Table 1.
Session | Behavioral Activation Treatment for Depression | Supportive Counseling |
---|---|---|
1 | Provide depression psychoeducation Give treatment rationale Introduce daily monitoring Discuss treatment adherence |
Provide depression psychoeducation Give treatment rationale Learn about the client’s depression Discuss treatment adherence Introduce journaling Guide progressive muscle relaxation |
2 | Review daily monitoring Discuss the association between mood and activities/behavior Discuss life areas, values, and activities |
Review journaling Engage in an open, client-guided supportive discussion Guide visual imagery relaxation |
3 | Review daily monitoring Discuss associations between mood and activities/behavior Assist the client in selecting 15 value-consistent activities Assist the client in activity ranking |
Review journaling Engage in an open, client-guided supportive discussion Guide breathing retraining relaxation |
4 | Review daily monitoring Review the client’s activity ranking Assist the client in scheduling value-consistent activities |
Review journaling Engage in an open, client-guided supportive discussion Guide progressive muscle relaxation |
5–9 |
Review activities completed by client Assist the client in scheduling value-consistent activities Introduce/discuss contracts |
Review journaling Engage in an open, client-guided supportive discussion Guide client through relaxation exercise |
10 | Review activities completed by client Assist client in scheduling activities Review contracts, if needed Discuss relapse prevention |
Review journaling Engage in an open, client-guided supportive discussion Guide progressive muscle relaxation Discuss relapse prevention |
Note. Components specific to each treatment have been italicized.