Curriculum · Module 1

Module 1: CBT

How situations, thoughts, feelings, the body, and behavior affect each other.

:00–:03Go around

  • Name, and one word for how you're arriving.

:03–:12A few words each

Answer any of these in a few words. No details needed, and passing is fine. We'll use some of these as examples today.

Avoiding
What's something you've been putting off lately?
A challenge
What's a challenge you've set for yourself, big or small?
Something hard
What's been hard lately? Just name it.

Click any answer to use it as the example in Part 2.

:12–:16One example, five parts

Every box can be edited. Ask the group what the first thought might be, then the feeling, the body, and what someone might do.

Automatic thoughts

The first thought usually shows up on its own, fast, and feels like a fact. CBT calls it an automatic thought. It's often a guess or a prediction. Noticing it is the first skill.

:16–:20The five-part model

The situation is around us. Thoughts, feelings, the body, and behavior are inside us, and each one affects the others. Click a part.

SITUATION WHO · WHERE · WHEN Thoughts Feelings Behavior Body
Five parts
Click a part to see what it means
A change in one part can change the others.

:20–:25Two ways it can go

TIME DISTRESS quick relief next time: higher, faster it peaks, and often eases
    Exposure

    Exposure means practicing the second path on purpose, one small step at a time, with your treatment team. The distress doesn't always drop during the practice. What changes is what you learn: "That was hard, and I got through it."

    :25–:35Questions

    • Which part usually shows up first for you: a thought, a feeling, or your body?
    • What's a first thought that tends to show up when you think about something you've been putting off?
    • What does moving away look like for people? What does staying with it look like?
    • What helps a person stay with something hard, even for a little longer?

    Our examples

    SituationFirst thought FeelingBodyBehavior
    For the room

    Name it in a few words. The thought, not the whole story behind it. No numbers, no bodies, no foods.

    :35–:45Go around

    • What's one idea from today you want to remember?
    • What's one small step toward something you named today?
    • One word for what you're leaving with.

    Catch one moment

    1. 1What was the situation?
    2. 2What was the first thought?
    3. 3What did I feel, in my mood and in my body?
    4. 4Did I move away, or stay with it?

    The full thought record has more columns, for anyone who wants them.

    What we came up with

    Support between groups · 988 Suicide & Crisis Lifeline: call or text 988 · Crisis Text Line: text HOME to 741741