COUC 505 Notes (week 4)
Week 4
Door openers:
o“What’s on your mind?”
o“Tell me about it.”
o“What would you like to talk about today?”
o“Can you say more about that?”
Distress Tolerance & Avoidance:
oTrigger event
Emotional and physical distress
oEmotional Response
Sad, mad, scared, etc..
oPhysiological Response
Adrenaline, cortisol, mimic’s withdrawal
oPerceived discrimination (PD) & Acculturative Stress (AS)
This is a catastrophe! I can’t handle it!, I’m going to lose everything, I’m
going to die, Urge to act! Or need to make it stop or go away
oAvoidance Tactic
Yelling, violence, Rumination, worry, Manipulate, threaten, Alcohol,
tobacco, drug
Reflection of meaning
oYour basically trying to gather enough information and find out why without
asking why
oYou’re looking for the clients perception
Meaning grows out of feeling
You are telling the client
Keep reflection their emotions until their
“You feel _____ because ________”
“If ____ then____ (negative core belief)”
“What did it seem like to you?”
Reflection of content, feeling, and meaning
Meaning: “why do you care” ,“Why does that person’s word affect”, “
Negative core beliefs:
The more you can spot those negative core beliefs the more that you can spot the meaning.
oI’m NEVER, ALWAYS, ENOUGHS
oI’m not good enough
oI don’t have enough time
oI’m not smart enough
oI’ll never be one of the best
oI’ll never be great leader
“I don’t understand why he cheated on me
oContent: he cheated one you
oFeeling: You feel betrayed
oMeaning: You feel sad because you aren’t enough for him.
Core belief: “I’m not good enough”
Core belief: ”I’m not good enough”
