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1. It was a lot of work with the other things that I have going on with uni and children etc, so It was slightly overwhelming in that respect. However I could see the advantages of trying it out for myself.
2. I have a very full life and am busy almost all day so it was time consuming filling in the hourly activities. I was also away this weekend so was not in my 'normal' routine so again this was a slight challenge.
3. Time was the main one to be honest and the fact that I was away for my birthday so my valued based activities for the weekend were very different to what they would have been had I been at home.
4. It made me appreciate how much I do day to day (with the baseline diary) and made me realise that a lot of my time is spent looking after or organising others rather than myself, work,uni,husband,son etc etc... so possibly making time for myself on a regular basis wouldnt go a amiss.
5.I think we have to be mindful of giving teenagers even more work to do and even more pressure if they are already busy with school work etc. introducing this amount of work could be overwhelming. Possibly not giving all of the sheets to them at once would help, so just work through on bit at a time and explain each new section as we go. I found that the pressure to complete it on time made me rush it as I was busy with other things so the results my not be as effective. Being mindful not to treat this as another bit of homework for the teen and making them feel bad if they have not been able to complete it when required.

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1. I felt excited to start this task because I was intrigued to see if I felt it differed to using the Cedar ba booklets. This was particularly surrounding the use of values, which we have not touched upon in previous therapies.
2. I found that putting the theory behind BA into practice was easy. I also found it fairly easy to incorporate the use of value-based-activities.
3. However, I went home for the weekend and forgot to bring my sheets with me - which made it a lot harder to apply this particular model of BA.
4. Due to already having an indepth knowledge of BA, I was still able to incorporate it into my life. I also felt myself thinking about my own values and how I could integrate them into the activities. For example, I remembered one recommended task being to send a friend a text message asking about their day, and so I did this.
5. However, if this was the first time I had used BA I would have definitely struggled without having the sheets and would have likely not done it. This would have been even more apparent if I had severe depression, as my motivation and concentration would be lower. I think it's therefore important as clinicians to remember that sometimes patients may not be able to complete the intervention correctly straight away. But if they are able to incorporate at least some of the intervention, then it is a good stepping stone for future work to be done.

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1.) With a combination of a busy week and lots of dissertation testing hours scheduled, I felt conscious about being able to contribute the time necessary to complete the tasks. Keeping something written safe is a novelty as nearly the entirety of work completed is currently done so via an online medium.

2.) It's easy to complete, but very boring and repetitive, which made motivation to complete quite low, which I'd imagine is not good for those at risk of potential mental health issues.

3.) Mainly the fact that it's a boring task to complete and the fact that I couldn't always remember what I'd been doing or felt like when I was writing retrospectively.

4.) It was interesting to see how my mood changed depending on work/social life balance. It certainly showed me that idleness can be even more damaging than lots of work stress.

5.) I think crucially filling in forms is anathema to adolescents or anybody and there should be a facility to streamline this into some form of app technology or at least a web based service. This would make form filling not only more accessible, but also change the stigma associated with form filling in the first place.

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1. I felt excited to complete this task as it was a new experience to think about activities in terms of values, plus to then think of new activities in accordance with them.
2. In reality, it was quite difficult to find time to do everything even though I was enthusiastic about this.
3. I found that I already had such a busy week that I could just about do the diary. When it got to the weekend, I had planned in a time to work through the values and think of activities - however, something unexpected came up at the weekend and so again I did not finish it completely.
4. I realised that I do a lot of activities from all 5 life areas that add value to my life and, especially at this rather stressful time at uni, they help to give my life balance and keep me happy. I found it very helpful to spend some time noticing and taking stock of this as it certainly affirms the rationale of BA and ultimately increases my confidence in it's usefulness.
5. Based on my experience of using this model of BA, I can imagine it would be really helpful for a young person to use too, whether they were feeling depressed or not. I found it very powerful to think about my own values and do things in accordance with those - as opposed to thinking about what I think other people want me to do (I remember thinking a lot about that when I was a teenager!).
My experience of it has also reminded me of the reality of home practice; when discussing home practice with patients and they might not have done it completely or in the way you had agreed together. As it can even be tricky for non-depressed people to do BA, it is really important to be understanding and keep the therapy room a non-judgemental space. Life can often get in the way.
If I were to use this model of BA with a young patient, I would make sure to go at their pace and always really explain the rationale well in order to help with engagement and to instil hope, hopefully to encourage them to keep working on it.

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1. I think it is quite interesting to complete this. As I always ask my patients to complete BA, but never properly used this on myself, especially this version of BA.
2. It was the most difficult to understand my values, as I do not usually consciously think about this.
3. When I am trying to think about some values, I am not sure if I have written something appropriate. Some of them look like "rules for living" to me instead of values. Also, for certain values, there's no activity can match with that or improve that, due to it needs the interaction  and cooperation with others.
4. Overall, I am able to reflect that some of my values are not fulfilled and I am not actively working on it, thus is makes me sad. Also, it made me sad that listing some values down as the situation cannot be changed.
5. I think for adolescents, they would experience more difficult as they might not understand themselves much. Also, listing the hierarchy is not difficult, completing BA diary is not difficult. But listing down the values definitely needs some assistance from parents and practitioners.

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1.I was aware that this BA differed from the Cedar workbook that we currently work with on placement, thus I was hesitant. However, I found accessing my values particularly interesting. This is not something I have given much thought to up till now.
2. I found the booklet very easy to complete, however I struggled with the time frame and decide to focus on education and recreational values as these are currently more applicable to university life.
3. I did not come across any substantial barriers yet found the layout quite dry. I think if I was using this form of BA with a adolescent I would have to break the book up in order to make it more stimulating. However, as previously mentioned, I like the idea of choosing activities based on values.
4. This week I have payed more attention to implementing recreational activities. Following completion of my daily schedule, I realised that pleasurable activities were limited. But, I acknowledged that this may be a reflection of 3rd term at university. Nevertheless, I made an effort to complete recreational activities.
5. I think this model is too dry for adolescents. Additionally, some may struggle to access values. However, it is important to consider that adolescent may have different values to more mature patients.

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1 As my schedule over the past 2 weeks have been busy, I was skeptical that engaging in BA would prove useful and would be an inconvenience instead. Typically a patient engaging in BA will have little activity in their lives to begin with, thus scheduling events and finding the time to do so would be less complicated. This left me feeling on edge about the experience.

2. I compensated by noting the times and length of time that I would engage in my usual activities. Included were going to the gym, playing sport, working in the library, testing participants, going to social nights and so on. As such I found it easy to complete, as the main benefit it provided was allowing me to have a clear structure to my week, and have more productive days than I usually would have.

3. The main barrier was the inability to note multiple tasks that fell under the same umbrella. For example, tasks such as cleaning my dishes, tidying my room, showering etc. I would put under the name of 'clean up' or 'tidy'. As I am not depressed, taking tasks one at a time was not necessary for me, and therefore to note every single task I was to do during the day would take far too long to plan out.

4. As mentioned the main effect was that it gave me a clear structure for my week which enabled me to be more productive. Normally I will have an idea of what I would like to accomplish during a day, but will not have set times to complete these tasks. By noting them all down with a time in mind it gave me incentive to get up and sleep at roughly the same times, which gave me more time during the day to complete more tasks than I normally would have.

5. For many teenagers they have plenty of commitments outside of their usual routine. For depressed teenagers the amount of tasks may reduce slightly but they will still be present and may impede on their ability to fully commit to the treatment's methods. The main adaption that could be done by the therapist would be to plan for external/internal barriers that may stop the patient from completing their planned tasks (this being an educational deadline, a family event etc.).

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1. Although I was reluctant to do the task given multiple upcoming deadlines, I thought it would be interesting to fill it out as it was a task that would not take up much time as we would be able to split it across the week. I was however looking forward to it as I have never experienced BA, nor ever heard of it before the seminar, and thought it would be interesting to undertake the intervention. Having only ever experienced psychology in the form of research, I was intrigued to gain a fuller understanding from both practitioner and patient perspectives.
2. Looking retrospectively into my day has always been a struggle for me, as such I found this aspect of the forms tricky. Furthermore, I'm an extremely busy individual juggling multiple extra-curricular activities as well as a large current workload and a part-time job, so filling out the form just reinforced what a difficult time I am currently having, and if anything, made me feel worse.
3. My greatest barrier was my current workload, having to do so many things all at the same time is always difficult, but then having to fill out these forms and try and actively implement new behaviours made it even more challenging.
4. Although it allowed me to identify how to make myself feel more positively, it was nothing I didn't know already. I feel that many people know what makes them happy and how they can make themselves happy, but the difficulty is in being able to enact them.
5. Personally, I believe that anyone that would complete this intervention, from CYPs to working adults, especially those suffering from depression, would fairly easily be able to identify what activities would make them happier. The difficulty is feeling that they actually CAN do it, and knowing how to do it. I think that for this treatment to be truly successful, you need the patient to be highly motivated, which would be a struggle in the patients that would actually benefit from this due to depression, exams etc. As such, I believe you would need a high degree of family support to help the young person to complete the tasks and enact them.

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1. I felt happy to do this task, as I have not engaged in any form of BA before, so it seemed interesting to gain an understanding of what it involves and the sorts of forms and activities individuals receiving this therapy have to do. I thought it would help better my understanding of BA and help with my progress on the course.
2. I found some elements of this tricky, such as identifying values and activities for each area, and I think this was partly because this is not something that I usually think about.
3. The short time frame in which it had to be completed was a barrier, especially as this point in term is quite busy with assignments, and so I found it quite tricky to complete in detail and with a lot of thought.
4. It made me realise the sorts of activities I need to focus on more, in order to boost my positivity. However I feel that the effect of this would be greater given more time to complete it and if I was experiencing depressive symptoms.
5. I feel that each step needs to be explained to each patient, to ensure that they understand what is asked of them and why they are doing it. Key elements of BA, such as values, also need to be explained, perhaps with concrete examples, so that they are aware of what they are and why it is important to have them. I feel that it needs to be ensured that enough time is allocated for adolescents to complete BA, as although their schedules may not be as busy as adults, they do have a lot of other things going on, such as exams/part-time jobs, which may make it difficult for them to complete it in a short time period.

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1: I hadn't given how it felt to be asked to do it much thought. Neutral would be the best word. I could think of benefits of doing it and alongside some costs.
2: I found assigning value to my activities hard. I do not feel as though I am in touch with these values as much as I'd like to be. Moreover, as my routine is sporadic and whimsical, I found it hard to plan in the activities.
3: Mainly the time investment required for completion of the task. I also found it hard to stick to the tasks on the sheet.
4: I got my life sorted out to some degree.
5: I am not sure that this would be something I could stick to permanently, so I would expect BA would not be for everyone.

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1. At first I was very open to the task of completing a BA diary for a week. Planning the coming weeks of University is something that I have been intending to do and with deadlines rapidly approaching, having a structured plan was something I looked forward to.
2. In practice I found the exercise quite hard to achieve. I had a range of different values that I was successful in identifying activities to fulfil them. However, in practice this actually led to disappointment as I did not have the time to complete them. For example, a value of going out with friends was exciting, however with the current demand on deadlines and workload it simply wasn't possible to organise this activity.
3. As aforementioned, the greatest barrier was the demand of my workload at this time in my life.
4. The greatest effect on me was frustration due to the amount of paper work that came with this BA approach. Having to complete the range of different work sheets in order to just establish a plan was something I grew tired of.
5. Overall, I believe I would have benefited greater using the BA model I use in my clinical practice as a PWP as it offers more freedom and is less time consuming to complete. However, I believe the age difference between myself and those in CYP IAPT is the reason behind why I didn't find this approach useful. I believe with age an individual becomes more in touch with their values and can identify the activities that fulfil these values more readily. However, in younger people having a homework task that identifies some of these values I believe could be very effective. So overall, I do understand how this model of BA could work in young people and I believe that it is a good thing that a treatment has not just been taken from adults and given to younger people. Taking the time to work out what needs to be different and why is important.

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Hody Lo

1) I felt that I was unable to do it in the first place as there is a lot going on at the moment, but I did manage to complete it.

2) It was not easy for my to do it this week as I am so busy with other stuff and found it hard to manage my time. But when I actually engaged and put down what I have done that day, I feel it is easier to complete it. And I found that putting down things I’ve done that day makes me happy; I can see the importance and enjoyment of doing those activities and can see the balance between them.

3) There were 2 barriers to stop me from doing BA this week. Firstly, as there was a lot of work to do this week, e.g. upcoming deadlines and ongoing dissertation meetings, it was hard to fit in a time where I could sit down and complete the diary everyday. Secondly, I was ill this week and sometimes just wanted to lay in bed and rest, it was quite hard to motivate myself to complete the daily routine sheet everyday.

4) Completing this task has made me more aware of the area of family and the importance of keeping balance between important and enjoyable activities. I felt that noticing these makes me feel the need of changing the way I behave and somehow makes me feel happier as well.

5) From my experience of doing this task, I can imagine how difficult it might be when a depressed adolescent is asked to do BA. The BA diary is seemingly difficult to complete and it can be hard to motivate them to do the task in the first place. But I think with several examples and knowing what they could get from it, BA can help them to restore their routine and to achieve life area goals.

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1. I was quite happy to be asked to try and engage in BA this week, as I have been feeling particularly stressed recently and have previously seen the benefit of using BA during the applied course last year at helping to restore a bit of balance to my routine.
2. It was a bit more difficult to try and complete this version of BA as it was not just asking me to identify routine, necessary and pleasurable activities and attempt to schedule them into my diary as per the version of BA that we are used to, but instead to identify values and activities in 5 different areas which was interesting; however the completion of my hourly daily routine alongside the importance and enjoyment of each of this routines was slightly laborious.
3. Given that we had less than a week to attempt this task this was definitely a barrier; I definitely needed a good few days of preparation time to record my current daily activities and complete my values/activities tables before I could even consider looking at beginning to implement them. Because I knew the amount of work I had to do to complete this week's padlet, I did spend the first couple of days avoiding even looking at it because I was too stressed with upcoming deadlines.
4. Once I did attempt to engage in BA this week, I did find that identifying my values made me more aware of the activities that I needed to undertake in order to feel the reward of achieving this value and I can see how the focus on this can be much more fulfilling than just trying to balance routine, necessary and pleasurable activities across my week, which may not be as appropriate for a child or adolescent. I am definitely more encouraged to try and implement this more over the next few weeks to try and prevent myself from becoming overwhelmed by the stress of deadlines and try and keep a balance of activities within my week.
5. Firstly, I feel as though attempting this treatment with adolescents may pose difficulties, especially in terms of the completion of homework tasks within the time between sessions, and so therefore it may mean that treatment may take a little longer and may need to be broken down into slightly smaller steps so that they don't feel disheartened if they are unable to complete all the set tasks for the week. Furthermore, I also think that the identification of values may be something that would need to be started in the session with the therapist so that the patient can receive the help that they need in beginning to identify these - I definitely struggled to begin with to identify my own values, and this may be even more difficult for a young adolescent who is currently experiencing depression and attempting to do this by themselves.

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1. I felt that I did not have time to engage with the therapy as there is so much else going on at the moment.
2. I did not find it easy, I found it hard to find activities for each specific life area, as at the moment education and career is completely taking over my ability to engage with other areas as well as usual. I found it particularly hard to engage with all the areas and could not find any values under recreation/interests and mind/body/spirituality. This made me feel stressed and I did not want to complete the activity.
3. It was half term this week so having children around and still trying to do uni work and engage with this was almost impossible. I have been feeling low and finding placement difficult so I could empathise with lack of motivation which often comes with depression too.
4. It made me more aware of areas of my life in which i can not give the time and attention that i would like to at the moment, particularly family and relationships. Highlighting this made me feel frustrated, stressed and low.
5. I can see how patients may possibly feel lower after completing the life area goals, as they may feel that they are not achieving all they want to due to depression. Hopefully it would motivate them to want to achieve more, and not cause them to sink deeper into depression making them aware of all the life areas they are possibly missing out on.

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1- I was quite intrigued to try out this version of behavioural activation as it is different to the one I use as a PWP. I was particularly interested in how it uses a person's values to create activities/goals.

2-I found that initially it was fairly easy to complete but after a few days it became it but frustrating filling out what I was doing for every hour of every day.  I also found that filling out how enjoyable/important each activity is became quite tedious. However, I did notice that I put a lot of importance on a lot of things, which might linked to how stressed I'm feeling at the moment.

3-I think one of my barriers was time. Compared to other models of BA where the day is split into morning afternoon and evening, the every hour approach plus the enjoyment/importance ratings took a lot more time to fill out. Similarly we did not have many days to fill it out before blogging so I feel that maybe given longer it might have had other or greater effects.

4-I noticed that I place a lot of importance on things, and maybe this explains why I'm feeling quite stressed at the moment. I also found it really useful looking at my values and activities to achieve those as I feel I could re-balance my life a little bit. It also increased my confidence in this BA model.

5-I think adolescents could find this model really useful, but there may be limitations such as time and concentration. Also it's easy to fill out when you're doing the activity rather than remembering but adolescents might not want to be seen doing this in public, which might change their recordings/ratings. So it would be really important to think about internal and external barriers when beginning this treatment.

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1.I felt comfortable having been asked to do this task, as this is something we were required to do last year on the applied course. I also felt as though it would be good to re-fresh my memory on how to implement a form of BA, as I haven’t treated anyone on placement with this treatment, as of yet.

2. I found it difficult to complete this in the time frame, but once I began to identify activities for my values, it wasn’t particularly difficult for me.

3. I found the main barrier was the time limitation, as we needed to blog the information from the practice in time for the padlet feedback. This was quite difficult to overcome when trying to apply maximum effort in identifying activities and rating them.

4. I have restored my confidence in my understanding the BA framework, and see how it can be useful in treating depression, as the evidence base suggests. I have mainly seen this in how BA incorporates different, yet equally important aspects of your life and values within its’ treatment.

5. I can see how if a patient (adolescent) does not have adequate time in the week to complete the exercises due to course commitments, family commitments, etc., it may be difficult for them to truly engage with the treatment and may also be mean that it could take longer to complete the sheets in sessions as well. Therefore, planning for internal/external barriers with the adolescent in sessions would probably be useful in reducing the likelihood of this.

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1. Initially, I felt quite excited to start BA because I know how beneficial it can be, regardless of clinical depression or not. As I have been stressed recently I thought it would help me regain balance in my life and make me feel a bit happier. I was also quite interested to try the 'values' aspect of this BA as it seemed to be a good way to re-focus myself on the important things in life and to incorporate these in my day to day life.
2. I found it quite difficult to start this practice because time seemed to run away with me this week. Due to some upcoming deadlines I forgot about the practice until later in the week and struggled to find time to start thinking of activities for my particular values.
3. Therefore, I think the most prominent barrier to completing this practice for me was the time limitation. Although I would like to try and do a few days properly using the worksheets, I needed to blog for the benefit of my peers who need to feedback this blog. I feel that if we had had two weeks to complete this task and had structured it in a more systematic way (eg spend this week thinking of activities and values you have and the second week trying to implement them into your routine) I may have had more success with the practice.
4. Having completed BA before, I know how beneficial it is and how it may lift my mood and make my days more enjoyable because I often forget to include pleasurable activities when I am stressed. Therefore I am going to continue to try to implement this practice in my life over the next week and will then reflect individually on how it makes me feel. However, I did find that just by identifying some values and activities in relation to these values I was more aware of including them in my life, regardless of whether or not I was filling out the sheets.
5. I think my response shows how treatment with adolescents may take a varied number of sessions. For some individuals they may jump right in and engage fully straight away but for others they may need to take it at a slower pace. Furthermore, I think my difficulties thinking of values and activities may be something that other adolescents struggle with, because identifying these may not feel initially natural. However, I imagine when treating adolescents this can be done at a pace that suits them and using the examples and working with the practitioner may help them to identify these more easily.

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J Little
1. Although generally I would find doing it an interesting exercise, I was not too keen on being asked to do the activity this particular week, as I had an unusually busy week; I think it was also quite atypical so maybe not very enlightening either.
2. I found it quite hard to complete for a few reasons (and I am not depressed / unmotivated), namely:
3. School half term, children / people around me all the time, visitors in our house who I want to give my attention to, out of my usual routine, lots of late nights etc. I overcame this by getting my teenage daughters to do it with me on some days, which we all found interesting.
4. It made me notice some activities that are very enjoyable that I hadn't even realised. For instance, I keep moaning about rehearsing for a musical event, but realise that the rehearsals are actually really enjoyable. In fact, I think I put that nearly everything was enjoyable, but I am a bit like that anyway! It  would have been a very different week if there were essay deadlines etc.
5. I can imagine some teenagers getting quite enthused about it, esp. at the start of treatment when they are feeling hopeful, but others less so: maybe theses would not benefit from BA or CBT much anyway? I wonder if getting other family members to do it as well would be a good idea? Though maybe not in a quite dysfunctional family.

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Self practice self-reflection (SP/SR) has many values for the clinician. Not least of which is an understanding of what it is like to be asked to complete the treatments that we conduct with our clients.

This week is all about your response to completing BA with the sheets given. I would like you to reflect upon your experiences by answering the questions in Box 2. Post your responses anywhere on the padlet.

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1. How did you feel about being asked to do this?
2. How easy was it to complete this?
3. Were there any barriers to completing this?
4. Was was the effect on you of completing this?
5. What do your responses mean for the treatment of adolescents with this model?