3. Helps
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1. Explaining stressful situation
2. Don’t know what to do
3. Help unavailable
4. Unable to solve
5. Failed expectations
6. Loss of meaning and purpose
4. Acceptance
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Therapist cannot teach acceptance it is a skill
which acquire through practice
Role of the therapist
Find out Negative information about self
Key areas of persons life where persons feeling
unacceptable
Examine that feeling of rejection
5. “Talk therapies” goal
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Bring a change in the thought by aware patient
about thoughts and emotions
Identify how thoughts and behavior influence
emotion of the patient
Improve feelings by changing dysfunctional
behavior
6. Thoughts
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Cognitive and behavioral aspects of feeling
Negative thoughts “I am not good "or “things are
not going to be better any more”
This part of verbalization telling actually patient is
not accepting his/her condition and depressed. It
also physically change appetite and sleep
13. Antecedents
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Behavioural
• How do you
normally act
before this
happens?
Cognitive
• What thought
go through your
mind before it
happens?
Contextual
• When and
where does this
usually
happen?
14. Antecedent vs consequences
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Relational
Identify possible
treatment obstacles
Home work
Assignment
• Do you do this with
everyone or j
• Just when you are around
certain people?
• Finance ,travel
• Stigma concern
• Family not supportive
• Think about agreed
treatment plan and any
adjustment it might need?
• Make list of obstacles to
therapy that may arise?
16. Instillation of hope
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Check belief system
Expectation of positive/good
Brighter future
Unconditional love
Reassurance
Purpose of journey of life
Security
Freedom from fear
Confidence
Spirit/gods transcendence in future
17. Meaning and purpose
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5 phases
Facing mortality
Letting go of fear and turmoil
Identifying and making lifestyle changes
Seeking divine purpose
Making meaning in daily life
18. Forgiveness
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Acceptance and awareness of strong emotion
anger and sadness
Letting go of previously unmet needs
A shift in the forgiving persons view of the
offender
Development of empathy for the offender
Development of new narrative of self and others