Skills Integration

  • provide & elaborate on specific interventions that are theoretically based, but may be useful across theoretical orientations

    • feelings - elicit/identify, express, regulate

    • behaviors - identify, track, understand, modify

    • beliefs and attitudes - identify, track, challenge, replace/reframe

    • language - story & restory

Eliciting - Questions

  • have client show how they feel the emotion on the gingerbread man

    • what is it like?

    • is it a familiar feelings?

    • do you have an image that captures the feeling?

    • is there a particular place in your body where you experience that feeling?

  • write down all feelings - see if they find themes

  • hues & cues - pick a color, describe why you feel that way

Eliciting - Emotion Log

  • develop a chart for client o use during the week to chart emotions (or client can journal)

  • questions for follow-up

    • what is your name for the emotions

    • was it a sudden onset emotion or a more enduring mood

    • did you have body sensations with your emotions

    • what thoughts came into your mind

    • did you act or feel like doing something

    • what info is your emotion giving you

Expressing

  • processing in counseling

  • journaling

  • biofeedback

Regulating

  • relaxation & breathing exercises

  • yoga, meditation, mindfulness

  • wise mind exercises (from DBT)

  • grounding exercises

    • temporal grounding

    • physical/sensory grounding (example)

Behavior

  • skills training

    • social modeling

    • rehearsal

    • feedback

  • self-management

    • self-monitoring

    • exposure strategies

    • imaginal and in vivo exposure

    • brief exposure

    • prolonged exposure

Beliefs & Attitudes

  • ABC, ABCD, ABCDE Analysis (Ellis)

    • A - activating event

    • B - Beliefs

    • C - consequences of beliefs

    • D - disputing the beliefs

    • E - effort to change beliefs

  • cognitive restructuring

    • work of Aaron Beck

    • automatic thought record

    • cognitive distortions

Language Meaning, Stories

  • social constructionism

  • solution focused brief therapy

    • exception questions

    • miracle questions

    • scaling questions

  • narrative therapy

    • search for unique outcomes

    • restorying