HIGH LOW CAS CAS 1.Negative thought / low mood 1. Positive thought/ high mood HIGH LOW 6. Positive beliefs 2. First Appraisal 5a,b Negative beliefs 5a,b Positive / Negative beliefs 7b Beliefs about coping strategies CAS CAS 4. Second Appraisal 3.Emotion / Cognitive Changes 7a.Behaviour and Thought Control 4. Second Appraisal 3. Emotion / Cognitive Changes 7a. Behaviour and Thought Control Behavioural beliefs are that coping behaviours work to tackle low and high mood (My coping behaviours help me to cope) Positive and negative personal and interpersonal beliefs seem important to formulate for engagement and to make sense of experiences (I’m special, have special powers or I’m useless and worthless, perhaps leading to suicidality). Dotted line is negative feedback loop. 8. Life events, temperament, relationships, trauma and unhelpful medical interventions