Table 1.

Topics and Goals by Session

Session	Topic	Goals for Session
1	Psychoeducation and Addressing Ambivalence	Provide psychoeducation on NSSI Orient participant to the intervention’s conceptualization of NSSI as a coping strategy Address ambivalence and build motivation for change
2	Functional Assessment and Differential Reinforcement of Alternative Behaviors	Introduction of functional assessment and informant-based antecedent-behavior-consequence (ABC) chart Identification of environmental strategies to decrease NSSI behaviors, if applicable
3–4		Functional assessment of instances when NSSI antecedent occurs but is not engaged in Identify simple and accessible alternative behaviors that perform the same function as NSSI Homework: Practice alternative behaviors in response to minor stressors
5		Discussion and revision of list of alternative behaviors Test alternative behaviors in lieu of NSSI
6		Discussion and revision of list of alternative behaviors based on participant homework and functional assessment
7–8	Individualized Modules	Interpersonal Communication Increase assertiveness skills in situations that trigger NSSI Practice assertiveness skills using role play Cognitive Distortions Introduce relationship between thoughts, feelings, and NSSI behaviors Identify cognitive distortions contributing to NSSI Begin to evaluate negative automatic thoughts and generate more realistic thoughts Distress Tolerance Discuss concept of accepting and tolerating distressing situations and feelings Discuss ways of tolerating distress.
9	Termination	Review gains made during treatment Address obstacles to maintaining gains in the future