Sadness as Celebration, Part 2 Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

#253: Sadness as Celebration, Part 2
In today’s podcast, Rhonda and David present Part 2 of their work with a young woman named Rose who has been struggling with profound feelings of grief since learning of a discouraging update on her father’s struggles with multiple forms of cancer.
A = Assessment of Resistance
At the end of the moving and tearful empathy phase, Rhonda asked Rose if she felt ready to do some work, or needed more time to talk and share her thoughts and feelings.
She said she was ready to do some work, and described her goals for the session:
I know I cannot change the facts, and I would not want to eliminate the grieving, but I would like to dial down the intensity of some of my emotions, particularly when I’m triggered.
Next, we did some Positive Reframing to highlight what was positive about Rose’s feelings. You can click here review the list of positives that we generated.
Rose’s Positive Reframing Table* Thought or Feeling
List your negative thoughts or feelings, one by one, in this column.
Advantages and Core Values--Ask yourself
What are some advantages of this thought or feeling? How might it help, protect, or benefit me? What does this negative thought or feeling show about me that is positive and awesome? How does it reflect my core values? Sadness, depression Shows my deep love for my dad and honors the contribution and impact he’s made in my life   Shows the strength of our relationship Anxiety The anxiety is warranted in this situation, shows that I’m being realistic with the situation   It shows my love for my dad, being worried is a way of showing care and concern   It shows that I don’t want him to suffer   It motivates me to connect with him and to make every moment count   It makes me vigilant so I explore every possible treatment option   It motivates us to think about moving to be closer to him   It has motivated us to schedule another visit again in July Guilt Shows my connection to our family   Drives us to visit as much as possible   Shows that I don’t want to live with regret Feeling defective Shows that I’m honest about my flaws   Shows I feel that I’m not doing a good job supporting others, so it means I have high standards in my relationships   Shows that I’m vulnerable Lonely Shows my love for my dad and the important role he plays in my children’s life   Shows how strongly that I value relationships   Motivates me Hopelessness Shows I am being realistic   Prevents me from getting my hopes up too high   Prepares me for the inevitable   Makes me value and make each moment count   Might decide to discontinue the chemo if it causes problems and isn’t helpful   Makes me more vigilant Frustration Shows I haven’t given up or thrown in the towel Anger
I will fight and contest this! Now you can review Rose’s Emotions table at the end of Positive Reframing, showing her goals for each emotion when we used the Magic Dial. The idea is to dial each feeling down to a lower level that would reduce your suffering, while still allowing you to preserve all the awesome things about you!
Emotions %
Now %
Goal % After Emotions %
Now %
Goal % After Sad, depressed, down, unhappy 100 50-60   Lonely, alone 80 10   Anxious, worried, frightened 100 30   Hopeless, discouraged, pessimistic, despairing 90 10   Guilty 80 15   Defeated 70 20   Defective 70 10   Angry 80 25   As you can see, she wanted to dial all of her feelings down to low levels, with the exception of her sadness, which was an expression of her love for her dad.
M = Methods
We used Explain the Distortions, the Double Standard Technique, and the Externalization of Voices, including the CAT (Counter-Attack Technique).
Here’s how Rose challenged Negative Thought #1.
1. He's going to die; we're running out of time.
100 50 No distortions We’re all going to die, but I can b