ME Project Handouts Weeks 1-6

Transcription

1 ME Project Handouts Weeks 1-6

2 Note: This document is formatted so that the two-page handouts are double-side. In order to print this document correctly, please make sure that your printer is set to print in two-sided mode. Questions? Please with any questions, or call John Santin, the project coordinator for the ME Project, at ext

3 Week 1 Handouts 1. Home Practice 2. Triangle of Thoughts, Feelings, and Behaviors =3 Method of Analyzing Your Emotions 4. Identifying Negative Thoughts 5. Having More Fun 6. Setting a Goal 7. Mood Journal (Session 1)

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5 HOME PRACTICE Use this form to help you remember home practice assignments each week. Put a check mark next to the home practice when it s complete. Week 1: Mood Journal (check off as you complete each day): Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Having more fun (1 activity): Week 2: Mood Journal Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Having more fun (1 activity): (1 physical activity): Week 3: Mood Journal Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Having more fun (spend time with someone you have not seen lately): Reward Contract Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Week 4: Mood Journal Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Having more fun (1 physical activity): Reward Contract Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Getting out of a negative rut: (choose 1 technique): Week 5: Mood Journal Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Having more fun (1 activity): Reward Contract Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Handle a daily hassle (choose 1 technique):

6 HOME PRACTICE, Page 2 Use this form to help you remember home practice assignments each week. Put a check mark next to the home practice when it s complete. Week 6: Mood Journal Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Having more fun (1 physical activity): Reward Contract Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Getting out of a negative rut: (choose 1 technique): Handle a daily hassle (choose 1 technique):

7 THE TRIANGLE OF FEELINGS, THOUGHTS, & ACTIONS The triangle below illustrates the way in which how we think, feel, and behave all influence one another. THOUGHTS INFLUENCE FEELINGS After studying hard, but doing poorly on a test, you think, I ll never succeed at anything, which leads to feeling bad about your abilities as a student feeling hopeless about the future. FEELINGS INFLUENCE ACTIONS You feel hopeless about studying for the next exam, and dwell on your sad feelings. You then procrastinate studying and don t study hard, because you still feel so discouraged about your last exam. FEELINGS INFLUENCE THOUGHTS A friend has to cancel their plans with you because they have a family obligation. You feel disappointed, which prompts you to think, Maybe they just made up that excuse because they don t want to hang out with me. THOUGHTS INFLUENCE ACTIONS You begin to think badly of your friend and recall times in the past when you haven t gotten along. When your friend calls to make plans, you get even by telling them that you have other plans (when you really don t). ACTIONS INFLUENCE THOUGHTS Your lack of studying for the next exam results in another poor grade. You think, Here we go again. I don t know why I even keep trying. It s useless. I m a failure. ACTIONS INFLUENCE FEELINGS Your friend accepts your excuse and doesn t appear to feel bad. You spend the day alone and convince yourself that your friend is probably having more fun without you. You feel lonely, sad, and disappointed. FEELINGS THOUGHTS ACTIONS

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9 THE 1+2=3 METHOD OF ANALYZING YOUR EMOTIONS Negative emotions are the result of both what happens to us (the Trigger) and what we think about the trigger or ourselves (Negative Thoughts). We ll be using this model throughout the program. By learning more about this model, you will begin to understand your emotions and learn new ways of feeling at least a little better. 1. TRIGGER: The situation or experience that sparks negative feelings or thoughts. 2. NEGATIVE THOUGHTS: The thoughts we have about ourselves in response to these activating events. 3. FEELINGS: Your feelings, which are the result of those thoughts. 1 TRIGGER: You forgot your book and can t study for a big test. 2 NEGATIVE THOUGHTS: I am going to fail my test! I m such a screw-up! 3 FEELINGS: You feel sad and hopeless about the future.

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11 IDENTIFYING NEGATIVE THOUGHTS Below is a list of common negative thoughts. Everyone has thoughts like these from time to time, but sometimes we say things like this to ourselves so often that we don t even notice it anymore. Look at the list below and put a check mark next to all of the thoughts that you ve had recently. I am wasting my life. I am so stupid. I am always so confused. Nobody loves me. I am afraid of everything. What s the use? I ll be alone forever. That was a dumb thing for me to do (or say). Something is wrong with me. Life has no meaning. I m ugly. It s all my fault. Nobody knows the real me. I am worthless. I am a failure. I never do anything right. I don t have the ability to change. I hate myself. No matter how hard I try, people aren t satisfied. Life is unfair. Why do I even bother getting up in the morning? Things are only going to get worse. I m a loser. I ll never have any good friends. I ll never be as good as. Bad things always happen to me.

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13 HAVING MORE FUN When people feel down, they tend to lose energy and motivation for everything even things they enjoy. The problem is that when you are feeling sad is when you need to have fun. So, make a list of fun activities in the categories below. Try to fill in all of the blanks in every category (you can even add more ideas on the back of this page). Each week, you ll be picking new activities to complete on your own. Social: Ex. Spend time with a friend you don t see often; make plans to go to Amazon Pool Physical: Ex. Go for a walk around the neighborhood; hike at Mt. Pisgah; play basketball with a friend Relaxing/Indulgent: Ex. Go out for ice cream; relax with a favorite book and your favorite snack

14 Entertainment: Ex. Rent a favorite old movie; buy and listen to a new CD Other ideas:

15 We want to help you get the most you can out of this program for improving your mood. Please take a moment to think about the most important goal you d like to work towards over the next six weeks. This doesn t have to be a big goal, just something that you feel is important and will help to improve the way you feel. In the next six weeks, I would like to work on the following:

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17 MOOD JOURNAL Your mood can vary greatly from day to day, so it is often helpful to look for patterns in the way you are feeling over a typical week. Each day, use the blanks below to record one negative thought you experienced during the day and list the trigger which may have led to that negative thought. Next, rate how strongly you believe that thought on a scale from Then, rate what your mood was when that trigger and negative thought happens. Finally, rate your overall mood for the day on a scale from 1 to 7. Mood Rating Scale: very sad normal very happy How Strongly You Believe Negative Thought: not at all somewhat totally believe Example: Trigger ( ): You forgot your book and can t study for the test. ): I m going to fail I m such a screw up! How Strongly You Believe Negative Thought: 90 Mood Rating: 2 Overall mood rating for the day: 3 Day 1: Trigger ( Overall mood rating for the day: Day 2: Trigger ( Overall mood rating for the day: Day 3: Trigger ( Overall mood rating for the day:

18 Day 4: Trigger ( Overall mood rating for the day: Day 5: Trigger ( Overall mood rating for the day: Day 6: Trigger ( Overall mood rating for the day: Day 7: Trigger ( Overall mood rating for the day:

19 Week 2 Handouts 1. Thinking More Positively Sample Interview Questions 2. Challenging Negative Thoughts: What s the Alternative? 3. Practice with What s the Alternative? 4. You Deserve a Reward 5. Mood Journal (Sessions 2-6)

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21 THINKING MORE POSITIVELY: SAMPLE INTERVIEW QUESTIONS In this activity, pair up and spend a few minutes getting to know someone new in the group. After a few minutes, you ll be asked to say two positive things about your partner (for example, My partner is a very adventurous person. She wants to go skydiving. ) and two positive things about yourself. Your partner will then say two new positive things about themselves and two new positive things about you! If you re having trouble getting started, here are a few sample interview questions. As you ask the questions, think about what they mean about that person (for example, if their favorite movie is a comedy, it might mean that person has a good sense of humor). 1. Partner s name: Grade/Year in School: 2. What is your favorite movie / book / band / or play? 3. What is the most exciting thing that ever happened to you? 4. What do you like to do on rainy days? 5. Where is the most interesting place you ve traveled to? 6. Do you have pets? If so, what kind and what are they like? 7. What unique hobbies do you have? 8. If you could meet someone famous, who would it be and why? 9. What is one thing you do really well? 10. If you could press a button and instantly learn one skill (like in The Matrix), what would it be? 11. If you were given $1000 but had to give it all away, to whom or to what charity would you give it to?

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23 Just like every cloud has a silver lining, there is more than one way to look at most situations. Here are some questions to help you challenge negative thoughts using the what s the alternative? approach: Is there another way to think about this situation, even if it seems unlikely? What advice would I give a friend who was feeling the way I do? Are there positive things about this situation or myself that I am overlooking? How likely is it that my thought is correct? When things like this have happened before, what have been the reasons?

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25 PRACTICE WITH WHAT S THE ALTERNATIVE? The situations below describe some triggers ( ) which may cause changes in your mood. Think about the negative thoughts ( ) that might be generated by these activating events, as well as the feelings ( ) that could result. Use the What s The Alternative? technique to think of other ways to think about and deal with the events listed below. 1. Trigger: Your girlfriend/boyfriend tells you that she/he needs some space. What negative thoughts might be generated? What feelings could result? Positive counter-statement using the What s The Alternative? technique: How might the alternative thought change the feelings above? 2. Trigger: Your parents have been nagging you constantly about your grades. What negative thoughts might be generated? What feelings could result? Positive counter-statement using the What s The Alternative? technique: How might the alternative thought change the feelings above? 3. Trigger: You break your leg right at the start of summer vacation. What negative thoughts might be generated? What feelings could result? Positive counter-statement using the What s The Alternative? technique: How might the alternative thought change the feelings above?

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27 What are some simple things that make you happy? Complete this form so that you can be rewarded for all the good things you do! PEOPLE: List two people with whom you d like to spend more time each week but don t get a chance to: PLACES: List four places where you d like to spend more time: THINGS: List four things you do not own that you would like to have and can afford (e.g., books, CD s, candy) TREATS: List below the six foods and drinks you like best ACTIVITIES: List six simple activities that you enjoy (e.g. going for a walk, listening to music, playing with a pet)

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29 MOOD JOURNAL Each day, use the blanks below to record one negative thought you had during the day and list the trigger which may have led to that negative thought. Next, rate how strongly you believe that thought on a scale from and rate your mood at that time on a scale from 1 to 7. Then, take some time to generate the best positive counter-thought you can. Did generating a positive counter-thought change the strength of your belief in the negative thought or your mood? If it did, write your new mood rating and how strongly you believe the negative thought after thinking of a counter-thought. Mood Rating Scale: very sad normal very happy How Strongly You Believe Negative Thought: not at all somewhat totally believe Day 1: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 2: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating:

30 Day 3: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 4: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating: Day 5: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 6: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 7: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating:

31 Week 3 Handouts 1. Challenging Negative Thoughts: Where s the Evidence? 2. Practice with Where s the Evidence? 3. Contract 4. Mood Journal (Sessions 2-6)

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33 Sometimes negative thoughts are so familiar, we don t stop to question whether or not they are actually true. From now on, pretend you are a detective searching for evidence. What are the clues that support your negative thought? What are the clues that don t? Below are some questions to consider that can help you challenge your negative thoughts: What proof do I have that my negative thought is true? Is there any evidence that doesn t support my negative thought? If I ve had this negative thought before, has it always been accurate? Can I be 100% sure that my negative thought is true? If not, why not?

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35 PRACTICE WITH WHERE S THE EVIDENCE? The situations below describe some triggers ( ) which may cause changes in your mood. Think about the negative thoughts ( ) that might be generated by these triggers, as well as the feelings ( ) that could result. Use the Where s The Evidence? technique to think of other ways to think about and deal with the events listed below. 1. Trigger: Your best friend has been blowing you off since he/she got into a new relationship. What negative thoughts might be generated? What feelings could result? Positive counter-thought using Where s The Evidence? How might this change the feelings above? 2. Trigger: The person you are romantically interested in becomes involved with someone else. What negative thoughts might be generated? What feelings could result? Positive counter-thought using Where s The Evidence? How might this change the feelings above? 3. Trigger: You freeze up on a test and get a bad grade. What negative thoughts might be generated? What feelings could result? Positive counter-thought using Where s The Evidence? How might this change the feelings above?

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37 CONTRACT Today s date: I recognize that completing my mood journal every day is very important and will help improve my mood. I will do the best I can to complete my mood journal and record my fun activities every day, and bring my folder to our meetings. Here are some fun activities I can do this week (list several): For accomplishing these tasks, I agree to reward myself with one of the following rewards (list several choices): Each day this week, I will track whether I did my mood journal, what I did for fun, and how I rewarded myself on the form below: Day of the Week Mood Journal Completed? Day 1: YES NO Day 2: YES NO Day 3: YES NO Day 4: YES NO Day 5: YES NO Day 6: YES NO Day 7: YES NO Fun Activity Performed: Reward Provided: participant signature facilitator signature

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39 MOOD JOURNAL Each day, use the blanks below to record one negative thought you had during the day and list the trigger which may have led to that negative thought. Next, rate how strongly you believe that thought on a scale from and rate your mood at that time on a scale from 1 to 7. Then, take some time to generate the best positive counter-thought you can. Did generating a positive counter-thought change the strength of your belief in the negative thought or your mood? If it did, write your new mood rating and how strongly you believe the negative thought after thinking of a counter-thought. Mood Rating Scale: very sad normal very happy How Strongly You Believe Negative Thought: not at all somewhat totally believe Day 1: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 2: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating:

40 Day 3: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 4: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating: Day 5: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 6: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 7: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating:

41 Week 4 Handouts 1. Challenging Negative Thoughts: What if it s True? 2. Practice with What if it s True? 3. Practice Getting out of a Negative Rut 4. Getting out of a Negative Rut 5. Mood Journal (Sessions 2-6)

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43 Sometimes we spend so much time feeling bad about negative thoughts, we don t think about what it would mean if they really were true. Is it possible that it might not be that bad? How terrible would it really be? using the what if it s true approach: Use these questions to challenge negative thoughts If my negative thought is true, how can I cope with this situation? How will thinking negatively about this situation help me? How might it work against me? If it is true, what is the worst thing that can happen? How likely is it that this will happen? If it is true, will this matter in one week? One year? Ten years?

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45 PRACTICE WITH WHAT IF IT S TRUE? The situations below describe some triggers ( ) which may cause changes in your mood. Think about the negative thoughts ( ) that might be generated by these triggers, as well as the feelings ( ) that could result. Use the What If It s True? technique to think of other ways to think about and deal with the events listed below. 1. Trigger: You realize you have four tests this week and will need to spend your birthday weekend studying. What negative thoughts might be generated? What feelings could result? Positive counter-thought using What If It s True? technique: How might this change the feelings above? 2. You are already broke and your car breaks down and will need costly repairs. What negative thoughts might be generated? What feelings could result? Positive counter-thought using What If It s True? technique: How might this change the feelings above? 3. You don t get the job you wanted. What negative thoughts might be generated? What feelings could result? Positive counter-thought using What If It s True? technique: How might this change the feelings above?

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47 PRACTICE GETTING OUT OF NEGATIVE COPING RUTS Below are examples of situations where someone has gotten stuck in a negative rut. How would you try to get out of the cycle of feeling bad? You ve had a fight with your girlfriend/boyfriend. Talking to your friend about it is only making you feel worse! What is the negative rut? What else can you try? Tomorrow you have a presentation that is worth a lot of your grade. You ve done all the work you need to do, but you re still feeling worried. Going over your notes isn t helping. What is the negative rut? What should you try next? You ve been feeling down all day, and you don t know why. You ve been watching TV, and that usually helps you get your mind off your problems, but you aren t feeling any better. What is the negative rut? What else might work? You re lying awake, thinking about a conversation you had earlier in the day. The more you think about it, the worse you feel... but you can t stop thinking about it! What is the negative rut? It s the middle of the night what can you do?

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49 A Negative Rut is like a well-worn path: it s easy to follow because it s familiar, but it leads you to feeling down or upset. You might feel stuck in a negative coping rut because of your thinking, focusing on negative thoughts or replaying negative things over and over in your mind. You could also feel stuck in a negative coping rut because of the things you are doing, always doing the same thing when trying to solve a problem you have. WRITE DOWN AN EXAMPLE OF A NEGATIVE RUT: To get out of the negative rut, you need to do something different. Here is a list of things to do to get out of a negative rut and make a new path to feeling better! THINGS I CAN DO TO GET OUT OF A NEGATIVE RUT:

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51 MOOD JOURNAL Each day, use the blanks below to record one negative thought you had during the day and list the trigger which may have led to that negative thought. Next, rate how strongly you believe that thought on a scale from and rate your mood at that time on a scale from 1 to 7. Then, take some time to generate the best positive counter-thought you can. Did generating a positive counter-thought change the strength of your belief in the negative thought or your mood? If it did, write your new mood rating and how strongly you believe the negative thought after thinking of a counter-thought. Mood Rating Scale: very sad normal very happy How Strongly You Believe Negative Thought: not at all somewhat totally believe Day 1: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 2: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating:

52 Day 3: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 4: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating: Day 5: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 6: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 7: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating:

53 Week 5 Handouts 1. Planning Ahead: Daily Hassles 2. Planning Future Fun 3. Mood Journal (Sessions 2-6)

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55 PLANNING AHEAD: DAILY HASSLES We all deal with small daily hassles, but often such events can significantly change our mood or make a good day feel like a bad one. Daily hassles include things like always running late, or dealing with a person that you don t like but have to see every day. Some daily hassles are avoidable, while others are not within our control. Below, list some daily hassles that occur frequently for you and write in whether the hassle is controllable or not. Next, if the hassle is controllable, write in a way you might approach the hassle differently or avoid it. If the hassle is out of your control, write in a way you might change your response to dealing with the hassle. Description of Hassle Controllable? Response Plan Ex. Assigned to group project with person you dislike. No Work extra efficiently to finish project early OR Promise yourself a reward for bearing with it

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57 We want you to continue to find a variety of activities that you enjoy and make time for them in the future. Below is a schedule for you to fill with fun activities: List 5 things you can do on a daily basis that you enjoy, that don t require lots of planning or money: List 4 things you could do once a week that you enjoy but are pretty easy to plan: List 3 things you really like that you could do once a month: List 2 things that you can plan to do once or twice a year this can be really special treats to yourself! 1. 2.

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59 MOOD JOURNAL Each day, use the blanks below to record one negative thought you had during the day and list the trigger which may have led to that negative thought. Next, rate how strongly you believe that thought on a scale from and rate your mood at that time on a scale from 1 to 7. Then, take some time to generate the best positive counter-thought you can. Did generating a positive counter-thought change the strength of your belief in the negative thought or your mood? If it did, write your new mood rating and how strongly you believe the negative thought after thinking of a counter-thought. Mood Rating Scale: very sad normal very happy How Strongly You Believe Negative Thought: not at all somewhat totally believe Day 1: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 2: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating:

60 Day 3: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 4: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating: Day 5: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 6: Trigger ( Positive Counter-thought: New Strength of Belief in Negative Thought: New Mood Rating: Day 7: Trigger ( Positive Counter-though: New Strength of Belief in Negative Thought: New Mood Rating:

61 Week 6 Handouts 1. Planning Ahead: Major Life Events 2. Plans B & C for Coping with Bad Feelings 3. Positive Emotions Toolbox 4. Exit Questionnaire

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63 PLANNING AHEAD: MAJOR LIFE EVENTS Major life events are just that they re a MAJOR change. The change doesn t have to be for the worse, but any change can disrupt our lives and impact our mood. Examples of major life events might include the death of a loved one (a bad change), or moving to a new city (might be a good change). Just as with daily hassles, some major events are within our control, while others are not. Below are some major life events you may face in the future. Write in whether the event is controllable or not. Next, if the event is controllable, write in a way you might positively approach the change or avoid it. If the event is out of your control, write in a way you might respond to the change. Description of Event Controllable? Response Plan Ex. Moving away from home for job / college. Ex. Close friend / family member diagnosed with cancer. Yes No Look at it as an adventure; Visit the new city several times to familiarize yourself with it; Schedule visits and phone calls to/from friends to help with transition Realize that it s OUT of your control; Make the most of time friend / relative and you have together; Ask other friends / family to be there for support 1. Breaking up with boy or girlfriend. 2. Getting married. 3. Getting in a car accident. 4. Graduate from school. 5. Parents get divorced. 6. Leave an old job for a new one.

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65 PLANS B & C FOR COPING WITH BAD FEELINGS It s always good to have a backup plan. Use the form below and the skills you ve learned in these groups to come up with alternative plans for dealing with negative thoughts and sad feelings. Think about situations that tend to cause bad feelings and develop three different plans to cope with those situations. First, fill out the left side of the form with your three plans. Then, use the right side of the form to work your way through a problem the next time one arises start with Plan A, if it s unsuccessful, move to Plan B and so on. Planning Ahead (complete ahead of time) Think About: What might happen this week to make me feel bad? Look through mood diaries for typical triggers. Putting the Plan in Action (complete when a problem arises) Describe what happened. PLAN A PLAN A Did I try Plan A? YES NO Did it help me feel better? YES NO PLAN B PLAN B Did I try Plan B? YES NO Did it help me feel better? YES NO PLAN C PLAN C Did I try Plan C? YES NO Did it help me feel better? YES NO

66 PLANS B & C FOR COPING WITH BAD FEELINGS Planning Ahead (complete ahead of time) Think About: What might happen this week to make me feel bad? Look through mood diaries for typical triggers. Putting the Plan in Action (complete when a problem arises) Describe what happened. PLAN A PLAN A Did I try Plan A? YES NO Did it help me feel better? YES NO PLAN B PLAN B Did I try Plan B? YES NO Did it help me feel better? YES NO PLAN C PLAN C Did I try Plan C? YES NO Did it help me feel better? YES NO

67 The Positive Emotions Toolbox Remember to USE all of the tools in your toolbox. You can t magically change your emotions, but you can change your thinking and what you do! Changing Thinking by Challenging Negative Thoughts... What s the Alternative? Is there another way to think about my problem or situation? Is the way I am thinking about my problem making it better or worse? Where s the Evidence? Is there any evidence, or proof, that what I am thinking is true? Is there any evidence, or proof, that what I am thinking is NOT true? What if it s true? Maybe the negative thoughts I am having about this situation are true. Now what? How can I cope with this situation or problem? What do I have control over in this situation? What can I not control? Changing Doing by... Giving myself Rewards I have done something well, or accomplished a goal, I deserve a reward! Getting up and getting moving! Doing something physical, especially when you don t feel like it, can really improve your mood. Hang out with others! Social activities the things we do with friends can help improve how you feel. Don t wait for others to invite you, pick up the phone an organize a get together. Having more fun. Doing something fun, whether with someone else or on your own, will help you when you are down. Don t wait to feel better to get active. Get active, and you will feel better!

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69 Exit Questions The following questions are designed to get your feedback about what you liked and didn t like about the group so that we can make future groups better. Please answer the questions as honestly as you can. 1. What were the good parts about coming to group? 2. What were the bad parts or hassles of coming to group? 3. If you missed a group session, what would have changed your mind about coming or would have made it easier for you to come? 4. How helpful were the group leaders? 5. What suggestions do you have for future groups? 6. Would you recommend this group to a friend of yours who was dealing with a lot of stress?