Treatment FAQ

what is "behavioral activation" treatment

by Dr. Ernestine Altenwerth I Published 2 years ago Updated 2 years ago
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Behavioral activation is an approach to mental health that involves someone using behaviors to influence their emotional state. It is often a part of cognitive behavioral therapy (CBT
cognitive behavioral therapy (CBT
Cognitive behavioral therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders.
https://en.wikipedia.org › wiki › Cognitive_behavioral_therapy
), but it can also be a standalone treatment. Most research into behavioral activation has focused on its effect on depression.
Oct 24, 2021

What is behavioral activation therapy?

A self-fulfilling prophecy. Whatever you choose to call it, this pattern tends to play out in roughly the same way: If you’re searching for ways to break free from this pattern, behavioral activation therapy is one option to consider. You’ll often come ...

How to use behavioral activation to treat depression?

The first step in behavioral activation therapy is to monitor your activity and mood to understand more about how your depression works. This is called Activity Monitoring. You can use an activity monitoring worksheet to record what you do each waking hour every day for a week.

Is behavioral activation effective in treating depression?

The most interesting fact that the study revealed was that behavioral activation on its own was as effective in treating depression as complete cognitive therapy and antidepressant medication. From this perspective, depression is seen as a negative situation, where a person finds themselves without any reinforcements or incentives.

How to develop a behavioral therapy?

There are a variety of peer-based behavioral interventions, including:

  • Peer modeling
  • Peer initiation training
  • Classroom-wide tutoring

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What is an example of behavioral activation?

For example, if you want to live the life of a compassionate person, you might choose goals focused on volunteering, helping a friend out, or donating to charity. Behavioral activation is designed to increase your contact with positively rewarding activities.

What type of therapy is behavioral activation?

Behavioral Activation (BA) is a specific CBT skill. It can be a treatment all by itself, or can be used alongside other CBT skills such as cognitive restructuring.

Why is behavioral activation important?

The less active we are the fewer opportunities there are for positive and rewarding things to happen to us. And the fewer rewarding things that happen to us the lower our mood becomes. Behavioral Activation (BA) is one way out of this vicious cycle. It is a practical and evidence-based treatment for depression.

Does behavioral activation treat anxiety?

Behavioral activation can help with symptoms that range from mild to severe. According to a small 2015 study , this approach can also have benefits if you have subclinical symptoms of depression or anxiety.

What is behavioral activation in DBT?

Behavioral Activation (BA) is an evidence-based psychotherapy to help patients engage in a productive, healthy, and value-driven activities. While BA was initially developed for major depression, numerous studies have demonstrated BA's effectiveness for other comorbid conditions across age and diverse population.

What is behavioral activation?

Behavioral activation is an approach to mental health that involves someone using behaviors to influence their emotional state. It is often a part of cognitive behavioral therapy (CBT), but it can also be a standalone treatment.

Why is behavioral activation important?

A 2018 randomized controlled trial found that behavioral activation was a useful tool for helping those with a history of substance misuse refrain from drug use after their initial treatment.

Why do psychologists recommend behavioral activation?

Some therapists recommend behavioral activation for depression because the symptoms of this condition make it hard to engage in pleasurable or meaningful activities. Some also recommend it for substance misuse as a way of replacing the addiction with a healthier behavior.

How to reduce bad behavior?

Minimize or replace unhelpful behaviors: People can also use this approach to reduce behaviors that make them feel bad. For example, this may involve setting a limit on the amount of time they spend on social media or replacing it with phone calls to friends.

What is the best treatment for depression after a traumatic event?

For example, if someone develops depression following a traumatic event, they may benefit from a combination of behavioral activation to reduce their day-to-day symptoms and trauma therapy to help them process what happened.

How to increase behavior?

Identify behaviors to increase: Choose one or two behaviors and set a specific, achievable goal for practicing it or them more often. For example, a person who has difficulty getting out of bed may wish to commit to putting on an outfit that makes them feel good every morning, even if they do not go out anywhere.

What is the treatment model for depression?

One 2019 study followed older adults with depression who participated in a treatment model called “Engage,” which included behavioral activation. The participants either did solitary activities, activities with one other person, or group social activities.

What is behavioral activation therapy?

Behavioural Activation: Behavioural Therapy For Depression Treatment. Behavioral activation (BA) is a therapeutic intervention that is often used to treat depression. Behavioral activation stems from a behavioral model of depression that conceptualizes depression as a consequence of a lack of positive reinforcement.

What is BA therapy?

In other words, BA is a type of therapeutic intervention (most often used to treat depression) that focuses on behavioral changes in a client’s daily life.

Why is depression a behavioral issue?

These researchers believed that depression was a behavioral issue (as opposed to a cognitive issue) that arose from a lack of positive reinforcement, particularly in social relationships.

What is the most common therapeutic treatment today?

Most modern psychological models, in general, include both cognitive and behavioral aspects, exemplified by cognitive-behavioral therapy (CBT), perhaps the most common therapeutic treatment today.

How did BA help Amy?

BA was ultimately able to help Amy get over her feelings of depression, in part by helping her find more positive reinforcement in her social life. The personalized behavioral model of Amy’s depression conceptualized by Amy, her mom, and her therapist was a crucial aspect of this improvement.

What is a behavior contract?

Behavior contract (signing a contract with friends and family so that they will only reinforce healthy behaviors)

Is positive reinforcement the only way to treat depression?

Thus, while behaviorists no longer necessarily think that positive reinforcement is the only way to treat depression, they still believe it is one of the best ways.

Why is behavioral activation important?

It focuses on changing behaviors to address problems people might be experiencing. Behavioral activation was originally developed to treat depression. It's based on the theory that people with depression are less likely to come into contact with positive or rewarding aspects of their environment.

How does behavioral activation help with PTSD?

Researchers found that behavioral activation can be useful in reducing avoidance among people with PTSD, reducing symptoms, decreasing depression, and improving quality of life. 1.

How did veterans work with therapists?

The veterans worked with the therapists to identify current avoidance behaviors, as well as rewarding and positive goals and activities that they would like to pursue . 2. The veterans tracked their progress in completing these goals and activities throughout the treatment.

Value setting

The overarching goal of behavioral activation is prioritizing activities that help improve your mood and outlook.

Activity scheduling

Once you’ve narrowed down your most important values, you can begin exploring activities that embody those values.

Troubleshooting

Depression can make it hard to imagine any pastime bringing pleasure or enjoyment. But even if you aren’t quite feeling it, challenge yourself to try the activity at least once or twice. You may find yourself having a better time than you expected.

What is behavioral activation?

Behavioral activation is a basic coping strategy, as well as a short-term treatment, that can have a tremendous effect on your mood. If you're already getting treatment for depression and/or post-traumatic stress disorder (PTSD), studies show that behavioral action can be an effective part of that treatment. 1 .

Why is behavioral activation important?

Therefore, you want to make sure you can see progress quickly. If you're experiencing very low motivation , the most important thing is to get moving to make sure that avoidance behaviors associated with anxiety and depression don't set in. 3 

How to get behavioral activation to become boring?

You also don't want behavioral activation to become boring. Mix it up when it comes to the activities that you choose. Come up with a variety of activities across a number of different life areas, such as work, relationships, personal care, and family/friends.

How to treat PTSD?

Take Things Slowly. Behavioral activation is an excellent way of addressing some of the symptoms of PTSD, including avoidance behavior and symptoms of emotional numbing. In addition, behavioral activation can reduce your risk for depression and, if you have depression, help treat it.

How to be motivated when it comes to behavioral activation?

If you're finding that it's difficult to be motivated when it comes to behavioral activation, ask others for support. Establish a contract with a friend or family member. Let them know about your activities and what you would like to accomplish during the week.

How to get rid of low motivation?

Start off with just a few activities and from there, slowly build up the number of activities you engage in each week. Even a small number of activities can have a big impact on your mood.

Is behavioral activation a coping strategy?

The more variety you have, the more balanced your life will become and the more likely your motivation to continue to use behavioral activation as a coping strategy for your PTSD and depression will continue.

How to do behavioral activation therapy?

The first step in behavioral activation therapy is to monitor your activity and mood to understand more about how your depression works. This is called Activity Monitoring. You can use an activity monitoring worksheet to record what you do each waking hour every day for a week. Make sure to record everything on this behavioral activation worksheet ...

What is Behavioral Activation?

One way out of this trap is to wait until something external improves our mood – if it does then we might feel more like getting back to our old levels of activity. This approach is passive though, and it can leave you feeling helpless. One big problem with the passive approach is that you are likely to be waiting for a long time – left to themselves episodes of depression can last for months at a time!

How to break the vicious cycle of depression?

This approach is called Behavioral Activation (BA) and it is a psychological treatment for depression with one of the biggest evidence bases to demonstrate how effective it is [4, 5, 6]. Behavioral activation for depression is about making your life meaningful and pleasurable again, it involves these steps:

What is the relationship between activity and mood?

Psychologists have found that there is a close relationship between our activity and our mood. When we are feeling good we spend time with people whose company we enjoy, do activities that make us feel good, and take on new tasks and adventures that challenge us as individuals. All of this activity has positive feedback effects:

What to do if you don't have activity monitoring?

If you don’t have an activity monitoring worksheet an even simpler approach is to make a note of what you do for every hour of the day. You can do this on a bit of paper, or a note-taking app on your phone.

Brief Summary

Basic premise: When people get depressed, they may increasingly disengage from their routines and withdraw from their environment. Over time, this avoidance exacerbates depressed mood, as individuals lose opportunities to be positively reinforced through pleasant experiences, social activity, or experiences of mastery.

Treatment Resources

Note: The resources provided below are intended to supplement not replace foundational training in mental health treatment and evidence-based practice

Other Treatment Resources

What is behavioral activation?: A review of the empirical literature (Kanter et al., 2010)

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Educating Clients

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The goal of behavioral activation might seem simple (just replace negative behaviors with positive alternatives), but its implementation in real life comes with challenges. Imagine being in immense pain and having a tool that allows you to immediately relieve that pain. Now, imagine you have a tool that you hear will hel…
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Developing Positive Replacement Behaviors

  • After educating a client about behavioral activation and identifying some negative behavior patterns, the next step is to come up with some positive replacement behaviors. This can't be emphasized enough: The positive replacements should be both easy and rewarding. Someone who is depressed might have a hard time getting out of bed by noon and brushing their teeth, let …
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Implementing The Behavioral Activation Plan

  • Next, the clinician should work with their client to plan how and when when to complete their positive replacement behaviors. This means talking about possible obstacles, scheduling times for activities throughout the week, and deciding how the client will remember to follow through with their plan. Be specific. Don't let a client say "I'll do some...
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