Coaching practices for Com B Diagnosis

Describe almost anything you are working through and IX Coach finds the practices whose real-world fit is closest. For Com B Diagnosis, these are the strongest matches in the current practice library.

Does this sound like the set of challenges you might be facing?

• I reach for the same go-to fix for every change
• The second something goes wrong I leap straight to fixes
• I’ve thrown so much at this change and it still won’t stick, and I honestly can’t tell whether the real problem is that I don’t want it enough, don’t know how, or my whole setup makes it impossible
• I want to work on this, but the thought of having to write out or relive every detail of what happened is exactly what stops me cold
• In my head it goes straight from something setting me off to me doing the thing, like one instant jump with nothing in between

Practices that may help

1. The COM-B Model and Behavior Change Wheel
   COM-B (Capability, Opportunity, Motivation, Behavior) is a diagnostic framework developed by Michie and colleagues that maps the three conditions any behavior requires: you must be able to do it, have the opportunity to do it, and want to do it. Research supporting COM-B as a systematic intervention framework is largely expert-consensus and observational rather than RCT; its main value is stopping you from applying the wrong lever.
2. Behavioral Chain Analysis: The DBT Method for Understanding Problem Behaviors
   Behavioral chain analysis (BCA), a core DBT skill developed by Marsha Linehan, maps every link in the chain of events — from the original vulnerability through the triggering event, thoughts, feelings, and actions — that led to a problem behavior. By making the chain visible, BCA reveals multiple points where the sequence could have been broken, turning a post-hoc autopsy into a concrete prevention plan.
3. Match your intervention type to the COM-B gap
   Use the Behavior Change Wheel to select the intervention approach that fits the diagnosed gap — not your default.
   The COM-B Model and Behavior Change Wheel
4. Cognitive Behavioral Therapy (CBT), Made Practical
   Cognitive behavioral therapy (CBT) is a structured, skills-based approach built on a simple idea: thoughts, feelings, and behaviors influence each other, so changing what you think and do changes how you feel. CBT is among the most empirically supported psychotherapies for anxiety and depression across many randomized trials and meta-analyses. The skills below can be practiced on their own, though CBT for a diagnosed condition belongs with a qualified clinician.
5. Distinguish diagnostic trees (why?) from solution trees (how?)
   Use a "why?" tree to find root causes and a "how?" tree to generate solutions — mixing them produces confusing structures.
   Issue Tree Analysis
6. Diagnose before you prescribe with COM-B
   Before picking a strategy, identify which of Capability, Opportunity, or Motivation is the bottleneck.
   The COM-B Model and Behavior Change Wheel
7. Know that CPT-C (cognitive only) skips the trauma narrative
   A cognitive-only version of CPT omits the written trauma account and may be more tolerable for some people.
   Cognitive Processing Therapy (CPT): Unsticking the Meanings That Maintain PTSD
8. Cope Ahead: DBT’s Method for Preparing for Difficult Situations
   Cope ahead, a DBT skill developed by Marsha Linehan, involves mentally rehearsing a likely difficult situation in detail — imagining the emotions that will arise, and practicing the exact coping responses before the event. It is not positive visualization; it is stress-inoculation rehearsal that pre-loads effective responses so they are available under real-time pressure.
9. Map every link in the chain — thoughts, feelings, urges, actions
   Walk from the prompting event to the problem behavior one step at a time, naming each link explicitly.
   Behavioral Chain Analysis: The DBT Method for Understanding Problem Behaviors
10. Generate a solution analysis for the most accessible intervention point
    For your chosen intervention point, brainstorm and commit to one specific alternative.
    Behavioral Chain Analysis: The DBT Method for Understanding Problem Behaviors

Describe your situation in your own words to search the complete practice library.