Table 1.

Outline of Cognitive Behavioral (CBT) and Supportive (SNDT) Therapy Sessions for Youth and Parents

PASCET-PI (CBT)			SNDT
Session number	Skill Focus	Session Goals	Session Goals
1	Activities	Introduce PASCET model; build alliance; explore illness narrative; learn problem-solving approach.	Introduce that therapy is chance for child to talk to empathic expert; explore illness narrative.
2	Activities – Problem Solving	Choose enjoyed activities and decision-making for problems.	Encourage child to speak; Demonstrate empathic and reflective listening
3	Calm	Learn relaxation techniques to counter pain and anxiety in social situations and about illness.	Same as above
4	Confident	Show positive self; improve social skills.	Same as above
5	Talents	Develop talents and skills.	Same as above
6	Think positive	Address negative cognition distortions.	Same as above
7	Help from friend Identify silver lining No replaying bad thoughts	Evaluate validity of pessimistic cognitions with others; learn different techniques of positive reframing with less negative counter-thoughts.	Same as above
8	Keep trying	Develop several cognitive behavioral plans using skills above to address current and future problems.	Same as above
9–12	ACT/THINK Review	Review personalized skills learned.	Same as above
Parent 1	ACT/THINK Introduce skills	Understand parent perspective of child’s depression and illness experience; introduce PASCET model.	Understand parent’s perspective of child’s experience.
Parent 2	ACT Review skills	Understand parents’ view of child’s progress; review ACT skills and how parents can best reinforce practice.	Same as above
Parent 3	THINK Review Skills	Understand parents’ view of child’s progress; review THINK skills and how parents can best reinforce practice.	Same as above

Note: PASCET-PI = Primary and Secondary Control Enhancement Training – Physical Illness SNDT= supportive non-directive therapy.