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Leaves on a Stream

Leaves on a stream is a technique used in acceptance and commitment therapy (ACT) to cope with uncomfortable thoughts and feelings. This technique uses a concept called cognitive defusion, which works by creating distance from thoughts and feelings as a way to reduce the power they have over us. Cognitive defusion teaches us to take a step back and observe our thoughts and feelings from afar...

Body Image Info Sheet

Body image is how you think and feel about your body, and how you feel in your own skin. A person can have a healthy or an unhealthy body image, regardless of how they look. Developing a healthy body image contributes to self-esteem and well-being. There is often confusion about what body image means, and how it differs from a person’s actual appearance...

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Body Image Discussion Questions

Messages about body image are inescapable. Advertisements, social media, movies, magazines, and personal relationships—it’s everywhere you look. Because body image is often deeply intertwined with self-esteem and mental wellness, it can be an important subject within therapy. The Body Image: Discussion Questions handout provides education on body image, along with seven thought-provoking questions...

The Cognitive Triangle

The cognitive triangle illustrates how thoughts, emotions, and behaviors affect one another. This idea forms the basis of cognitive behavior therapy (CBT). Perhaps most important to CBT, when a person changes their thoughts, they will also change their emotions and behaviors. By targeting irrational or maladaptive thoughts, mood and behavior can be improved...

The Four Horsemen & Their Antidotes

Criticism, defensiveness, contempt, and stonewalling. These are the four horsemen—damaging behaviors that escalate conflict and erode a relationship. If left unchecked, the four horsemen solidify themselves in a relationship as a normal part of communication. Antidotes are communication skills, relaxation techniques, and other strategies that counteract the four horsemen...

How to Apologize

Apologizing means expressing regret for something you did. A sincere apology involves reflecting on your actions, taking responsibility, and making changes to improve in the future. Giving an apology can help repair a damaged relationship while showing care and respect for the other person. The How to Apologize worksheet breaks down an apology into three steps...

Bipolar Disorder: Mood Log

When a client notices the warning signs of a manic or depressive episode early, they can preemptively take steps to control it. Completing a daily mood log is an excellent tool for catching these signs as early as possible. The Bipolar Disorder: Mood Log is a simple and effective template for tracking the warning signs of bipolar disorder...

Bipolar Disorder: Relapse Signatures

A bipolar relapse signature is a set of 4-6 symptoms, unique to each person, that consistently predicts a manic or depressive episode. Some symptoms begin weeks before an episode, while others occur just days or hours before. When a person knows their relapse signature, they can seek help in order to prevent or mitigate a mood episode...

What is Perfectionism?

Perfectionism is the belief that everything must be perfect all the time. A perfectionist sets impossible goals, and feels crushed when they are not achieved. Alternatively, someone who strives to do their best sets challenging but achievable goals. Those with perfectionistic tendencies are often resistant to change, believing these tendencies are a strength...

Boundaries Discussion Questions

Every relationship has its own norms, rules, and limits. These are the boundaries that tell us what’s okay, and what’s not okay, in the relationship. The Boundaries Discussion Questions handout was designed to encourage in-depth discussion of personal boundaries. Each question will prompt exploration of topics related to boundaries, such as values, porous vs...

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