**Session 2 with Abe from Cognitive Behavioral Therapy: Basics and Beyond, 3rd Ed. — Transcript & Summary | SozAI**
Source: https://sozai.app/transcript/session-2-abe-cognitive-behavioral-therapy/

Session 2 of CBT with Abe focuses on tracking progress, setting goals, and addressing depressive thoughts through behavioral changes and self-credit.

## Key Takeaways

- Small behavioral changes and goal-setting help improve depressive symptoms.
- Evaluating thoughts critically can reduce black-and-white thinking.
- Giving oneself credit for effort supports motivation and recovery.
- Understanding depression as an illness reduces self-blame.
- Positive social interactions improve mood and reinforce progress.

## What the video covers

- Abe reviews the client's progress, noting improvements in mood, sleep, and concentration.
- The session sets goals focused on overcoming difficulties in daily activities and managing evening loneliness.
- Discussion includes evaluating thoughts as not entirely true or false to challenge depressive thinking.
- The client is encouraged to give themselves credit for efforts made toward recovery.
- Positive experiences, such as outings with a grandson, are highlighted as mood boosters.
- The therapist emphasizes understanding depression as an illness similar to pneumonia.
- Automatic negative thoughts are addressed as symptoms of depression, not personal faults.
- The client practices making positive predictions and small behavioral changes.
- Plans include organizing the apartment and continuing to work on action plans.
- The session reinforces the importance of reading therapy notes and using reminders to support progress.

## Chapters

1. 00:00 Introduction and Progress Review
2. 02:26 Setting Goals and Addressing Difficulties
3. 06:37 Evaluating Thoughts and Giving Credit
4. 13:33 Positive Experiences and Social Interaction
5. 17:50 Understanding Depression and Automatic Thoughts
6. 26:20 Planning Behavioral Changes and Homework

Answers

## Questions about this video

What is the main focus of this CBT session with Abe?

The session focuses on reviewing progress, setting goals for overcoming difficulties, evaluating depressive thoughts, and encouraging self-credit for efforts.

How does the therapist help the client manage negative thoughts?

The therapist guides the client to evaluate thoughts as not entirely true or false, helping reduce black-and-white thinking and challenge depressive automatic thoughts.

What role do positive social interactions play in this therapy session?

Positive interactions, like outings with the grandson, are highlighted as important mood boosters that help the client feel more normal and less depressed.

## Full Transcript — Download SRT & Markdown

00:00

Speaker A

[Music] Hi, good to see you again.

00:27

Speaker A

Hi, can I, uh, take a look at your scores?

00:42

Speaker A

Sure. So while I'm looking at these, just tell me in your own words how you've been feeling this week.

00:58

Speaker A

Well, I would say I think a little bit better. I don't know if I know exactly why, but I feel a little bit better. Like when I woke up in the morning, I was able to get up more, more easily. And I think that when I was, you know,

01:17

Speaker A

just like reading the paper, even the sports section, I felt like I was able to concentrate a little better.

01:31

Speaker A

Oh, that's wonderful. I'm really glad to hear that. And it looks like you're sleeping better too.

01:48

Speaker A

Well, I, um, I think that what I meant by that was mostly that I didn't oversleep.

02:12

Speaker A

Okay, because I had been spending a lot of time in bed and I didn't get up. I mean, I would say I got up at seven, but I didn't really get up at seven.

02:26

Speaker A

Oh, that's great. That's great. And it looks like your concentration, things like reading the newspaper, you said,

02:38

Speaker A

Yeah, that's a little better too.

02:57

Speaker A

Yeah, yeah. Oh, I'm really glad. So, um, you said you don't have any idea as to

03:14

Speaker A

why you're feeling better. Maybe that's not entirely fair. Maybe it's because of the things that we're doing here that are helping.

03:24

Speaker A

Oh, that's great. And we'll get to those things in just a minute, but let's set the agenda. So what would

03:48

Speaker A

be your goal for today's session?

04:03

Speaker A

Well, um, I guess to start thinking about working on the things that make it difficult for me to do things to get better, like we talked about doing, you know, going out and doing things.

04:19

Speaker A

And last time we talked about what I would like things to be like by Labor Day.

04:36

Speaker A

Um, so what's something that you would like to be able to do but you've been having trouble doing with something,

04:49

Speaker A

either going out or in the apartment?

05:03

Speaker A

Well, it's kind of like the evenings are really hard for me because even if I go out and do something, then at the end of the day I go back and I'm

05:15

Speaker A

there by myself, and then I'm just sort of there with my thoughts.

05:31

Speaker A

Yeah, good. Okay, so we'll try to get to evenings. Anything else? Any other goals you have? I would say that's probably the main thing.

05:42

Speaker A

Well, you know, I should do something about my apartment. I don't keep after that like I should, and so maybe, um, you want to get your apartment in better order?

05:59

Speaker A

Yeah, but that seems like such a big job. I don't know where to start.

06:20

Speaker A

Yeah, well maybe we could figure out together where to start.

06:37

Speaker A

Okay, well that sounds good. And all right, also, so we're setting the agenda, I'd also like to talk a little bit more about

06:57

Speaker A

these depressing thoughts that you've been having and talking some more about credit if that's okay.

07:13

Speaker A

[Music] All right, you know what I'd like to do next is just to turn to the notes from, actually from the evaluation and

07:28

Speaker A

then the notes from last session.

07:42

Speaker A

Okay, so if it's all right, I'll just read this and I'd like you to tell me what you think about this. Now, when I start to feel more depressed, you find it, yeah, um, remind myself that

08:00

Speaker A

the therapy plan makes sense. Does it still make sense to you?

08:23

Speaker A

Yes, it does. With Judith's help, I'll be working toward goals every week, step by step. I'll learn how to evaluate my thinking, which might be a hundred percent true or

08:40

Speaker A

zero percent true or someplace in the middle. What do you think about that?

08:52

Speaker A

Well, I think the idea of working toward goals every week is a good idea, and I think that you're helping me to figure

09:14

Speaker A

out what those things are is good. If I evaluate my thinking, which may be a hundred percent or not or somewhere in the middle, um,

09:29

Speaker A

you know, we really haven't done that yet, help you evaluate your thinking. We've just been identifying your thinking, but does it make sense to you that you might still be seeing the world through black glasses mostly?

09:44

Speaker A

Yeah, that the thoughts might not all, the thoughts are a hundred percent true. I think most of my

09:56

Speaker A

my thoughts are, but when I go out and do things, then I feel better. When I'm doing that, I don't have as many black thoughts then.

10:13

Speaker A

Yeah, so it sounds like this next part is true then: the way I'll feel better is by

10:40

Speaker A

making small changes in my thinking and behavior every day.

10:57

Speaker A

Yeah, excellent. And we also talked about at the evaluation, we know we didn't, we covered it just a little bit last session, so I want to talk about it more this session: give myself

11:11

Speaker A

credit for doing things on the action plan, for doing anything else that helps me get over the depression, and for anything that's even a little bit difficult but I do it anyway. Were you any better at giving yourself

11:29

Speaker A

credit this week?

11:48

Speaker A

I think so. I mean, last week I hadn't really done that much that I really felt that I deserved any credit, but I tried to push myself this week and do the things we talked about,

12:02

Speaker A

so I was better because I was able to recognize I was pushing myself and doing it.

12:29

Speaker A

Well, I think in a few minutes maybe we'll talk about keeping a credit list, so we'll get to that too.

12:44

Speaker A

[Music] So again, what was the best part of this past week or when did you feel the best? When were you at your best?

12:59

Speaker A

Well, all of the things. I mean, just going out for a walk is better than

13:16

Speaker A

sitting on the couch, but, you know, I went out with my grandson again and that was good. Ethan again?

13:33

Speaker A

Ethan, yeah. What'd you do with him?

13:50

Speaker A

Well, we just went out and got ice cream, uh, again vanilla.

14:02

Speaker A

Well, I tried a different flavor. Did you? What'd you try?

14:24

Speaker A

It was like a chocolate swirl thing. Uh-huh. So it was different. Which do you like better, the vanilla the week before?

14:41

Speaker A

Right about the same. I like trying something new.

14:53

Speaker A

Oh, that's good. Good for you.

15:09

Speaker A

Um, so you're at your best when you took Ethan for ice cream again?

15:30

Speaker A

Yeah, yeah.

15:48

Speaker A

And again, what was good about taking him for ice cream?

16:02

Speaker A

I think it's just fun to be with him and just talk about stuff and to feel kind of like a normal person.

16:15

Speaker A

Yeah, so you felt less depressed when you were out with him?

16:30

Speaker A

Yeah.

16:47

Speaker A

Yeah, that's good. So does that imply that actually you might be able to do things that can help you feel better?

17:12

Speaker A

I guess so. Was it easy to go out with him or was it still hard?

17:24

Speaker A

It was easier than the first time. It was a lot easier than the first time. I mean, I still have some questions,

17:38

Speaker A

but it was a lot easier.

17:50

Speaker A

You know, if it was easier, it makes me think that your thinking must have been different. Do you know what you were thinking as you were, so you're getting ready to go out with him?

18:06

Speaker A

What were you thinking?

18:20

Speaker A

I was thinking, well, last time went pretty good, so no reason to think that this time won't be good too.

18:45

Speaker A

Yeah, so I was just sort of more able to look forward to it as I was

18:59

Speaker A

as I was going to do it.

19:17

Speaker A

So this time you were making a positive prediction and your mood was better?

19:33

Speaker A

Yeah, and it made it easier to go out.

19:56

Speaker A

Yeah, that's great. Okay, um, I want to just get

20:10

Speaker A

back to the therapy notes from last week too. So were you able to read these every day?

20:26

Speaker A

I did. Yeah, I would rather be able to pull any other times during the day. I'm not sure we even, um, asked you to do that. I just sort of

20:37

Speaker A

like after I got up in the morning and took a shower and stuff, I just sort of, you would read this, right?

20:51

Speaker A

Right. Okay, so tell me what you think of this. When I criticize myself, remember I'm only looking at part of the scene

21:18

Speaker A

and it's through black glasses. Judy says it's not my fault it's happening because I have depression. I think that there's some truth to that. Do you think you're accepting this fact more, that you do have a real illness?

21:35

Speaker A

Last week I think it was a hard thing to even think about.

21:48

Speaker A

Well, I think that was the first time that I really thought about it in that way, and when you went down and read the list of things to me,

21:58

Speaker A

I mean, I could say, yeah, that's me, that's you. So I think that, you know, it's in a book, it must mean something.

22:17

Speaker A

Yeah, so are you thinking now that your condition is more like pneumonia,

22:32

Speaker A

something that happens that has these really negative symptoms, makes everything harder?

22:44

Speaker A

Good, that's good. [Music] And then we talked about last week about how your thinking influences how you feel and what you do. Were you able to catch any of those aut-

23:03

Speaker A

i'm afraid to set the bar too high so maybe five times how about four to six times how does that sound i should be able should i write that on your action plan yeah okay i should be able to do that

23:17

Speaker A

and out of house four to six times so you were able to get out of the house what was good about getting out of the house what did it show you well one that i can do things that up to this point i just

23:36

Speaker A

thought i couldn't do right i'm writing that down i can do things i thought i couldn't do when i do them i feel good about it yeah when i do them i feel good about them so does this

23:57

Speaker A

imply that maybe you can start to take more control over your mood maybe it does so what should i write down about that well i think it's still more in the form of a question in my head does this mean that

24:16

Speaker A

so it's kind of like a how about a maybe this means yeah is that about right yeah maybe it means that this means what i can do that there are things i can do that i can take control

24:32

Speaker A

yep exactly there are things i can do to take control i want to talk just a little bit more about depressing thoughts and then maybe we can talk about getting your apartment in order or would you rather talk about

24:49

Speaker A

evenings if we only have time to get to one of those which would you like to get to evenings evenings okay is there a problem yeah okay we'll do that so you were able to catch some of these depressed

25:01

Speaker A

thoughts this week yeah right yeah and so what do you think of this idea that the way that you feel say for example as you're taking a walk or as you're with ethan the way that you feel is going to depend

25:16

Speaker A

at least in great part as to what's going through your mind well i think i think there's truth to that yeah and for example so when you thought uh i'll never get better what effect did that have on your mood

25:35

Speaker A

just make me depressed maybe you want to give up exactly and if you have that thought again i'll never get better how would you like to answer that thought i guess the first thing is it's it's that's not a sure thing that i'll never

25:52

Speaker A

get better anymore that's excellent that's not a sure thing um what makes you think that it might not be true because when i do stuff i feel better exactly so you've really started to prove that to your to yourself then so i've started to

26:11

Speaker A

prove this to myself and what was the other thought um this isn't this isn't going to work yeah therapy isn't going to work and what would you like to remind yourself about that well i i don't want to jinx it but

26:31

Speaker A

it seems like a little bit it already is so it seems a little bit that it already is that's good all right i got that on your action plan for you okay now we call these kinds of thoughts these

26:50

Speaker A

thoughts that just seem to pop up into your mind we call them automatic thoughts and it's not your fault that you're having them the reason that you're having these really negative automatic thoughts is because you're depressed so we've been

27:04

Speaker A

talking about that okay and so this week you're going to use the rubber band again to try to keep on identifying those thoughts yeah and to keep on reminding yourself that just because you think them doesn't necessarily mean that it's true

27:20

Speaker A

and here i've written down uh answers to a couple of the automatic thoughts you had this past week that you might have this coming week okay if i think i'll never get better remind myself that's not a sure thing

27:33

Speaker A

i've started to prove this to myself this isn't going to work if i think that remind myself it seems a little bit that it already is i think that might help [Music] now before we get to evenings or maybe

27:58

Speaker A

it has something to do with the evenings you said earlier today that being with the family is really important to you i wonder if there's something that you could do in the evenings you know either being with your family

28:23

Speaker A

or talking to them on the phone what would you what would you like to be able to do if you weren't depressed what would you do well i'd like to go over but i don't i don't want to invite myself but

28:36

Speaker A

i could call them and talk to them on the phone [Music] and oftentimes when i call they invite me over okay so you're going to talk on the phone to whom my my son and my daughter great i could give them a call

29:07

Speaker A

so you have a you have some thought that gets in the way of your saying hey it's convenient for me to come over i don't i don't want to impose so the thought is if i invite myself be imposing on them yeah is that right

29:29

Speaker A

i'll be imposing on them if we can take a moment here to try to figure out whether that thought is a hundred percent true or zero percent true or someplace in the middle i don't know it might be 100 true but

29:44

Speaker A

what makes you think that they'll see it as an imposition i don't i don't know if they will i just think of it i just think of myself that way have you before you got depressed did you ever

30:01

Speaker A

invite yourself over yeah can i come over and spend some time with with the kids and did they seem to have a negative attitude about you doing that no not at all they always seemed happy to have me come over i see and were

30:16

Speaker A

there any times when you um invited yourself over where they said gee today isn't a really good time they didn't say well they yeah they would just instead of saying it's not a good time they'd say something like

30:32

Speaker A

tomorrow would be better you know because we've got something scheduled something scheduled right so if i could summarize what you just said in the past when you've uh invited yourself over they've been glad to see you and it sounds like they've been honest

30:50

Speaker A

if it would be an imposition on them yeah so have they changed in some way do you think that they wouldn't want you to come over now no i think it's just i've changed my thinking the way i

31:03

Speaker A

think about my when i get into that spiral you know i start thinking that stuff and then i guess it's stuff i just make up so if um i wonder if another way of looking at this is that

31:17

Speaker A

maybe they would do exactly what they've done in the past which is either to welcome you or to reschedule i think that's possible yeah i i think so yeah yeah and if the worst happens and they say gee

31:32

Speaker A

sorry but we're really busy now then how could you cope with that i think i called the other one that's a great idea right so but that's only the worst that could happen what's the best that could happen

31:46

Speaker A

if you called one of them they'd say sure we'd love to have you over when would you like to come yeah that sounds pretty good what do you think is the most realistic outcome say they'd probably say something like

32:03

Speaker A

yeah that'd be great we'd be happy to have you over you know thursday night would be a good time can you come over then so the most realistic is that they'd be really glad that you called i think so

32:16

Speaker A

and they'd they'd set a date with you they were always good in the past about those kinds of things it's just like yeah just since i started going downhill it was more like me not calling them not not them

32:34

Speaker A

saying they didn't want to see me right so how do you want to answer this thought if i invite myself i'll be imposing on them well in the past they've always been happy to hear from me yeah so in the past they were always happy to

32:54

Speaker A

hear from me that's good so would you like to set yourself an action plan item about this i should call one of them anyway if not those what do you think one or both how about one with the other one being

33:16

Speaker A

optional that sounds good okay so you're going to call your son or the dog which one's going to be optional my daughter will be optional okay so do you think it might be a good idea for you to call them

33:33

Speaker A

and try to go over one evening since evenings are so tough for you yeah yeah that would be really good if i could do that yeah and then optionally you'd call the other one and see if you could go over one

33:49

Speaker A

evening what else would you like to be able to do in the evenings well you know the kid the grandkids they have different kinds of activities going on i could you know i i could go to something i

34:05

Speaker A

could go to a game or a concert you know until you know this is sort of the end of the school year for them and they've got different kinds of things going on at school that i get sounds great

34:21

Speaker A

that's great and on the evenings when you stay in your apartment what would you like to be doing i know what i should do but i should do something well even if i could read the paper and concentrate on it that would be

34:42

Speaker A

an improvement okay so another thing is you might read the newspaper read the entire sports section that would be an improvement okay i used to like politics but that's getting harder so i don't i don't know if i want to do that

34:57

Speaker A

now i think we should make the entire sports session sports section um optional but at least you'd read part of it is that all right yeah yeah and you mentioned uh getting your apartment in better order is there something you'd like to do

35:15

Speaker A

during the day or the evening about that [Music] i should probably clean up the kitchen you know i just get the dirty stuff out of the sink and put it away that would so cleaning the kitchen but not the whole

35:43

Speaker A

kitchen right you just said the whole kitchen clean the sink okay that sounds good which would be by itself a big improvement yeah so how likely are you to clean the sink part of it for sure um do you want to maybe set a time limit

36:05

Speaker A

on it like clean the sink for 10 minutes and then you can stop that would be good okay that way i could do that and yeah be okay with putting the ten minutes in is there something else you'd like to do

36:19

Speaker A

this week something that you know around the apartment that if you did it you could say okay this shows i'm starting to take control starting to take control of the apartment like doing the some of the dishes what

36:32

Speaker A

else would make a difference to you nice probably clean the bathroom oh that sounds like a big job well maybe just the sink okay clean the bathroom sink is this enough or should we give you one more time starting to sound like a lot

36:51

Speaker A

all right so let me go through if this is okay the action plan that we have so far and then let's cross some things off or make some things easier [Music] all right so when you do uh anything that's even a little bit

37:15

Speaker A

difficult you're going to give yourself credit okay and you're going to write it on a piece of paper you've already started my rubber band as a reminder to do that yeah i'm going to put down rubber band right

37:29

Speaker A

and we wrote down that the reason to do this is that it will build your confidence yeah and this is something that you're going to do at night but you're going to keep the rubber band and at least try to

37:43

Speaker A

keep track of these things during the day also okay get out of the house four to six times how does that sound yeah i can do that okay um how much do you agree with this idea i can do things i

38:01

Speaker A

thought i couldn't do how true do you think that is true well little things anyway that's true that's true i mean i've already done that so i'm writing it true next to that um when i do them i feel good about them

38:17

Speaker A

yeah i agree with that that's true uh maybe this means there are things i can do to take control 50 percent i believe maybe we'll come back to that if we have time if i think i'll never get better

38:34

Speaker A

remind myself that it's not that not getting better is not a sure thing i've started to prove this to myself i've started doing things and when i do those things i feel better so that's kind of proof that doing things

38:53

Speaker A

could help and when you think this isn't going to work remind myself it seems a little bit that it already is yeah i believe that that's true yeah because because i do feel better now could you read these

39:11

Speaker A

therapy notes um every morning keep them by the coffee maker like the other ones could you read the other notes too the ones from last week and the ones from the week before yeah okay so i'll write that here read all the

39:28

Speaker A

therapy notes i think they probably are all still relevant to you in the morning and i do think it would help to read them later on in the day would you be willing to try to do that yeah i'm just trying to think when

39:46

Speaker A

would be the time to do it i mean i've said i'd do a couple things in the evenings on the couch and i'm i'm afraid to overload the evening to have too many things on the list at the end of the day

39:58

Speaker A

so how long do you think it will take you to read the notes five five minutes no i don't think so i think it'll probably take a minute and a half if we had time i'd have you right

40:09

Speaker A

read them right now and we could time you but that's fine if you'd like to read in the afternoon that's fine what would you think about setting a timer on your phone that's what i do all right i think

40:19

Speaker A

maybe when i when i eat my dinner that would be oh okay great all right so how are you going to remind yourself do you want to uh a note um in the kitchen make this a multi-purpose rubber band

40:33

Speaker A

okay so when you notice the rubber band at dinner you'll save read the notes okay so notice the rubber band to remind you okay it helps me to write it down too good i'm going to give you a copy of this too

40:54

Speaker A

so you'll have two copies um talk on the oh so i want to make sure that these things don't sound overwhelming talk on the phone to your son and daughter to your son and then talking to your daughter's option

41:08

Speaker A

uh i'll call him i'll call him and and uh invite yourself over maybe make that optional yep let's do that i'll call them but inviting self over is optional and i did put a note on here in the past they were always happy to

41:33

Speaker A

hear from me that's true so maybe that'll help okay and then in the uh evenings we said if you could just draw a line from that over to making the phone call so that i that links up there that's good in the

41:49

Speaker A

evenings we talked about trying to go to a game or a concert something that your grandchildren are involved in or even during the day because they have things during the day at school so day or evening you know things in the

42:05

Speaker A

late afternoon so do you want to keep that on or you want to make that optional i'd like to do that okay in the evening read the newspaper if you can even the entire sports section you want to keep that on yeah

42:22

Speaker A

okay and then i think these things were for the day but i'm not sure one was clean the kitchen sink for 10 minutes now i think that was in the evening that i oh okay i wanted to do that because that would

42:36

Speaker A

give me something to do okay instead of just sitting on the couch got it so how likely are you to do that one evening one evening for 10 minutes i'll do that and cleaning the bathroom sink less so optional yeah

42:57

Speaker A

okay so this is um there's a lot on the sheet but most of it is just reading things to yourself so the stuff we actually have you doing is giving yourself credit getting out of the house four to six

43:13

Speaker A

times reading your therapy notes talking on the phone to your son going to a game or to a concert or something with your grandchildren some kind of school activity okay reading the newspaper at least once and then cleaning the kitchen sink

43:36

Speaker A

how hard will it be to give yourself credit i think i can do that and remind me what the point is of giving yourself credit well i i recognize then that i'm doing something even though i have depression

43:56

Speaker A

yeah and that by doing these things it gives me a way to take control over that and then what happens to your confidence in yourself better it gets better right so you think you can give yourself credit do you think you can get out of the

44:13

Speaker A

house four to six times um do you think it's gonna be easier this week to get out of the house at least four times yeah i like doing that okay so it sounds like that uh reading the therapy notes how hard will that be

44:26

Speaker A

that won't be hard okay talking to your son on the phone how hard will that be [Music] after i call him it'll be fine he'll be happy to hear from me it's just dialing the number that's going to be

44:41

Speaker A

the hard part yeah and so is there something you want to remind yourself of why do something that's hard why call yourself they've always been happy to hear from me before yeah any other reasons to call your son

44:55

Speaker A

family connections just a bunch of people i think your son might feel good if you call him probably be happy to hear from me yeah so it would help you and it would probably make your son feel good

45:14

Speaker A

when you realize that does it make it harder to do or easier to do easier because i think they're worried about me and if they hear from me they'll they'll feel better exactly and how hard will it be to read the newspaper

45:30

Speaker A

well that shouldn't be hard as long as i'm i've as long as i can concentrate on it um going to an at least one event with your uh that your grandchildren are involved with like i can do that it's just maybe a

45:47

Speaker A

scheduling thing about whether or not i i mean i i don't have any idea what i just know that towards the end of the school year they do stuff yeah so um what maybe we'll just put if it

45:58

Speaker A

works out that's good cleaning the sink for 10 minutes how hard is that going to be i think making it for 10 minutes makes it easier if i think about i have to clean up the sink that would be really hard but 10 minutes

46:20

Speaker A

i can do that that's good and reading all your therapy notes not just this week but from last week and a week before i think you can do that i can do that over dinner right from there well abe i think

46:39

Speaker A

you've got a great action plan here even if you could only do half of it it would be so much better than you were doing three weeks ago wouldn't it it's a lot more yeah and i think if you're able to not only do it but

46:54

Speaker A

give yourself credit my guess is you're pretty soon gonna really notice this you know small changes in your mood i notice the change in my mood when i'm doing stuff yeah well it's great that you can see that

47:12

Speaker A

[Music] so what do you think of today's session it i mean it it's good and you know i start thinking well maybe maybe this will work because um these are all things that i i want to do yeah but it's been really hard because

47:41

Speaker A

of those black glasses i think do you think that those thoughts have really gotten in the way yeah i want to do them and i think that if i do do them i think that things will go better i think so too

47:56

Speaker A

now of course you're going to have your ups and downs this week yeah right so there are probably going to be times when you're more depressed but when you when you are feeling more depressed you know the best thing to do

48:08

Speaker A

is just to get up off the couch anything that you do other than sitting on the couch thinking depressing thoughts is better than that anything that you do and the whole thing with depression is depression saps motivation it makes you just want

48:27

Speaker A

to sit on the couch and so what's really important is not to do what you feel like doing when you're depressed because all you feel like doing is sitting on the couch but what's really important to do is the

48:40

Speaker A

things that will help you take better control so not what you feel like doing but the things that will help you feel more in control should i write that down too can i i've got it you got it okay yeah yeah

48:55

Speaker A

i'll put it here so i'll know it from my notes too so not what you feel like doing but what will help you feel in control that's good so was there anything i said today that bothered you or you thought i got wrong

49:16

Speaker A

it was real helpful and how about when you come in next time anything you want to do differently no i think that if we just keep doing this yeah i'm hoping this works oh i think it's going to work i really

49:33

Speaker A

do uh see you next time next week same time great okay

Topics: Cognitive Behavioral Therapy CBT depression treatment behavioral activation thought evaluation self-credit automatic thoughts therapy session mental health Beck Institute


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