Introduction to the Unified Protocol

2017 ◽  
pp. 3-8
Author(s):  
David H. Barlow ◽  
Todd J. Farchione ◽  
Shannon Sauer-Zavala ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Mental Health ◽  
Eating Disorders ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Mental Health Providers ◽  
Health Providers ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Chapter 1 of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide introduces the treatment program, which is applicable to all anxiety and unipolar depressive disorders, and potentially other disorders with strong emotional components (e.g., eating disorders, borderline personality disorder). This introductory chapter lays out the advantages of a unified, transdiagnostic approach as well as the efficacy of the Unified Protocol (UP). The chapter concludes with an explanation of the purpose of the therapist guide, which gives mental health providers guidance on administration of the UP.

Introduction

2021 ◽  
pp. 3-36
Author(s):  
Heather Thompson-Brenner ◽  
Melanie Smith ◽  
Gayle Brooks ◽  
Rebecca Berman ◽  
Angela Kaloudis ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Negative Affect ◽  
Emotional Disorders ◽  
Emotional Functioning ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

The Renfrew Unified Treatment for Eating Disorders and Co-occurring Emotional Disorders (UT) is an integrative, transdiagnostic, principle-based approach to address patterns of emotion avoidance, emotion sensitivity, and negative affect that produce and maintain the symptoms of eating disorders and co-occurring emotional disorders. The UT model was developed through an extensive process of adapting the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) for use with patients with severe and diverse eating disorders. The modules of the UT are distinct from other approaches due to their cohesive (internal and collective) focus on how each module addresses these shared maintaining mechanisms. There is extensive evidence that eating disorders typically co-occur with other emotional disorders. There is also extensive evidence that eating disorders and other emotional disorders share common maintaining mechanisms, reflecting aspects of emotional functioning.

The Unified Protocol for Eating Disorders

2017 ◽  
pp. 150-163
Author(s):  
Christina L. Boisseau ◽  
James F. Boswell
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Emotional Disorders ◽  
Clinical Case ◽  
Case Examples ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Outpatient Settings

This chapter describes the application of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) to eating disorders, including anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder, and other specified feeding or eating disorders. We focus on the five core treatment modules, highlighting aspects of each one that are particularly relevant to eating disorders and discuss the evidence supporting their use. Next, using clinical case examples from both residential and outpatient settings, we illustrate how each of these core modules can be applied to the treatment of eating disorders. Finally, we provide recommendations for future applications of the UP in this population.

The Unified Protocol for Major Depressive Disorder

2017 ◽  
pp. 67-85
Author(s):  
James F. Boswell ◽  
Laren R. Conklin ◽  
Jennifer M. Oswald ◽  
Matteo Bugatti
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Emotional Disorders ◽  
Clinical Case ◽  
Depressive Disorders ◽  
Major Depressive ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
High Level ◽  
Future Work

Major depressive disorder (MDD) can be a chronic, debilitating condition that for many individuals waxes and wanes over time. In addition, MDD and other unipolar depressive disorders demonstrate a high level of comorbidity with anxiety disorders. This chapter describes the application of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) to MDD and other unipolar depressive disorders. We first review research supporting the association between depression and higher-order constructs such as neuroticism. Next, we present a clinical case that, combined with module-specific recommendations, further illustrates how UP principles and strategies are implemented in the treatment of primary depression. Finally, we offer recommendations for future work involving the UP for major depression and other depressive disorders.

Avoidant/Restrictive Food Intake Disorder

2021 ◽  
pp. 112-130
Author(s):  
Kristina Duncombe Lowe ◽  
Sarah Eckhardt
Keyword(s):  
Mental Health ◽  
Food Intake ◽  
Emotional Disorders ◽  
Treatment Model ◽  
Health Concerns ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Clinical Presentations ◽  
Family Based ◽  
Common Barriers

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A) is an innovative intervention that has been adapted for the treatment of youth with avoidant/restrictive food intake disorder (ARFID). When combined with family-based treatment (FBT) for eating disorders, the UP-C/A is a highly customizable treatment model that addresses the multitude of clinical presentations seen in ARFID patients while also flexibly addressing the high rates of comorbid mental health concerns common in these youth. This chapter discusses important considerations when deciding when and how to add the UP-C/A for ARFID patients, as well as how to troubleshoot common barriers in treatment. Important adaptations to the UP-C/A are also presented, including ways to personalize Top Problems and goals, psychoeducation, exposures, and parental involvement for this unique patient population.

Group Treatment Applications of the Unified Protocol

2017 ◽  
pp. 252-267
Author(s):  
Jacqueline R. Bullis ◽  
Kate H. Bentley ◽  
Katherine A. Kennedy
Keyword(s):  
Cost Effectiveness ◽  
Emotional Disorders ◽  
Group Treatment ◽  
Depressive Disorders ◽  
Research Priorities ◽  
Future Research ◽  
Recent Application ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Group Format

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) has demonstrated promising results among patients with heterogeneous anxiety and comorbid depressive disorders when delivered on an individual basis, but greater efficiencies may be achieved with group-based applications. This chapter will provide a rationale for utilizing a transdiagnostic approach in a group format, including cost-effectiveness and efficiency for patients and practitioners alike. It will illustrate a recent application of the UP with patients who completed 12 sessions in a group, offer guidelines on how to successfully implement the UP in a group of patients with a range of anxiety, depressive, and related disorders, and discuss the challenges that arose during treatment. We will then present data on the treatment response for each patient, as well as patients’ perceptions of the acceptability and feasibility of the UP in a group format, and conclude with our thoughts on future research priorities.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders

2017 ◽  
Author(s):  
David H. Barlow ◽  
Todd J. Farchione ◽  
Shannon Sauer-Zavala ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Depressive Disorders ◽  
Cognitive Appraisals ◽  
Borderline Personality ◽  
Short Term ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Empirically Supported ◽  
Core Skills ◽  
Action Tendencies

The Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide is a treatment programv applicable to all anxiety and unipolar depressive disorders and potentially other disorders with strong emotional components (e.g., eating disorders, borderline personality disorder). The UP for the Transdiagnostic Treatment of Emotional Disorders addresses neuroticism by targeting the aversive, avoidant reactions to emotions that, while providing relief in the short term, increase the likelihood of future negative emotions and maintains disorder symptoms. The strategies included in this treatment are largely based on common principles found in existing empirically supported psychological treatments—namely, fostering mindful emotion awareness, reevaluating automatic cognitive appraisals, changing action tendencies associated with the disordered emotions, and utilizing emotion exposure procedures. The focus of these core skills has been adjusted to specifically address core negative responses to emotional experiences.

Community Mental Health Delivery

2021 ◽  
pp. 162-179
Author(s):  
Ashley M. Shaw ◽  
Renee L. Brown ◽  
Vanesa A. Mora Ringle ◽  
Vanessa E. Cobham
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Emotional Disorders ◽  
The United States ◽  
Transdiagnostic Treatment ◽  
Health Delivery ◽  
Intervention Level ◽  
Unified Protocol ◽  
Mental Health Settings ◽  
Community Mental Health Settings

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) is a modular, flexible intervention that has been applied in various community mental health settings by community clinicians to diverse adolescents across the United States and Australia. This chapter summarizes key adaptations that were commonly used by community clinicians across two effectiveness trials. For example, clinicians flexibly abbreviated the UP-A when they only had limited time with an adolescent. Many clinicians also referred to “module summary” outlines during their sessions to ensure they covered key take-home points. Lastly, the chapter summarizes intervention-level, clinician-level, and patient-level barriers for UP-A implementation in community settings and provides recommendations for clinicians, supervisors, and consultants about how to troubleshoot these barriers. Furthermore, the chapter describes the case of a community clinician who initially worried about deviating too far from UP-A content but was later able to flexibly apply the UP-A to her cases.

What Are Emotional Disorders?

2017 ◽  
pp. 1-10 ◽  
Author(s):  
David H. Barlow ◽  
Shannon Sauer-Zavala ◽  
Todd J. Farchione ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Chapter 1 of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Workbook describes the types of problems the Unified Protocol (UP) program was designed to address. The chapter begins by defining emotional disorders, which are characterized by the frequent experience of strong emotions, negative reactions to these emotional experiences, and efforts to escape or avoid them. Next, the types of disorders that that fit within the larger class of emotional disorders, and are addressed by the is treatment, are described. Finally, this chapter helps readers determine whether this treatment is a good fit for the types of problems they are experiencing.

Diagnosis, Etiology, and Treatment of Premenstrual Dysphoric Disorder

2018 ◽  
Author(s):  
Edwin Raffi ◽  
Marlene P. Freeman
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Premenstrual Dysphoric Disorder ◽  
Reproductive Age ◽  
Treatment Modalities ◽  
Mental Health Providers ◽  
Health Providers ◽  
Diagnostic And Statistical Manual ◽  
Exact Etiology ◽  
Premenstrual Exacerbation

Premenstrual dysphoric disorder (PMDD) was recognized as an official psychiatric diagnosis among depressive disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The exact etiology of PMDD is not yet fully understood, and it is a topic of current research. The hope is that learning more about PMDD can lead to improved treatment modalities for this disorder and better understanding of other related disorders (such as premenstrual mood exacerbation and postpartum- or menopause-related mood disorders). Often misdiagnosed and likely underdiagnosed, PMDD has a 12-month prevalence that ranges from 1.8 to 5.8% for women who menstruate. Mental health providers who treat women of reproductive age should be familiar with the diagnostic criteria, related differential diagnosis, and available treatment modalities for PMDD. This review contains 5 figures, 5 tables and 59 references Key words: mood disorder, premenstrual dysphoric disorder, premenstrual exacerbation, premenstrual syndrome, reproductive mental health, reproductive psychiatry, women’s mental health

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