Behaviour Activation

Question 1

Define Behaviour Activation

Answer 1

Intervenes in cycle by Increasing pleasurable activities to lift the mood.

The model assumes that depression is caused by peoples behavior that is punishing rather than rewarding or when reduced access to positive due to avoidance.

Outside in - before and after. indirectly changes beliefs and mood

Question 2

Some BA forms used?

Answer 2

Activity diary for current activity
pleasurable activities sheet
Scheduling sheet for pleasure, mastery, and connection.

Question 3

Behaviour in depression is often avoidance

Answer 3

Avoidance - is a way of coping (inactivity and withdrawal). Attend to the function of these behaviors. Not good long term coping as narrows behaviors causing other problems in life

Question 4

Examples of avoidance

Answer 4

Staying in bed, avoiding work, not socialising, due to lethargy causes work and relationship problems and performance problems and disrupts routine.

Question 5

Focus of BAT

Answer 5

Increase activity, reduce avoidance and increase likelihood of rewards

Change is based on the context in which depression is experienced

Do what works to improve mood

Question 6

Steps in BAT

Measure monitor /FBA - use current
Idea of what think /formulation
Activation strategies like to do and goal
Schedule activities - before and after rating x3 on pleasure mood achievement
Address barriers/problems

Answer 6

Measures and ABC self monitoring - current mood and activities ( mood, achievement, connection)
Psychoed about lowered mood and lowered activity and withdrawal and lowered rewards maintaining and negative consequences
Formulation and function of depressive behaviour
Activation strategies way of breaking the cycle - individualised steps to engage and solve problems - may include BE’s to just see what happens regardless of mood
Goal setting
Schedule activity - small goals first (the chart is beh driven not mood-driven)
Address barriers to activity

Question 7

TRAP

Answer 7

Trigger
Response (T, Sensation, B)
Avoidance Pattern - avoidance to get rid of unpleasant feeling > causes problems > prevents possible contact with positive rewards

Question 8

TRAC

Answer 8

Trigger
Response
AC - alternative coping - an active rather than passive response - allow emotion whilst working toward valued goals.

Question 9

Remember

Answer 9

Re-establish previous pleasant routines first then extend to new positive ones

Lets see what happens - BE’s

Don’t wait for the mood to improve to start

Focus on sleep-eating-work and social regulation of normal routines

Attention to experience to avoid rumination - as rumination is way of avoiding which blocks activity > use exposure

Question 10

Maintenance Cycle Depressed mood

Answer 10

1. Depressed mood > symptoms > negative view of self
2. Depressed mood > sxs > reduced activity > loss pleasure
3. Depressed mood > sxs > reduced coping and PS > nothing change> hopelessness