1. problem solving diagram
worst symptoms
assessing progress
some possible responses symptoms problems/difficulties
inner responses
outer responses

2. problem solving diagram
worst symptoms
vicious
circle
assessing progress
some possible responses symptoms problems/difficulties
inner responses
outer responses

3. problem solving diagram
vicious
circle
some possible responses symptoms problems/difficulties
therapeutic alliance
biological
change
outer
change
inner
change

4. problem solving diagram
typical episode triggers include change, loss, conflict, trauma, & threat; but after a series of
distressed episodes, e.g. in recurrent depression, external triggers may become less important
earlier life
experience
recent life
experience
genetic
factors
main wishes
maintaining
factors
worst symptoms
some possible responses symptoms problems/difficulties
therapeutic relationship
biological
change
outer
change
inner
change

5. problem solving diagram
typical episode triggers include change, loss, conflict, trauma, & threat; but after a series of
distressed episodes, e.g. in recurrent depression, external triggers may become less important
earlier life
experience
recent life
experience
genetic
factors
main wishes
maintaining
factors
worst symptoms
some possible responses symptoms problems & strengths
therapeutic relationship
biological
change
outer
change
inner
change

6. problem solving diagram
typical episode triggers include change, loss, conflict, trauma, & threat; but after a series of
distressed episodes, e.g. in recurrent depression, external triggers may become less important
earlier life
experience
recent life
experience
genetic
factors
main wishes
maintaining
factors
worst symptoms
some possible responses symptoms problems & strengths
therapeutic relationship
biological
change
wellbeing change
inner
change
challenging pessimism
combating avoidance
self, others actions, situations
past, future emotions, people