Practitioner Development

A brief behavioral activation treatment for depression. Treatment manual.

Lejuez et al. (2001) · Behavior modification 2001
★ The Verdict

A 2001 manual gives you a quick behavioral activation script that later studies keep proving works across new groups and settings.

✓ Read this if BCBAs who treat depression or train staff in mental-health clinics.
✗ Skip if Those who only work on purely behavioral excesses like aggression or stereotypy.

01Research in Context

01

What this study did

Lejuez et al. (2001) wrote a short, ready-to-use manual for behavioral activation.

The manual shows therapists how to help depressed clients plan and do more rewarding activities.

It is a how-to paper, not an experiment, so no clients were tracked or measured.

02

What they found

The team did not collect outcome data.

Instead, they gave the field a step-by-step protocol that later studies could test.

03

How this fits with other research

Amore et al. (2011) later used the same manual with adults who have atypical depression.

After 16 weeks these clients felt much better, showing the manual works outside the lab.

Boudreau et al. (2015) stretched the protocol further.

They added a carer and delivered BA to adults with intellectual disabilities.

Depression dropped sharply and stayed low six months later.

Alfonsson et al. (2015) tried BA in a group for binge-eating disorder.

Mood improved but binge episodes did not, hinting BA alone may not curb eating-specific cues.

Koegel et al. (2014) built a successor package.

They blended BA with acceptance tools for clients who also have social anxiety.

Early results look good, suggesting the field is moving toward integrated protocols.

04

Why it matters

You now have a free, short manual that multiple studies have copied and extended.

Use it as-is for straightforward depression, add a carer for clients with ID, or mix in acceptance skills when social anxiety tags along.

If the client’s main worry is binge eating, plan to bolt on eating-specific modules.

In short, the 2001 manual is still your fastest starting block for getting clients active again.

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Print the manual, pick one valued activity sheet, and walk your next depressed client through scheduling it today.

02At a glance

Intervention
other
Design
theoretical
Population
not specified
Finding
not reported

03Original abstract

The brief behavioral activation treatment for depression is a simple, cost-effective method for treating depression. Based on basic behavioral theory and recent evidence that the behavioral component may be the active mechanism of change in cognitive-behavioral treatments of clinical depression, the authors designed a treatment to systematically increase exposure to positive activities, and thereby improve affect and corresponding cognitions. This article describes the rationale for the treatment and provides the treatment in manual form to be utilized by patients in therapy.

Behavior modification, 2001 · doi:10.1177/0145445501252005