CBT Baseball

Wednesday, December 21, 2016



Right after I graduated from grad school, I went back to take a CBT class. Besides being a phenomenal course (with a stellar instructor), the textbook I got for it was actually worthwhile. Cognitive Therapy Techniques for Children and Adolescents: Tools for Enhancing Practice had some actually tangible strategies for doing this kind of work with a population this is still developing metacognition (PS Kindle version is way cheaper). My favorite idea from it was essentially CBT baseball. It's been over 6 years since I read the book, so I'm guessing my version is probably an adaptation of what was described in the book. The first time I used it was in a therapy position with a client that struggled with anxiety. In my role as a school counselor, I use it more often for negative thinkers and anger.





***I use this intervention after I've already established CBT groundwork; after I've worked with the student on the concept that our thoughts influence our feelings and behavior, when they understand the difference between thoughts/feelings/actions, and when they can distinguish between helpful and unhelpful thoughts. For some students, this activity is enough. For others, I do activities where we sort thoughts/feelings/actions and where we sort (or match) helpful/unhelpful thoughts.***

First, I make sure the kiddo understands the basics of baseball (or kickball!). Then, we set out the bases and review which each of them means. I usually go through one example where they are the "pitcher" and I am the "batter" before switching roles.


I use either pre-written scenarios or write them on the spot, crumple them into "baseballs", and "pitch" them to the student. At the home plate, they catch the ball, read it, and then run (or jump - my office is small!) to 1st base and say what thought would pop into their brain. Then they run to 2nd base and identify what emotion(s) and what intensity they would have. They head to 3rd and name what actions or behaviors would follow. I often scaffold with a "So if you're thinking _____ and feeling ____ level ____, what do you think you would do?". This first go around the bases with each scenario is usually negative, and I switch to umpire and tell them "you're out!" after they say something like "I would push them back" or "I would pout and put my head down".



The student heads back to home and we do the same thing again, with the same scenario, only this time they state a more helpful thought on 1st base and use that. After 3rd base, they run home and we cheer that they hit a "home run".

It's a great way to incorporate movement into individual sessions and help what is actually difficult work mentally feel more fun.

Adaptations: 
  • Student comes up with the scenarios themselves.
  • Have a stack of pre-written thought cards at 1st base that the student picks up and reads and uses for 2nd and 3rd base instead of basing it off of a given scenario. 
  • Provide action/behavior options in a visual chart/list at 3rd base.
To find the bases and 'baseballs' with scenarios for anger, anxiety, and sadness, click the image below to link to them in my TpT store.

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