chapter  2
A Cognitive Behavioral Conceptualization of Perinatal Distress
Pages 20

Behavioral activation refers to a set of techniques that helps depressed clients actively engage in their lives and overcome patterns of avoidance and procrastination. In a typical course of Cognitive behavioural therapy (CBT), the therapist ask their client to commit to activity monitoring, which is the tracking of how clients are spending each hour of the day in the days between sessions. Memory is malleable, and retrospective accounts of how time was spent in the previous days and the associated sense of accomplishment and pleasure one attained from them would be difficult for anyone to report accurately, and particularly so for a sleep-deprived postpartum women. The therapeutic relationship is essential in healing from perinatal distress, and it is the springboard from which clients embrace cognitive and behavioral strategies when they are ready to do so.