Table 5.

Lesson content and homework activities in the ‘Sadness’ program (iCBT).

Lesson title	Lesson content	Homework activities
Lesson 1: The diagnosis	•Depression explained •The vicious cycle of depression: physical, cognitive + behavioural symptoms •How is depression treated •Recognise own symptoms of depression	•What are your symptoms of depression?
Lesson 2: Monitoring your thoughts and activities	•Role of activity in depression + monitoring activity •Recognising unhelpful thinking •Reducing rumination •Shifting attention •Restoring sleep patterns	•Activity monitoring form •Thought monitoring form
Lesson 3: Learning to improve your activities and thoughts	•Activity planning •Challenging unhelpful thinking •Positive and negative beliefs about Rumination + worry •Recording positives	•Challenging negative beliefs about rumination and worry sheet •Your activity planning Worksheet •Your thought challenging Worksheet •Your positives hunt worksheet
Lesson 4: Facing Fears	•Structured problem solving •Learn about the role of avoidance •Facing fears gradually with exposure	•Structured problem solving worksheet •Graded exposure: identify feared situation + develop graded hierarchy •Facing fears worksheet
Lesson 5: Being assertive	•Being assertive and challenging unhelpful thoughts about assertiveness •Effective communication •Recording positives •Thought challenging	•Your thought challenging worksheet •Your positives hunt worksheet
Lesson 6: Preventing relapse and getting even better	•Lapses and relapses explained •How to prevent lapses + what to do if a lapse happens •How to get more help with depression •Your evaluation	•Your relapse prevention plan •Self-evaluation
	Extra resources: Frequently asked questions (FAQs), 100 Things To Do (pleasant activity planning ideas), In Case of Emergency, Good Sleep Guide, Structured Problem Solving, About Assertiveness	Worksheets (Extra Resources): Activity Planning & Monitoring Worksheet, Activity Planning Worksheet, Daily Positives Hunt Worksheet, Thought Challenging Worksheet, Structured Problem Solving Worksheet, Facing Fears Worksheet, Conversation Skills