Table 1.

CBT strategies to target specific symptoms of dPD

Depressed Mood Behavioral activation Increasing meaningful and pleasurable activities Cognitive restructuring Mobilizing social supports

Loss of interest Behavioral activation Increasing meaningful and pleasurable activities Setting realistic and achievable daily goals Problem-solving for physical limitations

Insomnia Relaxation techniques Review and incorporation of sleep hygiene approaches Increasing meaningful and pleasurable activities

Appetite changes Planning for weekly meals to include favorite foods Scheduling of daily meals and snacks Problem-solving for physical limitations Identifying emotional triggers to over/under eating and generating an appropriate alternative response Substituting unhealthy food choices with healthier selections

Fatigue Increasing daily exercise Pacing of daily activities Review and incorporation of sleep hygiene approaches Setting realistic and achievable daily goals

Guilt/worthlessness Cognitive restructuring

Concentration Focusing on one task at a time Appropriate pacing of daily activities Setting realistic and achievable daily goals

SI Cognitive restructuring