but i mean
Speaker A
Let me kind of focus on the depression right now, um, and then I'd like to, after I've talked about that in some situations where you're feeling depressed, if we can, I want to give you some tools maybe to take home this week so you can kind of talk about the situations of your depression and thoughts and feelings and stuff.
Speaker A
do um i would say see my wife and kids but i don't know if that's really an option right now um i always loved fishing okay yeah i always always enjoyed doing that when was the last time you went fishing
Speaker A
And then, um, and then so next week we can have some concrete stuff to think about.
Speaker A
yeah okay okay so fishing is something that that would be an enjoyment are there any other activities or meeting with people it nice remind me is your life out of town and your kids can settle it's a little bit more difficult to maybe see
Speaker A
Okay, does that sound okay for you that we do that today?
Speaker A
buddies and we usually have like a cookout or something in somebody's house and you know watch football or sit around and talk yeah we always and we all had family so that was how we'd all get together and
Speaker A
Yeah, I mean, we'll try anything.
Speaker A
you know one or two year old buddies yeah i mean i think i think we could do that i mean i just hadn't talked to them forever i mean when i'm after the accident since i've been feeling so down i haven't really
Speaker A
So right, well that's, that's a big part of it. Your willingness to try is a big key part in cognitive behavioral therapy because you're willing to do the work to get better.
Speaker A
as far as what do you is there an activity you should do even by yourself um either playing an instrument or listen to music or exercising or watching movies or something that gives you pleasure that you don't necessarily need
Speaker A
So, yeah.
Speaker A
i mean working out was always something that i did and how'd that make you feel when you worked out well during the workout i got tired mm-hmm i always felt really good afterwards yeah i kind of done something
Speaker A
All right, let me tell you a little bit about the cognitive behavioral therapy. Sometimes it's called CBT just as initials, and it takes, um, an individual, a situation that's happening with the individual, a thought that automatically comes into the mind of that individual, how it makes them feel, and then how they respond because of that feeling.
Speaker A
scheduling some things but it's nice to have if you can something on your agenda every day in order for you to get out of bed for it might be a workout it might be going fishing it might be calling a buddy to schedule
Speaker A
Okay, so we'll take an example. Like, tell me about the last time that you were feeling depressed.
Speaker A
you know put the date and go ahead and put i'd like you to have some when you can first talk about maybe when you're in bed and can't get out you can write about your thought the automatic thought
Speaker A
Uh, say probably this morning.
Speaker A
whatever that automatic thought that comes in your mind write that down and then write down how that makes you feel okay and then you mentioned often your reaction or your the response to that feeling is just to stay in bed all right so i'd
Speaker A
Okay, what was going on this morning?
Speaker A
schedule one event a day all right that you would enjoy doing and it couldn't be a phone call it doesn't have to be getting that and give yourself a break know that this is going to be difficult and you're going to start out
Speaker A
No, I just woke up. I think it was like ten o'clock or so and just couldn't get out of bed.
Speaker A
all right and i also would like you to write down how you felt about yourself after you did that after the phone call how you felt about yourself after the workout how it made you feel all right after you
Speaker A
Okay, all right, so you woke up and couldn't get out of bed. What's the first thought that came into your mind?
Speaker A
then any of these activities and if any of these activities are actually helping it might take a while time you have to be patient with the process be patient with yourself and and other and other people i mean you
Speaker A
Um, I think at first I thought, you know, why would I get out of bed? There's no reason for me to get out of bed. I mean, my wife's gone, don't really have any friends anymore, don't have a job. You know, what's the point of getting out of bed this morning?
Speaker A
so this is something that you can think you can work on this week yeah okay does it feel overwhelming or um no i mean i feel good about that i mean it's just going to be different but like i said i'm willing to
Speaker A
How'd that make you feel about yourself?
Speaker A
and we can talk about and see what's working and what's not working and we can make changes on it but it i think this cbt really helps you think about you know what's going on and why am i feeling
Speaker A
Worthless, I guess. Like, I mean, like I don't really even matter.
Speaker A
worthlessness on a scale from 1 to 100 was 90. but today it's actually 80.
Speaker A
And you feel really, really bad and worthless because of that feeling. What would you do?
Speaker A
we can kind of see how that adjusts with time that might be a helpful yeah it sounds like it would be helpful okay we'll talk about that next time
Topics:Cognitive Behavioral TherapyCBTDepressionMental HealthTherapy SessionJob LossFamily SeparationBehavioral ActivationAutomatic ThoughtsMock Therapy
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