Start at the Initial Session and Revisit Repeatedly

Therapists begin the process of CT termination at the first A-CT session by focusing on the fact that effective CT results from learning and practicing new skills, and learning when and how to apply these skills in different situations. Therapists describe themselves as teachers, collaborators, and coaches, who in the process, transfer to patients more of the intervention planning and problem solving as patients' mastery grows over time. They emphasize the concept of using affect shifts and depressive symptoms to trigger the use of skills to reduce both symptoms and relapse. Therapists reinforce these concepts repeatedly throughout C-CT.

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