TABLE 1.

The REPAT intervention.

	Treatment goals	Intervention
Session 1: getting familiar and feeling safe	Rapport building Contract building Getting familiar and comfortable with the art materials	The concept of safe place will be introduced to the group. Motivation for exploration via art and remaining open to new experiences. The concept of the group will be introduced, expectations, group rules, homework introduce the art materials and art making from a non-judgmental stance and the importance of process over product. Participants are instructed to create a safe place via art.
Session 2: exploratory art making	Provide an experiential encounter with the art making process	A 10-minute psychoeducation presentation on the nature of emotions at the beginning of the session. The framework of open studio in which a specific topic is not provided, and participants are encouraged to explore the art materials
Session 3: engaging the emotional self	Participants are asked to introduce themselves to the group. Participants are encouraged to continue learning on the nature of emotions and increase awareness of emotion responding patterns.	Participants are asked to create a drawing about an emotion.
Session 4: image transformation	Participants will learn how to identify the location of distress in the body, increase distress tolerance and increase cognitive flexibility and reframing.	Participants are asked to create an image of somethings that is distressful to them and sit with it for a while. Afterwards they are asked to create an additional drawing that changes one element of the distress drawing, a feature, a color, a shape, or just a change in composition. The images are discussed among group members and implications for real life situations are discussed.
Session 5: open studio	Help participants identify how they react and respond to their emotions and help them increase their awareness of emotional experiences.	Participants are encouraged to engage freely with the art materials using artmaking to identify feelings and experiences with awareness that feeling are not reality.
Session 6: reframe	Increase cognitive flexibility and reframe.	Clients are requested to draw two sides of a current conflict in their life. It can be something small, like deciding where to go for lunch, or something large, like which treatment to engage in. All conflicts are welcome, but it should have significance to its creator and be something that they are struggling with and would like to learn more about. After the drawing period, clients are requested to look at both options and examine their sensations, feelings, and thoughts about each. Through creating 2 pictures participants will be able to view a situation from 2 points of view and identify more than one option for coping with the conflict they presented.
Session 7: body image	Increase interoceptive awareness and assist in processing emotional content from implicit experience to explicit expression. Increase distress tolerance.	Participants are requested to create art using body outline templates as a framework for art making.
Session 8: summary	Create art that is a summary of their experience and then engage in and review their achievements and encourage incorporating what was learned in day-to-day life after the intervention is over.	A summary of all that has been experienced and clients is provided with a letter that summarizes their progress. Each client receives a package of oil pastels and blank journal for the encouragement of their continued process at home.