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STEPPS combines cognitive-behavioral elements with skills training, but does not involve individual therapy.
Using the STEPPS skills is framed as "change from the outside in.
Problems with misbehavior in STEPPS sessions have not been encountered, though the possibility exists.
STEPPS employs cognitive-behavioral methods, including identifying and challenging distorted thoughts and specific behavioral change, combined with psycho-education and skills training.
who agree to assist the patient in reinforcing STEPPS skills.