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Section I Mind Over Mood Unpacked |
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1 How to Use This Clinician's Guide |
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3 | (17) |
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Structure of This Clinician's Guide |
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3 | (1) |
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Applications of This Clinician's Guide |
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4 | (4) |
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How This Guide Helps Experienced Therapists |
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4 | (1) |
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How to Use This Guide in Training and Supervision |
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5 | (2) |
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Practitioners Working in Isolation |
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7 | (1) |
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Personal Use of MOM2 to Facilitate Learning |
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7 | (1) |
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Use of MOM2 by Therapists Who Do Not Practice CBT |
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8 | (1) |
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When to Use MOM2: A Decision Tree |
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8 | (1) |
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Two Ways to Use MOM2 and This Clinician's Guide |
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9 | (1) |
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Fully Integrating MOM2 into Therapy |
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10 | (4) |
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Using MOM2as an Adjunct to Therapy |
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14 | (3) |
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How MOM2 Supports Clients' Progress |
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17 | (3) |
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Clients' Skill Acquisition and Enduring Change |
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18 | (2) |
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2 Fundamental Skills (MOM2 Chapters 1-4) |
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20 | (25) |
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20 | (3) |
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Caution: Read Before Use! |
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23 | (1) |
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MOM2 Chapter 1 How Mind Over Mood Can Help You |
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23 | (2) |
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MOM2Chapter 2 Understanding My Problems |
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25 | (3) |
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25 | (1) |
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25 | (3) |
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MOM2 Chapter 3 It's the Thought That Counts |
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28 | (6) |
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29 | (1) |
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What Else Therapists Need to Know about Thought Connections |
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30 | (4) |
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MOM2 Chapter 4 Identifying and Rating Moods |
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34 | (1) |
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34 | (1) |
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35 | (1) |
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Troubleshooting Guide: MOM2Chapters 1-4 |
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35 | (10) |
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When Clients Have More Than One Primary Mood |
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36 | (1) |
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When Clients Have Limited Reading Ability |
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37 | (1) |
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When Clients Don't Do What They Agree to Do |
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38 | (7) |
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3 Goal Setting (MOM2 Chapter 5) |
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45 | (21) |
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45 | (3) |
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Advantages and Disadvantages of Reaching Goals |
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48 | (1) |
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48 | (1) |
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What Will Help Someone Reach Goals? |
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48 | (3) |
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51 | (1) |
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Setting Goals for Emotional Change |
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51 | (2) |
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Prioritizing Goals and Tracking Progress |
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53 | (1) |
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Troubleshooting Guide: MOM2 Chapter 5 |
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54 | (12) |
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Vague Client Goals or Client Difficulty in Describing Goals |
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54 | (1) |
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Constantly Changing Client Goals |
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55 | (2) |
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57 | (4) |
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Belief That Change Is Impossible |
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61 | (3) |
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Discouragement with Slow Change |
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64 | (2) |
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4 Thought Records, Part I: Situations, Moods, and Thoughts (Columns 1-3; MOM2 Chapters 6-7) |
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66 | (25) |
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Are Thought Records Important? |
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67 | (1) |
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The Flow of Using 7-Column Thought Records in Therapy |
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68 | (1) |
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MOM2 Chapter 6 Situations, Moods, and Thoughts |
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69 | (3) |
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70 | (1) |
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71 | (1) |
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Column 3 Automatic Thoughts (Images) |
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72 | (1) |
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MOM2 Chapter 7 Automatic Thoughts |
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72 | (18) |
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73 | (3) |
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Moods, Automatic Thoughts, and Cognitive Specificity |
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76 | (7) |
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83 | (6) |
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89 | (1) |
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Troubleshooting Guide: MOM2Chapters 6-7 |
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90 | (1) |
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If You Are More Familiar with a Different Thought Record Format |
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90 | (1) |
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5 Thought Records, Part II: Cognitive Restructuring (Columns 4-7; MOM2 Chapters 8-9) |
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91 | (32) |
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MOM2 Chapter 8 Where's the Evidence? |
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91 | (20) |
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Facts versus Interpretations |
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92 | (1) |
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Column 4 Evidence That Supports the Hot Thought |
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92 | (6) |
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Column 5 Evidence That Does Not Support the Hot Thought |
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98 | (13) |
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MOM2 Chapter 9 Alternative or Balanced Thinking |
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111 | (7) |
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When Do Clients Write an Alternative Thought? When Do Clients Write a Balanced Thought? |
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111 | (4) |
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Is It Necessary to Rate the Belief in Alternative/Balanced Thoughts? |
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115 | (1) |
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What If the Evidence Supports the Hot Thought? |
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116 | (1) |
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How Much Mood Change Can Be Expected? |
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117 | (1) |
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Troubleshooting Guide: MOM2 Chapters 8-9 |
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118 | (5) |
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If the Hot Thought Is a Core Belief, Treat It as an Automatic Thought |
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118 | (1) |
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If There Is Little Engagement with or Impact of Thought Records: Use Imagery |
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119 | (1) |
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If All-or-Nothing Thinking Interferes: Use a Continuum |
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120 | (3) |
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6 New Thoughts, Action Plans, and Acceptance MOM2 Chapter 10) |
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123 | (1) |
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Strengthening New Thoughts |
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124 | (2) |
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Action Plans to Solve Problems |
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126 | (4) |
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130 | (3) |
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Combining Action Plans and Acceptance |
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133 | (1) |
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133 | (1) |
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Discrimination and Social Injustice |
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133 | (1) |
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Troubleshooting Guide: MOM2Chapter 10 |
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134 | (2) |
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When People Misinterpret Acceptance as Giving Up |
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134 | (1) |
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When Therapists Are Not Trained in Mindfulness or Acceptance Therapies |
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135 | (1) |
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7 Underlying Assumptions and Behavioral Experiments (MOM2 Chapter 11) |
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136 | (36) |
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When to Work with Underlying Assumptions |
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137 | (3) |
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138 | (1) |
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139 | (1) |
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For Anger, Guilt, Shame, and Other Moods |
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139 | (1) |
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For Behavior Change and Interpersonal Relationships |
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139 | (1) |
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Identifying Underlying Assumptions |
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140 | (2) |
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Mood-Related Underlying Assumptions |
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140 | (1) |
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Behavior-Related Underlying Assumptions |
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141 | (1) |
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142 | (20) |
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Setting Up Effective Behavioral Experiments |
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142 | (18) |
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Behavioral Experiments, Socratic Dialogue, and Our "Two Minds" |
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160 | (2) |
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Developing and Strengthening New Underlying Assumptions |
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162 | (1) |
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Benefits of New Underlying Assumptions |
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162 | (1) |
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An Alternative Approach: Acting "As If" New Assumptions Are True |
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162 | (1) |
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Troubleshooting Guide: MOM2 Chapter 11 |
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163 | (9) |
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Therapist Roadblocks: Underlying Assumptions and Behavioral Experiments |
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163 | (3) |
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Common Underlying Assumptions and Behavioral Experiments to Test Them |
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166 | (6) |
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8 New Core Beliefs, Gratitude, and Acts of Kindness (MOM2 Chapter 12) |
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172 | (34) |
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Why Doesn't Everyone Need to Work with Core Beliefs? |
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173 | (2) |
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Who Is Likely to Benefit from Work on Core Beliefs? |
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175 | (2) |
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Chronic or Long-Standing Mood Issues |
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175 | (1) |
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Chronic or Long-Standing Behavioral Issues |
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175 | (1) |
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Concurrent Personality Disorder Diagnoses |
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175 | (1) |
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Primary Treatment of Personality Disorders |
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176 | (1) |
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177 | (3) |
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Core Beliefs about Self, Others, and the World |
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178 | (2) |
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Using Either the Simple or Downward Arrow Worksheets to Identify Core Beliefs |
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180 | (1) |
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Identifying New Core Beliefs |
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180 | (2) |
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Strengthening New Core Beliefs |
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182 | (12) |
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Completing Core Belief Records |
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183 | (2) |
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Rating Confidence in a New Core Belief on a Scale (Continuum) |
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185 | (5) |
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Rating Behaviors on a Scale (Continuum) Instead of in AII-or-Nothing Terms |
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190 | (2) |
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Conducting Behavioral Experiments to Strengthen New Core Beliefs |
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192 | (2) |
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Approaching Rather Than Avoiding Challenging Situations |
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194 | (1) |
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What Happens after Core Belief Work? |
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195 | (1) |
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196 | (6) |
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196 | (4) |
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200 | (1) |
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Applications of Gratitude and Kindness for Clinical Issues |
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201 | (1) |
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Troubleshooting Guide: MO/W2 Chapter 12 |
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202 | (4) |
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Therapy When Concurrent Personality Disorders Are Present |
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202 | (4) |
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9 Depression and Behavioral Activation (MOM2 Chapter 13) |
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206 | (21) |
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Depression Guide for Clinicians: The Flow of Therapy |
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208 | (1) |
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Measuring Depression and Tracking Improvement |
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209 | (2) |
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211 | (3) |
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214 | (1) |
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"I Can't Do This" (Negative Thoughts about Oneself) |
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215 | (1) |
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Pessimism (Negative Thoughts about Life Experiences) |
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216 | (1) |
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Hopelessness (Negative Thoughts about the Future) |
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217 | (1) |
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The Evidence Base for MOM2's Approach to Depression |
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218 | (1) |
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Many Effective Therapies for Depression |
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218 | (1) |
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Choosing Treatments That Reduce Relapse |
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219 | (2) |
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The Influence of This Research on MOM2 |
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221 | (1) |
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Troubleshooting Guide: MO/W2Chapter 13 |
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221 | (1) |
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Reluctance to Do Activities |
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221 | (2) |
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Inability to Feel Pleasure |
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223 | (2) |
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Extremely Low Activity Levels |
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225 | (1) |
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Discriminating among Sadness, Grief, and Depression |
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226 | (1) |
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10 Understanding Anxiety and Treatment Principles (MOM2 Chapter 14) |
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227 | (2) |
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Anxiety Guide for Clinicians: The Flow of Therapy |
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229 | (2) |
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Therapist Confidence in Anxiety Treatment |
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231 | (1) |
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Anxiety Treatment: Guiding Principles |
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232 | (18) |
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Welcome Anxiety: Evoke Curiosity Instead of Self-Criticism |
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232 | (1) |
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Measure Anxiety and Track Improvement |
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233 | (2) |
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Approach Anxiety Instead of Allowing Avoidance and Safety Behaviors |
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235 | (2) |
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Therapy Goal: Manage Anxiety, Don't Eliminate It |
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237 | (3) |
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Identify and Test the Central Beliefs in Anxiety |
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240 | (10) |
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Understanding Anxiety: MOM2Chapter 14 Skills and Worksheets |
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250 | (14) |
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Fear Ladder: Approaching or Avoiding? |
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250 | (2) |
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Increasing Anxiety Tolerance |
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252 | (9) |
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Changing Anxious Thoughts and Images |
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261 | (1) |
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262 | (2) |
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Troubleshooting Guide: MOM2Chapter 14 |
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264 | (7) |
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264 | (3) |
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Helping Clients Approach Their Fear of Death |
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267 | (1) |
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Avoidance of Therapy Procedures |
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268 | (3) |
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11 Adapting MOM2 to Common Anxiety and Related Disorders |
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271 | (36) |
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Common Elements in CBT Protocols for Anxiety Disorders |
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273 | (1) |
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Using MOM2 in Treatment of GAD: The Worry Disorder |
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273 | (10) |
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Demonstrate How Anxiety Operates and How Worries Are Fueled by Anxiety |
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275 | (3) |
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Identify the Underlying Assumptions That Lie beneath Worries |
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278 | (1) |
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Devise Behavioral Experiments to Test Underlying Assumptions |
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279 | (1) |
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Identify Alternative Assumptions That Promote Less Worry and Anxiety |
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279 | (2) |
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Devise Behavioral Experiments to Test the Utility of Alternative Assumptions |
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281 | (2) |
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Using MOM2 in Treatment of Panic Disorder |
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283 | (7) |
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Identify Catastrophic Misinterpretations |
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285 | (2) |
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Induce and Identify Noncatastrophic Explanations for Sensations |
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287 | (1) |
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Devise Behavioral Experiments to Decrease Avoidance and Safety Behaviors |
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288 | (2) |
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Devise Further Behavioral Experiments |
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290 | (1) |
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Using MOM2 in the Treatment of Specific Phobia |
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290 | (4) |
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Using MOM2 in the Treatment of Agoraphobia |
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294 | (1) |
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Using MOM2 in the Treatment of Social Anxiety |
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295 | (7) |
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Testing Social Anxiety "Danger" Beliefs |
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296 | (1) |
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Increasing Confidence in Coping |
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297 | (1) |
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Assertive Defense of the Self |
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297 | (5) |
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Social Anxiety: Better to Test Danger Beliefs, Develop Coping Skills, or Both? |
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302 | (1) |
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Related Disorders: OCD and PTSD |
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302 | (3) |
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Obsessive-Compulsive Disorder |
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303 | (1) |
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Posttraumatic Stress Disorder |
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304 | (1) |
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Troubleshooting Guide: Common Anxiety Disorders |
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305 | (2) |
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Multiple Anxiety Problems |
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305 | (2) |
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12 Anger, Guilt, and Shame (MOM2 Chapter 15) |
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307 | (49) |
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When Do These Moods Become Problems? |
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308 | (1) |
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Measuring and Tracking Moods in Three Dimensions |
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309 | (2) |
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311 | (20) |
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Anger Guide for Clinicians: The Flow of Therapy |
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311 | (2) |
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Forming an Alliance and Rating Anger |
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313 | (1) |
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Identifying Thoughts, Images, and Memories Linked to Anger |
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314 | (1) |
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Considering Your Client's Perspective First |
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315 | (3) |
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Thought Records, Action Plans, and Behavioral Experiments |
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318 | (1) |
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Slowing Down an Anger Response |
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318 | (7) |
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325 | (5) |
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Rating Anger Management Strategies |
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330 | (1) |
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Anger as an Issue in Couple or Family Therapy |
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331 | (1) |
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331 | (22) |
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Measuring and Tracking Guilt and Shame, 337/Guilt or Shame Guide for Clinicians: The Flow of Therapy |
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332 | (1) |
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Understanding Guilt and Shame |
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333 | (1) |
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Assessing the Seriousness of Actions |
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334 | (4) |
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Using a Responsibility Pie to Weigh Personal Responsibility |
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338 | (3) |
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Making Reparations for Hurting Someone |
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341 | (3) |
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Breaking the Silence Surrounding Shame or Guilt |
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344 | (7) |
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351 | (2) |
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Troubleshooting Guide: MOM2 Chapter 15 |
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353 | (3) |
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People Who Blame Others Instead of Feeling Guilt or Shame |
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353 | (3) |
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13 Relapse Management and Happiness (MOM2 Chapter 16 and Epilogue) |
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356 | (15) |
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Skills Practice and Relapse Management |
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358 | (2) |
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Reviewing and Rating MOM2Skills |
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360 | (1) |
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Reducing the Likelihood of Relapse |
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360 | (3) |
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Identify High-Risk Situations |
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361 | (1) |
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Identify Early Warning Signs |
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361 | (1) |
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362 | (1) |
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Engage in Imaginal Coping Practice with the Plan of Action |
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362 | (1) |
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Using MOM2as a Posttherapy Guide |
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363 | (1) |
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Enhancing Happiness and Positive Experiences with MOM2 |
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364 | (1) |
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MOM2 Epilogue: For Readers and Therapists |
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365 | (6) |
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Section II Mind Over Moodin Context |
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14 CBT Principles in Individual and Couple Therapy |
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371 | (36) |
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The Great Variety of CBT Approaches: A "Many Therapies" View |
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372 | (2) |
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What Is Evidence-Based Therapy? |
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374 | (1) |
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The Continuing Evolution of CBT Approaches |
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374 | (1) |
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Common Principles of CBT: A "One Therapy" View |
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374 | (20) |
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Principle 1 Use CBT-Based Case Conceptualizations |
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375 | (10) |
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Principle 2 Create and Maintain a Collaborative Therapy Relationship |
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385 | (5) |
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Principle 3 Be Guided by Empiricism |
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390 | (2) |
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Principle 4 Emphasize Skill Acquisition and Enduring Improvements |
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392 | (2) |
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Methods of Guided Discovery in CBT |
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394 | (3) |
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Guided Discovery Embedded in MOM2 |
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394 | (1) |
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Socratic Dialogue: Four Steps |
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395 | (2) |
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Creative Applications of MOM2: Substance Misuse and Abuse |
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397 | (3) |
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Permission-Giving Beliefs |
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397 | (1) |
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398 | (1) |
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Life and Relationship Problems |
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399 | (1) |
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MOM2 Compatibility with Treatment Programs |
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399 | (1) |
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400 | (1) |
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Troubleshooting Guide: Use of CBT Principles |
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400 | (7) |
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Refusal to Discuss Cultural Background |
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400 | (3) |
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403 | (2) |
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When Clients Don't Improve |
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405 | (2) |
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15 /VTOM2-Based Group Therapy |
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407 | (48) |
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Structure of MOM2-Based CBGT |
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408 | (1) |
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Protocol-Based MOM2 Depression Group |
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408 | (40) |
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Pregroup Individual Session |
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408 | (1) |
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409 | (5) |
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414 | (2) |
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416 | (1) |
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417 | (2) |
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419 | (3) |
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422 | (4) |
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426 | (3) |
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429 | (3) |
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432 | (3) |
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435 | (1) |
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435 | (1) |
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436 | (6) |
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442 | (1) |
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443 | (1) |
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444 | (3) |
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Postgroup Individual Session |
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447 | (1) |
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Modular CBGT: Skills-Focused and Problem-Based Approaches |
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448 | (9) |
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Skills-Focused Modular CBGT |
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448 | (1) |
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Problem-Based Modular CBGT |
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449 | (2) |
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Troubleshooting Guide: Group Therapy |
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451 | (1) |
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Different Rates of Client Progress and Skill Development |
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451 | (1) |
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Group Members Who Are Silent or Too Talkative |
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451 | (1) |
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Falling Behind or Getting Ahead of Schedule |
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452 | (1) |
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453 | (2) |
Appendix A Specific Mood Reading Guides from MOM2 |
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455 | (5) |
Appendix B A Personal History of the 7-Column Thought Record |
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460 | (3) |
Appendix C Additional Resources from Christine A. Padesky |
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463 | (2) |
References |
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465 | (13) |
Index |
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478 | |