Cognitive Behavioral Therapy is a relatively well structured method, focusing on and solving specific problems. It remains close to the present and everyday aspects of a given problem.
Based on the example of a depression, the treatment process would consist of the following elements and steps:
- Phase 1: Forming a therapeutical relationship based on trust and transparency, exploration of biographical data, giving information and explanation of depression, grasp essential nature of current problems, developing goals of the treatment, providing emergency support, assessing mood and everyday routines (patient assessments).
- Phase 2: Evaluating patient assessments, explaining the connection between feelings, thoughts and actions, conveying the therapeutical model (theoretical explanation of the nature of a given problem), presenting and explaining structure and elements of the suggested therapy in relation to their goals. Preparation of the next phase.
- Phase 3: Influencing the patient's condition by changing the structure of their everyday life, developing activities, think about positive activities, integration into their everyday life, decreasing responsibilities and demands, plan of the weak and list of activities.
- Phase 4: Recognising the connection between thinking and feeling, understand automatic, negativ and depression enhancing thoughts, working on cognitive patterns, controlling and changing negative attitudes and thoughts, recording thoughts, changes in convictions and rules, coping with earlier injuries, conflicts and losses.
- Phase 5: Develping new behaviour, improving social competence, developing effective communication and interaction skills, dealing with losses and interpersonal conflicts, improving problem solving abilities, increasing self-confidence, role play, training, integration of partner and family where necessary.
- Phase 6: Completing the therapy, securing the keep-up of the learning process, stabilising success and improvements, noticing the early warning signs of depression, emergency planning, crisis intervention, preventing relapses.