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The Four C's
Cope More Effectively 
Psychoeducation is provided in the form of group discussion regarding common reactions youth have to stress and trauma, triggers, and the types of coping strategies they use in response to these experiences.   Behaviors typically labeled as “bad” (e.g. drinking, fighting, avoiding), are reframed as efforts to cope with difficult situations. Adolescents identify their MUPS (coping strategies that “Mess you up”), and discuss the ways in which these strategies, while perhaps effective in the moment, often exacerbate original problems or create new ones.

Group members support each other in identifying new strategies for coping, including Distract and Self-Soothe (“Distress Tolerance” from DBT), which are short-term coping skills used to manage the moment when they are faced with a situation that they can’t immediately fix or change, and LET ‘M GO, which are problem-solving steps that are effective for generating options for situations over which they do have control.  Members practice these skills over multiple sessions through the use of role plays, group discussion, and practice assignments.  In-vivo practice also occurs so that adolescents can learn self-regulation in the “here and now” without engaging in MUPS.