Table 1 Content of the intervention by therapy session

1

Face-to-face

1

90

• Case formulation: a patient’s story.

• Discuss therapy rationale.

• Establish therapy goals.

• Review FCR and complete a personal FCR model.

• Introduce at-home assignments.

2

Face-to-face

2

60

• Explain the basic tenets of CBT.

• Discuss and visualize the association between thoughts, feelings and actions.

• Review the concept of helpful beliefs.

• Practice in filling out thought records.

• Introduce mindfulness and relaxation exercises.

3

Face-to-face

3

60

• Review the completed thought record(s) to identify unhelpful thoughts and behavioural consequences of FCR.

• Differentiate realistic from unrealistic worries and establish more helpful thoughts.

• Explore and identify dysfunctional behavioural patterns.

• Create a ranked list of situations that induce FCR and propose a behavioural experiment.

• Practice a mindfulness or relaxation exercise.

4

E-consult (or telephone)

4

15

• Review of progress (troubleshooting).

• Encourage at-home skill practice.

5

Face-to-face

6

60

• Review therapy goals, discuss areas of concern and make future plans (beyond therapy).

• Discuss completed thought records and/or behavioural experiments.

• Identify personal strengths and resources of strength.

6

E-consult (or telephone)

7

15

• Review of progress (troubleshooting).

• Encourage at-home practice of skills.

7

E-consult (or telephone)

9

15

• Review of progress (troubleshooting).

• Introduce the relapse prevention plan.

8

Face-to-face

11

60

• Review therapy goals, progress made so far and discuss possible future pitfalls.

• Define and finalize the relapse prevention plan.

• Evaluate the therapy process.

• Schedule an appointment for the booster session.

9

Face-to-face (booster session)

24

60

• Review the FCR model and progress made during therapy.

• Discuss difficult situations and how to overcome them.

• Relapse prevention plan.