Overview of Session 9: Elective Skill Topic 3, Managing Negative Moods and Depression

Total Time: 1 hour

Delivery Method: CBT-focused individual therapy

Materials (all forms are at the end of this section):

Thinking Errors That Dampen One’s Mood (form 9D)

Managing Negative Moods and Depression (form 9E)

Pleasant Activities (form 4C)

Goals for This Session:

• To become more aware of how moods affect marijuana use

• To learn strategies to recognize, process, and cope with these emotions

Session Outline:

1. Address the possibility of negative moods

2. Discuss the importance of emotional triggers

• Review Thinking Errors That Dampen One’s Mood (form 9D)

• Ask the client to identify which automatic negative thoughts he or she may engage in before or during depressed, anxious, or irritable moods

• Discuss with the client guidelines for evaluating these thoughts

• Give client Managing Negative Moods and Depression (form 9E)

• Engage the client in problemsolving to address problems contributing to his or her negative moods

• Give the client Pleasant Activities (form 4C) and help generate a list of appealing activities

• Discuss balancing “have to” activities with “want to” activities

• With a depressed client, discuss strategies that may help the client start a necessary or desirable activity

3. Link negative moods and marijuana use

• Explore the relationship between the client’s marijuana smoking and his or her experience of negative moods

• Review Thinking Errors That Dampen One’s Mood (form 9D)

• Explain “cognitive distortions”

• Explore automatic thought patterns that appear to lead to negative mood states

• Explore methods of changing the client’s automatic thoughts

4. Terminate treatment