ERT-V REDCAP
Emergency Resources
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1. The ERT Model
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2. Motivations
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3. Orienting
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4. Allowing
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5. Distancing
forum
6. Reframing
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7. Proaction & Identifying Values
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8. Proaction Continued
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9. Knowing ERT by Heart
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10. Concluding Therapy
See Yourself Acting - Preparation
Session 9
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Form
Are you...
In Session
Between Sessions
SESSION: Please select your current session or the session you most recently completed.
Note: See Yourself Acting (SYA) is introduced in
Session 7.*
Select one...
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Therapist
Please select your therapist.
Select one...
Alex
Anthony
Charlotte
Jacob
Jeannie
Michal
Phillip
Alexandra
Kalisse
Kat
Miranda
Select the Related Value:
Select one...
Marriage/Couple/Intimate Relationships
Parenting
Other Family Relations
Friendship/Social Relations
Career/Employment
Education/Training/Personal Growth
Recreation/Leisure
Spirituality
Citizenship
Health/Physical Well-Being
Identify 1-3 specific Proactions
you plan to take:
Behavioral Goals
1
2
3
Emotions
Select emotions you are feeling now or expect to feel when you engage in proaction(s).
Fear
Anxiety
Anger
Sadness
Hopelessness
Shame
Interest
Joy
Disgust
Excitement
Current
Motivations
Rate your current motivation levels as you think about engaging proaction.
Pull for Security
Low
High
0
1
2
3
4
5
6
7
8
9
10
Pull for Reward
Low
High
0
1
2
3
4
5
6
7
8
9
10
Reactive
Responses
Select anticipated reactive responses.
Distracting
Over-focusing
Can't concentrate
Worry
Rumination
Self-criticism
Feeling lonely
Feeling guilty
Numbing
Consequences
Select anticipated consequences.
Reassurance-seeking
Starting an argument
Avoidance
Compulsive repetitive behaviors
Smoking
Drinking and/or drug use
Over- or under-eating
Skills
Select the skills you plan to use.
Orienting
Allowing
Distancing
Reframing
I did not use skills
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