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CBASP Relapse Prevention

CBASP Relapse Prevention
🛡️ Mastery 🧠 Cognition

Preparing for the end of therapy: updated stamps, mastered SA skills, a plan in case of worsening. Chronic depression can return — the client must be ready.

Step-by-step guide

  1. Review the stamps: "You used to believe [old]. How do you see it now? Formulate the updated version"
  2. Summarize the skills: "What can you now do? SA, discriminating people, new behavior"
  3. Discuss the risks: "When might depression return? Which situations are hotspots?"
  4. Build a plan: "First signs → what I do → who I reach out to"
  5. Practice: "If the stamp activates in a month — run an SA by yourself"
  6. Leave the door open: "Booster sessions are possible. That is not failure — it is support"

When to use

  • The last 2-3 sessions
  • Before closing therapy

Key phrases

Chronic depression often recurs — not because therapy failed, but because that is the nature of it. Let's build the plan you will want on the worst day: the first signs, the first action, the name of the person you will call.

Follow-up questions

What will tell you the old stamp is firing again?
What is the first small action?
Who is the second person on the list, if the first is not available?
At what threshold do you come back for a booster?

Alternative phrasings

Booster sessions are not failure — they are maintenance.
If the plan looks too long, we shorten it to one page.

Warnings

  • ⚠️ Chronic depression is recurrent. Normalize: the return of symptoms does not mean therapy failed.

Source: McCullough, 2000 — chronic depression relapse prevention

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.