Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

2017 ◽  
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Treatment Strategies ◽  
Tic Disorders ◽  
Evidence Based ◽  
Obsessive Compulsive ◽  
Evidence Based Treatment ◽  
Transdiagnostic Treatment ◽  
Obsessive Compulsive Disorders

The therapy manuals included in this volume—the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A)—include evidence-based treatment strategies to assist child and adolescent clients to function better in their lives. The manuals include specific guidelines for treatment delivery, and they also contain information about how to introduce parent-directed strategies to help promote long-term uptake of youth-directed therapy skills. The evidence-based treatment skills presented may be applied by therapists to children and adolescents with a wide variety of emotional disorders. This treatment guide takes a transdiagnostic approach to the treatment of emotional disorders. Some of the disorders that may be targeted include anxiety disorders and depressive disorders. This treatment is flexible enough for use with some trauma and stress-related disorders (including adjustment disorders), somatic symptom disorders, tic disorders and obsessive-compulsive disorders. The transdiagnostic presentation of evidence-based intervention techniques within these treatments may be particularly useful for children and adolescents presenting with multiple emotional disorders or mixed/subclinical symptoms of several emotional disorders.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents

2017 ◽  
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Shannon M. Bennett ◽  
David H. Barlow
Keyword(s):  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Separation Anxiety Disorder ◽  
Tic Disorders ◽  
Evidence Based ◽  
Evidence Based Treatment ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents: Workbook (UP-A) provides evidence-based treatment strategies to assist adolescent clients to function better in their lives. This treatment is designed for adolescents who are experiencing feelings of sadness, anxiety, worry, anger, or other emotions that get in the way of their ability to enjoy their lives and feel successful. The workbook is written for adolescents and guides them through each week of the program with education, activities, and examples that will help them to understand the role that emotions play in their behaviors every day. Adolescents are taught helpful strategies for dealing with uncomfortable emotions and will receive support in making choices that will move them closer to their long-term goals. The evidence-based treatment skills presented in the accompanying Therapist Guide may be applied by the therapist to adolescents with a wide variety of emotional disorders. The UP-A takes a transdiagnostic approach to the treatment of the emotional disorders. Some of the disorders that may be targeted include anxiety disorders (e.g., generalized anxiety disorder, social anxiety disorder, separation anxiety disorder, specific phobias, panic disorder, illness anxiety disorder, agoraphobia) and depressive disorders (e.g., persistent depressive disorder, major depressive disorder). This treatment is flexible enough for use with some trauma and stress-related disorders (including adjustment disorders), somatic symptom disorders, tic disorders, and obsessive-compulsive disorders. The transdiagnostic presentation of evidence-based intervention techniques within these treatments may be particularly useful for adolescents presenting with multiple emotional disorders or mixed/subclinical symptoms of several emotional disorders.

UP-A Group and UP-C Individual Therapy Variations, Other Adaptations

2017 ◽  
pp. 397-407
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Children And Adolescents ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Problem Area ◽  
Individual Therapy ◽  
Tic Disorders ◽  
Obsessive Compulsive ◽  
Behavioral Choices ◽  
Somatic Symptom Disorders

Chapter 23 highlights the flexibility and adaptability of this transdiagnostic, unified approach to treating emotional disorders in children and adolescents. These treatments target a common set of underlying features of emotional disorders (e.g., high levels of intense emotions, distress reactions to intense emotions, unhelpful behavioral choices when experiencing intense emotions). Thus, the skills detailed in these treatments are applicable to disorders or problem area sharing these core features. These include anxiety and depressive disorders and obsessive-compulsive (OC) spectrum disorders, tic disorders, stress-related disorders, somatic symptom disorders, and potentially even some eating disorders. This chapter reviews some of the most common modifications that may be needed for using the UP-C and UP-A under different conditions and with different types of symptom presentations.

Introduction to the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C)

2017 ◽  
pp. 171-180
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Treatment Strategies ◽  
Evidence Based ◽  
Age Group ◽  
Emotional Experiences ◽  
Obsessive Compulsive ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Wide Range ◽  
Anxiety Depression

Chapter 10 introduces the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C). This is also called the “Emotion Detectives” program, which reflects the guiding treatment metaphor: teaching children to “solve the mystery of their emotions,” as detectives might. The UP-C is intended to reduce the intensity and frequency of symptoms common to youth with emotional disorders by using core evidence-based treatment strategies in a broad manner that applies to a wide range of aversive emotional experiences characteristic of youth emotional disorders (i.e., anxiety, depression, other internalizing disorders). Many anxiety, depression, adjustment, traumatic stress-related, or obsessive-compulsive or related disorders would be appropriate targets for this intervention. The UP-C is intended for children between the ages of 7 and 13, although children slightly above or below this age group may benefit from this format.

Pharmacological treatment strategies in mood, panic and obsessive compulsive disorders

1996 ◽  
Vol 8 (1) ◽  
pp. 17-24
Author(s):  
W.M.A. Verhoeven ◽  
S. Tuinier ◽  
J.B.G.M. Noten
Keyword(s):  
Depressive Disorders ◽  
Psychiatric Comorbidity ◽  
Treatment Strategies ◽  
The Elderly ◽  
Tricyclic Antidepressant ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Disorders ◽  
Potential Interactions ◽  
Compulsive Disorders ◽  
Isozyme System

SummarySince the introduction of the monoamine oxydase inhibitors and the first tricyclic antidepressant (TCA) imipramine in the late fifties, the treatment of depressive disorders has been changed dramatically. Althought a great variety of antidepressants such as TCA's, selective serotoninte-re-uptake inhibitors (SSRI's) mianserin, trazodone, mirtazapine, moclobemide and venlafaxine has become available, the exact mode of action is not revealed as yet, and classification should be done according to the interference of antidepressants with central monoaminergic processes.As to the potential of causing interactions, special attention has to be given to the SSRI's because of their interference with the CYP450 isozyme system. Therapeutic monotoring is recommended for the TCA's. The choiseforan antidepressant should be based on various factors like symptomatology and severity of the depression, potential interactions and somatic and/or psychiatric comorbidity.Extensive clinical research has demonstrated that TCA's are the most effective for major depression with melancholia (vital depression) and depressive disorders in the elderly.

Obsessive–compulsive disorder and tics in children and adolescents

2012 ◽  
pp. 1680-1693
Author(s):  
Martine F. Flament ◽  
Philippe Robaey
Keyword(s):  
Children And Adolescents ◽  
Treatment Strategies ◽  
Tic Disorders ◽  
Older Individuals ◽  
Obsessive Compulsive ◽  
Pharmacological Agents ◽  
Assessment And Treatment ◽  
Ongoing Relationship

Paediatric OCD is the disorder, in child psychiatry, whose clinical picture most closely resembles its adult counterpart. Despite a relative diversity, the symptom pool is remarkably finite, and very similar to that seen in older individuals. Prevalence, comorbidity, and response to behavioural and drug treatment also appear similar across the lifespan. For tic disorders, there is continuity between child and adult presentations, but the disease is much more prone to resolve spontaneously, or to be less disruptive in adulthood. Both OCD and tics occur more often in males than in females, and are likely to be linked to an array of neurobiological abnormalities, many of which remain to be understood. Invaluable benefits can now be obtained from available behavioural and pharmacological treatments, but complete remission remains uncertain and long-term management may be required. Thus, the treatment of OCD and tics in children and adolescents remains a clinical challenge. It requires careful assessment of the targeted symptoms and, in many cases, comorbidity; attention to the quality of the child's functioning at home and with peers; use of specific CBT interventions, which are not readily available (or accessible) in all communities; patience and caution in the choice and adjustment of medication; and vigilance in watching potential side effects. Given the possible chronicity of OCD and/or tic disorders, and their changing patterns in severity and impact over the childhood and adolescent years, optimal treatment generally requires a long-term ongoing relationship with the child and family. Current conceptualizations of OCD and tic disorders have been shaped by advances in systems neuroscience and functional in vivo neuroimaging. Continued success in these areas should lead to the targetting of specific brain circuits for more intensive research. This should include testing novel pharmacological agents, tracking treatment response using neuroimaging techniques, and possibly investigating circuit-based therapies using deep-brain stimulation for refractory cases. The identification of the PANDAS subgroup of patients, with an abrupt onset and dramatic exacerbations, certainly brings new insights into the pathophysiology of OCD and tic disorders, and may lead to new assessment and treatment strategies. The increasing evidence for susceptibility genes in OCD and tic disorders will also doubtless point to new therapeutic directions. Furthermore, it is likely that many of the empirical findings used in research on paediatric OCD and tic disorders will be relevant to a better understanding of both normal development, and other disorders of childhood onset.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children

2017 ◽  
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
David H. Barlow
Keyword(s):  
Emotional Disorders ◽  
Treatment Strategies ◽  
Obsessive Compulsive ◽  
Emotional Challenges ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Making Choices ◽  
Age Range ◽  
Anxiety Depression

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children: Workbook (UP-C) provides evidence-based treatment strategies to assist child clients to function better in their lives. This treatment is designed for children ages 7 to 13 (although some children just outside this age range may also benefit) who are experiencing feelings of sadness, anxiety, worry, anger, or other emotions that get in the way of their ability to enjoy their lives and feel successful. The workbook is written for children (with corresponding parent sessions presented later in the book) and guides them through each week of the program with education, activities, and examples that will help families to understand the role that emotions play in everyday actions. Children are taught helpful strategies for dealing with strong emotions and will receive support in making choices that will move them closer to their long-term goals. The UP-C takes a transdiagnostic approach to the treatment of emotional disorders and the skills presented are appropriate for children with a large range of emotional challenges, including anxiety, depression, obsessive-compulsive symptoms, and other related concerns.

Introduction to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

2021 ◽  
pp. 3-16
Author(s):  
Sarah M. Kennedy ◽  
Jill Ehrenreich-May
Keyword(s):  
Children And Adolescents ◽  
Emotional Disorders ◽  
Historical Development ◽  
Anxiety And Depression ◽  
Evidence Based ◽  
Transdiagnostic Treatment ◽  
Practical Guidance ◽  
Weekly Therapy

This chapter provides a brief historical and theoretical introduction to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C and UP-A), followed by practical guidance for using this volume to treat children and adolescents. The chapter situates transdiagnostic treatments within the historical development of evidence-based interventions for children and adolescents and distinguishes core-dysfunction–focused transdiagnostic treatments, such as the UP-C and UP-A, from other types of transdiagnostic treatments. The chapter reviews key core dysfunctions underlying emotional disorders that are addressed through treatment with the UP-C and UP-A. The authors discuss the rationale for this volume, which focuses on applications of the UP-C and UP-A to youth with diagnoses other than anxiety and depression and youth being treated in delivery settings outside of the standard weekly therapy format. Tips for using this volume in conjunction with the UP-C and UP-A therapist guide and workbooks are offered.

Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

2021 ◽  
Keyword(s):  
Children And Adolescents ◽  
Emotional Disorders ◽  
Stepped Care ◽  
Community Practice ◽  
Obsessive Compulsive ◽  
Transdiagnostic Treatment ◽  
Structural Modifications ◽  
User Friendly ◽  
Internalizing Distress ◽  
Modular Structures

The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C and UP-A) are evidence-based, transdiagnostic intervention programs that target core emotion regulation processes that may be shared across varying presentations of internalizing distress or disorders in youth. Given their popular transdiagnostic and modular structures, the UP-C and UP-A have quickly been disseminated and implemented with a variety of populations and in differing treatment settings. This volume aims to aid UP-C and UP-A therapists in understanding varied applications and modifications of these approaches and assist them in applying such in their own practice. To that end, chapters are offered on not only standard UP-C and UP-A research and practice but also applications for youth with obsessive-compulsive symptoms, tic-related concerns, substance use, serious mental illness, and eating disorders. Structural modifications to the UP-C and UP-A using a stepped care model and when delivering care in pediatric or community practice settings and in differing cultures or languages are also discussed. To aid in their use, each chapter includes a brief, user-friendly description of the modifications or adaptations of the UP-C and/or UP-A that are described therein.

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