Bingo Concept Key Answer Key

This key provides guidance on verifying winning Bingo cards and identifies correct matches for each scenario statement. Use the detailed definitions and rationales to confirm participants’ responses.

Winning Patterns

Participants win by marking any five consecutive squares in one of the following patterns:

• Horizontal: Any full row across five squares (Rows 1–5).
• Vertical: Any full column down five squares (Columns 1–5).
• Diagonal TL→BR: From the top-left corner to the bottom-right corner.
• Diagonal TR→BL: From the top-right corner to the bottom-left corner.

Scenario Key

Below are the 24 sample scenarios used in game play, each mapped to the CBT concept on the Bingo cards. Review the definition and rationale to support grading.

1. Automatic Thoughts
   • Scenario: “As soon as I think about speaking up, my heart races and I feel like I’ll fail.”
   • Definition: Rapid, involuntary thoughts triggered by events.
   • Rationale: The scenario describes an immediate negative thought and emotional response.

2. Cognitive Distortions
   • Scenario: “I’m sure she’s thinking I’m incompetent because she didn’t smile at me.”
   • Definition: Irrational or exaggerated thinking patterns.
   • Rationale: The client assumes another’s thoughts without evidence (mind reading).

3. All-or-Nothing Thinking
   • Scenario: “If I’m not perfect at this task, I’m a total failure.”
   • Definition: Viewing situations in black-and-white terms.
   • Rationale: The statement shows a rigid either/or judgment.

4. Overgeneralization
   • Scenario: “I messed up this morning, so I’ll always mess up.”
   • Definition: Drawing broad conclusions from a single event.
   • Rationale: One mistake is applied to all future circumstances.

5. Catastrophizing
   • Scenario: “This headache must mean I’m going to have a stroke.”
   • Definition: Expecting the worst possible outcome.
   • Rationale: The client jumps to an extreme, unlikely conclusion.

6. Cognitive Restructuring
   • Scenario: Therapist and client review a negative belief and generate a balanced alternative.
   • Definition: Identifying and challenging distorted thoughts to create balanced thinking.
   • Rationale: The process of reviewing and reframing the thought describes restructuring.

7. Behavioral Activation
   • Scenario: “I scheduled a daily 30-minute walk to boost my mood.”
   • Definition: Engaging in positive, mood-enhancing activities.
   • Rationale: The client plans and executes a pleasant activity for mood improvement.

8. Exposure Therapy
   • Scenario: “I’ll gradually enter crowded places to reduce my panic.”
   • Definition: Systematic approach to face avoided situations.
   • Rationale: The client confronts feared stimuli in a graded way.

9. Progressive Muscle Relaxation
   • Scenario: “I tense and then relax each muscle group nightly.”
   • Definition: Alternating muscle tension and relaxation to reduce stress.
   • Rationale: Describes the step-by-step muscle relaxation technique.

10. Relaxation Techniques
    • Scenario: “I use deep breathing exercises when I feel anxious.”
    • Definition: Methods like breathing or imagery to calm the nervous system.
    • Rationale: Deep breathing is a core relaxation strategy.

11. Socratic Questioning
    • Scenario: Therapist asks, “What evidence supports that belief?”
    • Definition: Guided questioning to explore the validity of thoughts.
    • Rationale: The therapist uses open questions to examine assumptions.

12. Thought Record
    • Scenario: “I write down my negative thoughts and rate my distress each day.”
    • Definition: Structured diary to capture and analyze thoughts.
    • Rationale: Logging thoughts systematically matches the record process.

13. Behavioral Experiment
    • Scenario: “I tested whether people would laugh at me by sharing a joke in class.”
    • Definition: Testing beliefs through real-world experiments.
    • Rationale: The client gathers evidence by challenging the feared outcome.

14. Cognitive Triad
    • Scenario: “We examined my views of myself, the world, and my future in session.”
    • Definition: Core beliefs about self, world, and future that underlie depression.
    • Rationale: The client explicitly reviews the three domains.

15. Self-Monitoring
    • Scenario: “I track my daily mood and triggers in a chart.”
    • Definition: Recording behaviors, thoughts, or feelings to identify patterns.
    • Rationale: Systematic tracking exemplifies monitoring.

16. Homework Assignment
    • Scenario: “I agreed to complete a thought record before our next meeting.”
    • Definition: Between-session tasks to reinforce skills.
    • Rationale: Assigning a record exercise is a classic homework task.

17. ABC Model
    • Scenario: “We broke down an argument into Activating event, Beliefs, and Consequences.”
    • Definition: Framework for analyzing situations and responses.
    • Rationale: The client uses the ABC structure to understand their reaction.

18. Reward System
    • Scenario: “I earn points for each step, then treat myself for reaching 10 points.”
    • Definition: Using incentives to reinforce desired behaviors.
    • Rationale: Structured rewards are used to motivate progress.

19. Disputation
    • Scenario: “I challenged ‘I’ll never get better’ by listing times I improved.”
    • Definition: Actively arguing against irrational beliefs.
    • Rationale: The client refutes the thought with counter-evidence.

20. Adaptive Thinking
    • Scenario: “I changed ‘I always mess up’ to ‘I sometimes err, but I learn.’ ”
    • Definition: Replacing distorted thoughts with balanced alternatives.
    • Rationale: The reframed statement reflects realistic, flexible thinking.

21. Role Play
    • Scenario: “We practiced asking for feedback through a mock conversation.”
    • Definition: Simulated enactment of skills to enhance confidence.
    • Rationale: The client rehearses a social interaction in session.

22. Pleasant Activity Scheduling
    • Scenario: “I planned a movie night with friends to uplift my spirits.”
    • Definition: Deliberately scheduling enjoyable events.
    • Rationale: The client organizes a positive social activity.

23. Mindfulness
    • Scenario: “I sat quietly, focusing on breath and nonjudgmental awareness.”
    • Definition: Present-moment, nonjudgmental attention to internal and external experiences.
    • Rationale: The meditation practice reflects mindfulness principles.

24. Thought Challenge
    • Scenario: “I asked myself, ‘What’s the worst that could happen? How likely is it?’ ”
    • Definition: Examining the realism and probability of feared outcomes.
    • Rationale: The client critically evaluates the thought’s validity.

Sample Win Verification (Card 1, Row 3)

• Winning Pattern: Horizontal Row 3
• Required Squares: Socratic Questioning | Thought Record | FREE SPACE | Behavioral Experiment | Cognitive Triad

Verification Steps:

1. Confirm each marked square matches the scenario key above.
2. Ensure the participant’s marked concepts align with definitions (e.g., they identified the therapist’s question as Socratic Questioning).
3. Check that the FREE SPACE is counted by default.
4. Verify no extra markings outside the winning row were used to claim Bingo.

Use this key in the Debrief & Assessment phase to validate winners and clarify any misidentified concepts.