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

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

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

4. problem solving diagram some possible responses symptoms problems/difficulties inner change therapeutic relationship outer change biological change main wishes worst symptoms 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 recent life experience genetic factors maintaining factors earlier life experience

5. problem solving diagram some possible responses symptoms problems & wellbeing inner change therapeutic relationship outer change biological change evolving wishes worst symptoms 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. it’s valuable to realize as well that living organisms flourish when their needs are met – and we can learn from how we have, at least partly, achieved this in different areas of our lives at different times. recent life experience genetic factors maintaining factors earlier life experience

6. problem solving diagram recent life experience some possible responses symptoms problems & wellbeing inner change therapeutic relationship wellbeing change biological change genetic factors maintaining factors earlier life experience evolving wishes worst symptoms 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. it’s valuable to realize as well that living organisms flourish when their needs are met – and we can learn from how we have, at least partly, achieved this in different areas of our lives at different times. challenging pessimism combating avoidance self, others actions, situations past, future emotions, people