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Summary CBT First Session – Step-by-Step Clinical Guide for Psychology Students

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This document provides a detailed and structured step-by-step guide on how to conduct the first session in Cognitive Behavioral Therapy (CBT). Designed especially for psychology students and interns, this material explains the complete structure of the initial session, from mood assessment and medication review to agenda setting, goal definition, values identification, activity scheduling, and session feedback. The guide includes practical explanations of each stage of the session, examples of therapeutic questions, strategies to build rapport and strengthen the therapeutic alliance, and guidance on how to handle common challenges such as incomplete action plans or negative automatic thoughts. Based on Cognitive Behavioral Therapy principles, this document is ideal for: • Psychology students • Clinical psychology interns • Students preparing for exams • Anyone seeking a clear understanding of CBT session structure This material helps reduce insecurity during early clinical experiences and offers a practical template that can be adapted to real therapeutic settings. Keywords: CBT first session, Cognitive Behavioral Therapy structure, psychology study notes, clinical psychology guide, CBT session template, therapeutic alliance, action plan review, activity scheduling, depression treatment

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@psicogladyss @psicogladyss



The first cognitive behavioral therapy session
(Summary)


Introduction
Introdução: way that does not make the client feel
pressured or ashamed if they are not taking
In the first psychotherapy session the necessary medications.
based on cognitive behavioral therapy, the
therapist should provide hope through (Note: If the client has concerns about side
psychoeducation and establish a trusting effects, dosage, or addiction to the medication, I
rapport. The first session is defined by the should help them write down specific questions
following step-by-step structure: mood to ask their physician.)
check, review of medications and treatments,
setting the initial agenda, update and review
of the action plan, diagnostic assessment,
identification of values and aspirations, goal
setting, activity scheduling (if time allows in
the first session), summary of the meeting,
and feedback. A detailed summary of each
step of the session follows..

1 – Beginning of the Session
a. Mood Check: This can be carried out
through rating scales (with the client
completing a form before the session) or
through a mood assessment at the
beginning of the session itself using a 0–
10 scale. Ten represents the most c. Setting the Initial Agenda: I explain to
depressed the client has felt in the past the patient that I would like to structure the
week, and zero means not depressed at session and why I am doing so, since this
all. makes the therapy process more
understandable for clients. If a new issue
arises in the middle of the session, I
should draw the client’s attention to it and
decide whether this new matter is more
important than the original agenda. If, at
that moment, the client believes we
should change the focus, we make that
decision together.



b. Medication and Other Treatment Review:
2 – Middle of the Session
In this part, I check whether the patient is
taking medication, whether they are able a. Update and Review of the
to follow the medication prescribed by Action Plan: Since this was already
the physician, and whether they are Abe’s second session, I noticed that
seeing a psychiatrist. consultando com when asking for a weekly update, I
psiquiatra. I should address all of this in a should prioritize what happened

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Uploaded on
March 3, 2026
Number of pages
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Written in
2025/2026
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