STAIR Session 4:Tools for Behavior and Effective Communication
Theme
• Introduce the final emotion channel: BEHAVIOR
• Teach effective communication skills through "I Messages"
Session Outline
1. Review latest PCL-5 score
• Brief symptom check-in.
2. Session Focus (script)
• Today's focus: Learning tools to manage behaviors and communicate effectively.
3. Review Skills Practice
• Review the Feelings Monitoring Form (FMF).
• If not completed, fill out together and use as material for today's focus on behavior and
relationships.
4. Identify Ineffective Coping on the Behavior Channel
• Review the "Ineffective Coping" handout.
• Identify problematic behaviors the patient wants to change.
• Validate these behaviors as common but note short-term vs. long-term effects.
5. Introduce Behavior Channel Tools
Pleasant Activities
• Brainstorm activities to increase positive emotions and motivation.
• Emphasize activities that can serve as mindfulness practices.
Effective Communication with "I Messages"
• Teach the "I Message" structure: Event/Behavior → Feeling → Consequence.
• Focus on reducing blame and encouraging assertiveness.
• Discuss cultural and relational barriers.
Tips for using "I Messages":
• Be patient: Change takes time.
• Be realistic: Some conflicts may not resolve, but assertive communication maintains self-
respect.
2.
6. Optional BehavioralChannel Tools
Positive Imagery
• Practice imagining a vivid calming place, using sensory details.
• Keep a reminder (e.g., photo, object) handy.
Seek Support
• Encourage reaching out for validation or connection using Pleasant Activities and "I
Messages."
Take a Break
• Teach taking structured breaks without avoidance.
Example Script:
"I am feeling really angry and I need to take a break before I say or do something I will regret.
I’m going to take 30 minutes to cool down. When I come back, and if you are willing, I would
like to continue this conversation."
7. Assign Skills Practice
• Practice Focused Breathing or Emotion Surfing twice daily.
• Complete FMF daily with a focus on interpersonal challenges.
• Use "I Messages" at least once.
• Select at least one Behavior Channel Tool (Pleasant Activities, Positive Imagery, Seek Support,
or Take a Break).
• Continue one Thought Channel Tool (Evidence Technique, Thought Shifting, Positive Self-
Statements).
• Continue one Body Channel Tool (Health Plan, Soothing the Senses, PMR).
8. Ensure Workbook Availability
• Confirm workbook access for ongoing skills tracking.
• Request replacements if needed.
