Session and topic | Aims | Homework/techniques | |
---|---|---|---|
1-2 | Introduction. | To introduce the program. Discuss affected life domains and values. Give insight into the difference between active vs. passive coping. | Discuss important values with the family or a close friend. Complete value template. |
Affected life domains. | |||
Values and life goals. | |||
Week-plan. | Activity registration. | ||
3 | Pain theory and activity engagement according to values. | To introduce pain models and the bio-psycho-social perspective. Discuss values and activity engagement. Setting new short- and long-term value-based goals. Discuss daily activities and make an exercise plan. | Complete week plan according to planned activities. |
Establish a workout routine. | |||
4 | “Road-block” therapy. | To discuss psychosocial barriers for fulfilling goals. Introduce the concept negative reinforcement and the power of habits. Introduce the cognitive ABC model. Setting new realistic measureable goals. | Work with barriers, cognitive, emotional or practical. |
Negative reinforcement. | |||
Complete week plan according to planned activities. | |||
Workout. | |||
5 | Unfulfilled expectations. | To discuss expectations to oneself and how unfulfilled expectations can affect mood and behaviour resulting in maladaptive coping. | Complete plan B and set realistic goals for the day. |
Having a plan B. | |||
Complete week plan according to planned activities. | |||
Learn to work out a plan B. | |||
Workout. | |||
6 | The energy balance and psychological barriers for activity engagement. | Learn to conserve “energy”, prioritise in activities. | Identify energy consuming activities vs. activities that increases energy. |
Discuss psychological barriers for activity engagement. | |||
Adjust goals. | |||
Use the ABC model. | |||
Discuss life values and adjust goals accordingly. | Complete week plan according to planned activities. | ||
Workout. | |||
7 | Psychological barriers. | To work more in depth with individual psychological distress and barriers for activity engagement, for instance depressive symptoms, PTSD, or pain catastrophizing. | Use the ABC model. |
Complete week plan according to planned activities. | |||
Workout. | |||
8 | Psychological barriers. | To work more in depth with individual psychological distress and barriers for activity engagement. Work out an exposure hierarchy of feared activities. | In vivo exposure. |
Complete week plan according to planned activities. | |||
Workout. | |||
9 | Activity engagement and return to work or relevant activities. | Discuss return to work or relevant activities. Work with fear-avoidance beliefs and catastrophizing. | In vivo exposure of work related activities. |
Complete week plan according to planned activities. | |||
Workout. | |||
10 | Long-term goals and values. | To discuss progress and values. Set long-term goals and work out a plan for setbacks and maintenance of progress. | Discuss long-term goals and plan with a close relative or friend. |