Table 2.

Raising our spirits together (ROST) T-CBT depression treatment program overview.

Session	Core CBT Principle	Session Summary	In-Session Activities and Homework/Action Plans
1: Low Mood & Cognitive Behavioral Therapy	Psychoeducation	•Psychoeducation about depression and how it affects us. •Introduction to cognitive behavioral therapy (CBT).	Identify Depressive Symptoms Impacting Our Lives Set Goals for Time in Program
2: The Importance of Taking Action	Behavioral Activation	•Introduction to the connection between our actions and our mood. •Description of ways that taking action can make us feel better.	Identify Activities for Enjoyment and Activities for Accomplishment Brainstorm Activities We Did in the Past Activity Scheduling
3: Tools for Taking Action	Behavioral Activation	•Introduction of specific tools and strategies for taking action, even when we don't feel like it.	Identify Activities That Can Be Done Alone, With Others, For Free, and Quickly and Simply Set Activity Goals
4: Identifying Negative Thoughts	Cognitive Restructuring	•Introduction to the connection between negative thoughts and our mood. •How to identify our negative thoughts. •Discussion of how negative thoughts affect our feelings and actions.	Identify Negative Thoughts We Have About Ourselves, Our Situation, and the Future Connect Common Negative Thoughts to Thinking Errors Complete Thought Tracker
5: Talking Back to Negative Thoughts	Cognitive Restructuring	•Review of the connection between negative thoughts and our mood. •Learn how to talk back to our negative thoughts, replacing them with more helpful/accurate thoughts. •Discuss the importance of taking action based on more helpful/accurate thoughts.	Evaluate the Accuracy of Our Negative Thoughts Practice Talking Back to Negative Thoughts Complete Thought Record Take Action Based on More Accurate Thoughts
6: Beliefs and Our Mood	Identifying and Challenging Faulty Beliefs	•Identify and describe common faulty beliefs that bring our mood down. •Learn about cost-benefit analysis as a tool to challenge faulty beliefs.	Identify Faulty Beliefs That Aren't Working For Us Complete a Cost-Benefit Analysis of Our Faulty Belief(s) Identify an Action Plan for Combatting Our Faulty Belief(s)
7: Overcoming Setbacks	Problem Solving	•Introduction of setbacks as normal experiences. •Learn the 5 Steps of Problem Solving.	Identify a Setback/Potential Setback and its Impact on Our Thoughts and Actions Use Problem Solving Identify Solutions to Address Our Setback/Potential Setback
			Take Action Based on Solution(s) Selected Using Problem Solving
8: Putting It All Together & Relapse Prevention	Program Review and Relapse Prevention	•Review the tools and strategies learned during this program.	Reflect on Actions Taken During the Program & What We Learned
		•Identify successes we have had during the program and areas we still want to work on. •Develop a plan for what to do if we feel down again	Reflect on Talking Back to Negative Thoughts & What We Learned
			Reflect on Problem Solving to Overcome Setbacks & What We Learned
			Identify Ways We Will Seek Support for Our Low Mood Now That the Program is Ending