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Table 1 Session overview and subjects

From: Indoor rock climbing (bouldering) as a new treatment for depression: study design of a waitlist-controlled randomized group pilot study and the first results

Session

Topic

1

Introduction to bouldering, support for group cohesion, obtaining an overview of the physical abilities of the participants

â—Ź Introduction to mindfulness-breathing techniques

â—Ź First steps into bouldering: safety rules, getting to know the place, spotting, difficulty of routes

â—Ź First experiences with bouldering, sharing

2

Old habits – new ways

â—Ź Body perception in shifting the focus

â—Ź Bouldering techniques II: Self-awareness, body perception, centre of gravity. Focussing on legs instead of arms

â—Ź Different ways of bouldering the same boulder: old habits vs. new possibilities

3

Expectation versus experience, healthy handling of limitations

â—Ź Focussing on the moment: what are my expectations of me?

â—Ź Feelings of limitation: when is it better to push, when to ease up?

â—Ź Bouldering techniques III: different possibilities for holding and stepping

4

Self-efficacy: the power of small steps

● Self-efficacy and one’s own experiences

â—Ź Bouldering techniques IV: twisting and Egyptian

5

Fear and trust

â—Ź Fear, anxiety, and panic: what to do?

â—Ź Breathing and other techniques when experiencing fear

â—Ź Differences between objective risks and false alarms

6

Trusting yourself and trusting others

â—Ź Acknowledging and accepting your own limits

â—Ź Accepting help from others

â—Ź Handling the emotions of shame or disappointment

7

Transfer to daily life

â—Ź Sharing of lessons learned

● One’s own daily life problems: transferring to bouldering situations and back?

8

Reflection of lessons learned, free topic (reflecting the group’s wishes)