Doing homework. It has been found that patients who frequently use CBT methods have the best results with long-term follow-up. When formulating homework assignments, it is important to clearly explain their contents, answering all the client's questions. The effect will depend on the clarity of the explanation of the task. Preparing the patient for relapse (increasing intensity of pain or depression). At the start of therapy, patients often have unrealistic expectations of lifelong pain freedom, but increased pain or depression may occur in the post-treatment period. Unrealistic expectations, such as “The pain will never appear again!” can lead to disappointment; pessimistic expectations, “I will never get rid of this pain!” lead to depression. Therefore, it is necessary to identify the behaviors, emotions, thoughts and physiological reactions that influence the increase in pain and explain that, although they are understandable, they are not strategies that will help cope with pain. The therapist and patient develop so-called “red flags” ”, i.e., situations that were previously associated with increased intensity of pain or stress. Adaptive management consists of two parts: preparation for increased pain intensity and strategies used when pain increases. How can you prepare a patient to cope with a relapse? To begin with, you need to focus on something other than the pain. Self-distraction and self-soothing techniques work well here. For example: concentration on the senses and direct perception of visual or auditory stimuli, performing a favorite activity, etc. Stay calm, use relaxation. Meditations with withdrawal and autogenic training have proven themselves well; Recall all situations and activities that in the past led to a decrease in pain; Make a plan for overcoming pain. Therapist. For successful therapy, attention, compassion and respect for the patient on the part of the therapist, as well as consideration of the goals, are considered necessary. For successful contact, it is necessary to work through the therapist’s countertransference reactions in supervision work. ===================================================== ==============You can get advice by contacting: By phone. 8-923-146-08-18 (message in WhatsApp or Telegram)Skype: live:alexey.mossine-mail: [email protected]