Chain Analysis

Behavior: Not going for coaching

Vulnerabilities: Calling family member

Prompting event: Difficult call to family member

Chain components/ links:

EV: Talking on the phone with family member, family member says I am not trying hard enough in
treatment

T: Nothing I do is ever good enough.

E: Sadness, hurt, frustration

BS: Heavy, tension in neck, sinking feeling in stomach, heart hurts

A: Say to family member “That’s not true.”

EV: Family member says “That’s what it looks like to me.”

T: She always does this, she always makes me feel like crap, she doesn’t support me.

E: Sadness, hurt, frustration, anger

BS: Flushed, tightness in jaw

A: Yell at family member, hang up the phone.

E: Anger, shame.

T: I want to hurt myself.

BS: Tension, crying.

T: This is never going to change, I cannot handle how I am feeling. When I feel like this, I know I should
go for coaching but I don’t care I just don’t want to feel this way.

A: Ruminating on ways to SH.

E: Anger, shame, frustration.

T: I am so upset. I know I should go for coaching but I don’t want to, there is no point.

E: Hopeless.

A: TB
Consequences:

Positive:

Negative: