229 The Professional Counselor | Volume 13, Issue 3 After receiving the training and program materials, CITs co-facilitated weekly CBT-P small group counseling sessions with the treatment groups. Session protocols developed and evaluated by Handley et al. (2015) and Steele et al. (2013) suggested eight 2-hour group sessions; however, to increase feasibility and fidelity, session protocols were pared down to eight 1-hour group sessions to meet the students’ scheduling needs within their school setting. Arielle Bendit, the first author, modified the treatment in accordance with the flexible nature of the CBT-P guidelines (Egan et al., 2014). Table 3 outlines the session modules and components. Table 3 Sessions and Session Components of CBT-P Group Treatment Protocol Session Session Components 1. What Is Perfectionism? • What are the core features of perfectionism? • Why does perfectionism persist? • Pros and cons of perfectionism 2. Self-Monitoring • Domains of perfectionism • Tips for effective self-monitoring 3. Surveys and Behavioral Experiments • Develop more functional belief system • Introduce behavioral experiments 4. New Ways of Thinking • All-or-nothing thinking • Moving toward flexibility 5. Broadening Attention, Cognitive Distortions, Diaries • Challenge distortions • Increased awareness through use of thought diary 6. Procrastination and Problem Solving • Ways to challenge and overcome procrastination • Time management and pleasant activities 7. Values and Reducing Self-Criticism • How to respond to self-criticism • Increasing self-compassion 8. Expanding Self–Evaluation, Goals, and Relapse Prevention • Encourage realistic and flexible goals • How to deal with setbacks Note. Based on protocol developed and evaluated by Steele et al. (2013) and Handley et al. (2015). Round 1 In August 2021, five CITs completed the CBT-P training. Participating students then completed the CAPS pretest. Bendit then assigned participants (n = 27) to their condition groups, with 14 participants assigned to the treatment group and 13 participants assigned to the comparison group. The CBT-P treatment groups started in October 2021 and ended in December 2021, with all participants again completing the CAPS posttest. Final posttest data were collected in January 2022 when participants completed their second complete universal mental health screener (DASS-21 and SEHS-S).
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