Give a client something tangible and more immediate to address their depression than challenging automatic thoughts.
Pleasant activities increase positive emotions such as feeling happy or relaxed. Achievement activities promote a sense of mastery because the client accomplishes something, but it might not be pleasant. For example, one client may enjoy knitting and have to change the oil in their cars. The first activity makes the client feel better, while the oil change provides a sense of accomplishment and mastery.
Behavioral activation may seem deceptively simple. It is actually much harder to treat depression with behavioral activation than to just “start doing more things.” I frequently see advice to just start exercising as a panacea for depression. This can be misleading and discourage people with depression who struggle to feel better.
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