Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual

Table 1 Comprehend, Cope, and Connect schedule of sessions

Session no	Activity
1-4	Listening; introducing the states of mind; introducing mindfulness and/or breathing
	Collaboratively creating the formulation diagram
	Negotiating goals for therapy based on what is needed to break the vicious circles
	Sharing the draft compassionate summing up letter and looking forward to what to work on through the group programme
5-12	Goals based interventions aimed at breaking the cycles. Mindfulness is the core intervention, and the following are employed as indicated by the formulation
	Arousal management, including relaxation breathing and lifestyle adjustment to reduce chronic stress
	Behavioural activation
	Emotion management includes facing, expressing and letting go of emotion self-compassion
	Aspects of self; mindfulness managed subpersonality work. Relationship management including assertiveness building a new relationship with the past
	Follow-up at 12 wk post-therapy