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Some of the more common approaches used by Occupational therapists when framing and implementing interventions for clients with SAD include Cognitive Behavioural Therapy, Mindfulness-Based Cognitive Therapy, Behavioural Activation, Problem-Solving Therapy, and Outdoor Therapy.
One behavioral activation approach to depression had participants create a hierarchy of reinforcing activities, rank-ordered by difficulty. Participants then tracked goals along with clinicians who used a token economy to reinforce success in moving through the hierarchy of activities, being measured before and after by the Beck Depression Inventory.
The mastery and pleasure technique is a method of cognitive behavioral therapy for the treatment of depression. [1] Aaron T. Beck described this technique first. The technique is useful when patients are active, but have no pleasure.
Behavioural activation is based on a matching model of reinforcement. [105] A recent review of the research, supports the notion that the use of behavioural activation is clinically important for the treatment of depression. [106] Integrative behavioural couples therapy developed from dissatisfaction with traditional behavioural couples therapy.
Acceptance and commitment therapy (ACT, typically pronounced as the word "act") is a form of psychotherapy, as well as a branch of clinical behavior analysis. [1] It is an empirically-based psychological intervention that uses acceptance and mindfulness strategies [2] along with commitment and behavior-change strategies to increase psychological flexibility.
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Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, [1] such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, [1] and emotional reasoning, which are commonly associated with many mental health disorders. [2]
The reward and punishment systems are defined as dependent, such that reward activation (the BAS) both increases responses to appetitive stimuli and decreases responses to aversive stimuli. The joint subsystems hypothesis is most applicable in real-world contexts that contain mixed stimuli: strong, weak, punishment, and reward.
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